Summerset by the Park

Profile & contact details

Premises details
Premises nameSummerset by the Park
Address 7 Flat Bush School Road Flat Bush Auckland 2016
Total beds84
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameSummerset Care Limited - Summerset by the Park
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence21 April 2022
Certification period36 months
Provider details
Provider nameSummerset Care Limited
Street addressMajestic Centre Floor 27, 100 Willis Street Wellington Central Wellington 6011
Post addressPO Box 5187 Wellington 6140

Progress on issues from the last audit

What’s on this page?

This rest home has been audited against the Health and Disability Services Standards. During the last audit, the auditors identified some areas for improvement.

Issues from their last audit are listed in the corrective actions table below, along with the action required to fix the issue, its risk level, and whether or not the issue has been reported as fixed.

A guide to the table is available below.

Details of corrective actions

Date of last audit: 11 December 2020

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.There are no documented interventions in place for one hospital level resident requiring hourly visual monitoring and behaviour monitoring chart as documented in the care plan and progress notes. Ensure all interventions are implemented as instructed. PA LowReporting Complete01/07/2019
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.(i) There were no documented interventions in place for two hospital residents with unintentional weight loss. (ii) There were no documented interventions for one hospital resident with constipation and haemorrhoids as per GP and progress notes. (iii) The long-term care plan had not been updated to reflect outcomes in the interRAI assessment for pain and behaviours. Ensure that resident care plans include nursing interventions for identified needs. PA ModerateReporting Complete01/07/2019
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.(i) Two of eight resident files (one rest home and one hospital) did not have an initial interRAI completed within 21 days. (ii) Two of eight residents (one rest home and one hospital) did not have an initial care plan within the required timeframe. One of the residents (rest home) did not have an initial assessment completed within the required timeframe. (iii) Long-term care plans for six residents (two rest home and four hospital) were not evaluated six monthly. (iv) Five (two rest home a… (this text has been trimmed due to space limits).(i) and (ii) Ensure assessments and care plans are completed within the required timeframe. (iii) and (iv) Ensure interRAI reassessments and care plan evaluations are completed six monthly. PA ModerateReporting Complete13/08/2019
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.(i) Satisfaction survey results are not acted on or shared with staff, residents or relatives. (ii) Quality data results that are being monitored, collated, trended and actioned at management level are not discussed at staff meetings. (i) Ensure that the resident satisfaction results are reviewed, and results shared with staff, residents and families. (ii) Ensure trends in data and an analysis of data are shared with staff. PA ModerateReporting Complete13/08/2019
The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.The business plan for 2018 has not been reviewed. Ensure business goals are reviewed quarterly and annually. PA LowReporting Complete13/08/2019
Consumers have a right to full and frank information and open disclosure from service providers.Four of twelve incident notifications were made between one and ten days after the event. Ensure family are advised of adverse events in a timely manner. PA LowReporting Complete19/08/2019
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.One care plan stated that the resident was to have hourly visual checks. There was no documented evidence of this occurring. Ensure hourly visual checks are documented. PA ModerateReporting Complete12/04/2021
All buildings, plant, and equipment comply with legislation.The property manager interviewed stated that the property assistant responsible for monitoring residents’ hot water taps is completing them but is not documenting the results of the findings. Ensure there is documented evidence to indicate that water temperatures for residents’ water taps are being monitored regularly. PA LowReporting Complete04/05/2021
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.i) Two of five activity assessments had not been completed in a timely manner. ii) Two of five files reviewed did not evidence a completed activity plan. Ensure all activities assessments and plans are completed within timeframes. PA LowReporting Complete04/05/2021
New service providers receive an orientation/induction programme that covers the essential components of the service provided.Documented evidence of staff completing an orientation programme were missing in four of six staff files. Ensure staff files contain evidence of staff completing their orientation programme. PA ModerateReporting Complete04/05/2021
Professional qualifications are validated, including evidence of registration and scope of practice for service providers.The foreign-trained physiotherapist who is contracted to provide physiotherapy services twice per week (eight hours) does not hold an annual practising certificate. Ensure there is documented evidence (eg, co-signing all assessments, treatment plans and progress notes) to indicate that the physiotherapist who is working at Summerset by the Park is being supervised by a physiotherapist with a current practising certificate. PA LowReporting Complete04/05/2021

Guide to table

Outcome required

The outcome required by the Health and Disability Services Standards.

Found at audit

The issue that was found when the rest home was audited.

Action required

The action necessary to fix the issue, as decided by the auditor.

Risk level

Whether the required outcome was partially attained (PA) or unattained (UA), and what the risk level of the issue is.

The outcome is partially attained when:

  • there is evidence that the rest home has the appropriate process in place, but not the required documentation
  • when the rest home has the required documentation, but is unable to show that the process is being implemented.

The outcome is unattained when the rest home cannot show that they have the needed processes, systems or structures in place.

The risk level is determined by two things: how likely the issue is to happen and how serious the consequences of it happening would be.

The risk levels are:

  • negligible – this issue requires no additional action or planning.
  • low – this issue requires a negotiated plan in order to fix the issue within a specified and agreed time frame, such as one year.
  • moderate – this issue requires a negotiated plan in order to fix the issue within a specific and agreed time frame, such as six months.
  • high – this issue requires a negotiated plan in order to fix the issue within one month or as agreed between the service and auditor.
  • critical – This issue requires immediate corrective action in order to fix the identified issue including documentation and sign off by the auditor within 24 hours to ensure consumer safety.

The risk level may be downgraded once the rest home reports the issue is fixed.

Action status

Whether the necessary action is still in progress or if it is complete, as reported by the rest home to the relevant district health board.

Date action reported complete

The date that the district health board was told the issue was fixed.

Audit reports

Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.

What’s on this page?

Audit reports for this rest home’s latest audits can be downloaded below.

Full audit reports are provided for audits processed and approved after 29 August 2013.  Note that the format for the full audit reports was streamlined from 16 December 2014.  Full audit reports between 29 August 2013 and 16 December 2014 are therefore in a different format. 

Prior to 29 August 2013, only audit summaries are available.

Both the recent full audit reports and previous audit summaries include:

  • an overview of the rest home’s performance, and
  • coloured indicators showing how well the rest home performed against the different aspects of the Health and Disability Services Standards.

Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.

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