Summerset by the Sea
Profile & contact details
|Premises name||Summerset by the Sea|
|Address||181 Park Road Katikati 3129|
|Service types||Rest home care, Geriatric, Medical|
|Certification/licence name||Summerset Care Limited - Summerset By the Sea|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||02 September 2021|
|Certification period||24 months|
|Provider name||Summerset Care Limited|
|Street address||Majestic Centre Floor 27, 100 Willis Street Wellington Central Wellington 6011|
|Post address||PO 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: 02 July 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Annual appraisals had not been completed for three staff (enrolled nurse, caregiver and property assistant).||Ensure performance appraisals are completed annually.||PA Low||Reporting Complete||07/10/2019|
|The facilitation of safe self-administration of medicines by consumers where appropriate.||One self-medicating rest home resident competency had not been reviewed by the RN and GP three monthly.||Ensure self-medication competencies are reviewed three monthly.||PA Moderate||Reporting Complete||07/10/2019|
|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) One rest home resident did not have an initial assessment and care plan completed within required timeframes. (ii) Two rest home residents did not have an interRAI assessment and long-term care plan completed within 21 days of admission. (iii) One hospital resident did not have six monthly interRAI assessments and care plan evaluations completed. (iv) One rest home resident did not have a medical assessment by a GP within five days of admission. (v) One hospital resident had a four-mon… (this text has been trimmed due to space limits).||(i) Ensure initial assessments and care plans are completed with the required timeframes. (ii) Ensure first interRAI assessments and long-term care plans are completed within 21days of admission. (iii) Ensure the routine interRAI assessment and care plan evaluations are completed six-monthly for all long-term residents. (iv) Ensure all residents are assessed and admitted by GP within five days of admission. (v) Ensure residents are reviewed by a GP at least three-monthly.||PA Moderate||Reporting Complete||07/10/2019|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||There is not always at least one rostered staff member on night shift with a current first aid cert.||Ensure there is a trained first aider on duty at all times for the care centre.||PA Moderate||Reporting Complete||07/10/2019|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Three of six long-term care plans reviewed did not include interventions and needs/supports for the following; (i) One hospital resident with a PEG tube in place did not have interventions regarding management of the PEG tube site, monitoring for complications including infection. (ii) One rest home resident with challenging behaviours did not have interventions related to management of challenging behaviours, identification of triggers and de-escalation techniques. (iii) One hospital residen… (this text has been trimmed due to space limits).||(i)-(iv) Ensure care plans include interventions to support the resident’s current identified needs and supports.||PA Moderate||Reporting Complete||07/10/2019|
|A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.||(i) Six of the fourteen medication charts did not have documented evidence of the effectiveness of ‘as required’ medication administered. (ii) Medication fridge temperatures are not regularly monitored and recorded.||(i) Ensure effectiveness of ‘as required’ medication administered is documented for effectiveness. (ii) Ensure medication fridge temperatures are monitored.||PA Low||Reporting Complete||07/10/2019|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i) Five incidents of residents with unwitnessed falls did not have neurological observations monitored and recorded as per policy. (ii) The prescribed intervention around indwelling catheter tube changes were not implemented for one hospital resident that had an indwelling urinary catheter in place.||(i) Ensure neurological observations are completed as per policy. (iii) Ensure urinary catheter interventions regarding changes of tube are implemented as prescribed and recorded.||PA Low||Reporting Complete||07/10/2019|
|Approved restraint is only applied as a last resort, with the least amount of force, after alternative interventions have been considered or attempted and determined inadequate. The decision to approve restraint for a consumer should be made: (a) Only as a last resort to maintain the safety of consumers, service providers or others; (b) Following appropriate planning and preparation; (c) By the most appropriate health professional; (d) When the environment is appropriate and safe for successful … (this text has been trimmed due to space limits).||(i) The care plans for two of three residents on restraint and one resident with an enabler did not include interventions to manage the risks related to the restraint as identified through the assessment process, and (ii) monitoring had not occurred as the required frequency for one resident on restraint and one resident on an enabler||(i)Ensure care plans document interventions to manage the risks related to the restraint, and (ii) ensure monitoring occurs at the frequency documented||PA Moderate||Reporting Complete||20/11/2019|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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.
Audit reportsAudit date: 02 July 2019
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Partial Provisional Audit
Audit type:Certification Audit
Audit type:Partial Provisional Audit