Summerset on Summerhill

Profile & contact details

Premises details
Premises nameSummerset on Summerhill
Address 180 Ruapehu Drive Fitzherbert Palmerston North 4410
Total beds45
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameSummerset Care Limited - Summerset on Summerhill
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence07 May 2018
Certification period36 months
Provider details
Provider nameSummerset Care Limited
Street addressLevel 12, State Insurance Tower 1 Willis Street Wellington Central Wellington 6011
Post addressPO Box 5187 Lambton Quay Wellington 6145

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: 29 November 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Information is entered into the consumer information management system in an accurate and timely manner, appropriate to the service type and setting.Progress notes do not reflect the time of entry. Ensure progress notes include the time of entry. PA LowReporting Complete18/06/2015
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Care plans did not describe supports required for (i) respite care resident with an enabler in use. (ii) One hospital resident on insulin did not management of hypoglycaemia/hyperglycaemia documented in the care plan, (iii) one hospital resident recently admitted had no alert in the care plan for positive MRSA noted in the discharge summary and GP medical notes. A history of falls had not been identified on the initial support plan. (iv) challenging behaviours identified through assessment and… (this text has been trimmed due to space limits).Ensure care plans describe the required supports/interventions to meet the needs of the residents. PA ModerateReporting Complete18/06/2015
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i) There was no weight recorded on admission for the respite care resident. There was no falls risk assessment completed. (ii) A weekly weigh has not been commenced as per care plan for one hospital resident. Ensure risk assessments are completed and interventions are implemented. PA LowReporting Complete18/06/2015
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) There was transcribing of medications on eight of 14 non-packaged/as required medication signing sheets. (ii) Three medications administered were not on the standing orders or prescribed on the medication chart. (iii) There was no evidence of medication reconciliation for a regular respite care resident. The medication chart had not been reviewed by the GP since July 2014. (iv) Each medication prescribed on eight of 14 medication charts have not been individually dated. Ensure the practice of administration, reconciliation, and prescribing of medication meet the legislative requirements and avoid transcribing. PA ModerateReporting Complete19/06/2015
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i)The pain management plan in one hospital resident file does not reflect the type and location of pain as identified in the interRAI assessment (pain score 4), and (ii) The pain assessment is incomplete for one intermediate care resident who identifies pain. Pain management has not been identified in the initial care and support plan. Ensure pain status and management is documented in the care plan. PA LowReporting Complete04/04/2017

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.

Audit reports

Audit date: 29 November 2016

Audit type:Surveillance Audit

Audit date: 26 February 2015

Audit type:Certification Audit

Audit date: 02 September 2013

Audit type:Surveillance Audit

Audit date: 06 March 2012

Audit type:Certification Audit

Audit date: 23 June 2011

Audit type:Surveillance Audit

Audit date: 01 March 2010

Audit type:Certification Audit

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