Summerville Rest Home

Profile & contact details

Premises details
Premises nameSummerville Rest Home
Address 411 Frederick Street Mahora Hastings 4120
Total beds17
Service typesRest home care
Certification/licence details
Certification/licence nameSunflower Field Trading NZ Limited - Summerville Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence09 December 2024
Certification period36 months
Provider details
Provider nameSunflower Field Trading NZ Limited
Street address411 Frederick Street Mahora Hastings 4120
Post address19A Knightsbridge Drive Forrest Hill Auckland 0620

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 September 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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 a first aid trained staff member on duty 24/7 as staff first aid certificates expired on 7 August 2021. Ensure that there is a first aid trained staff member on duty 24/7 and that staff have current first aid certificates. PA ModerateReporting Complete06/12/2021
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.i) Care plan reviews in all five files reviewed did not reflect resident and/or relative input. ii) Documentation does not reflect resident progression towards meeting goals in all five files . Ensure the care plan review documents resident, relative input and evidences residents’ progression towards meeting care plan goals. PA LowReporting Complete06/12/2021
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Not all compulsory training included in the two-yearly education planner has been completed. Compulsory training not completed includes abuse and neglect, cultural awareness, the code, privacy/dignity, sexuality/intimacy, spirituality/counselling, chemical safety, challenging behaviour, dementia and falls prevention. Ensure that all compulsory staff training included in the two-yearly education planner is completed. PA LowReporting Complete06/12/2021
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) Four of six resident files reviewed did not have interRAI assessments completed or reviewed within expected timeframes. (ii) Progress notes for two residents who have had an incident report completed did not evidence follow-up by the registered nurse. (i) Ensure interRAI assessments are completed in a timely manner. (ii) Ensure progress notes document RN follow-up of incidents. PA LowReporting Complete06/12/2021
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.i) One resident has had a decline in condition which was well documented in the progress notes, however, the extra support and assistance the resident required was not documented in the long-term care plan. ii) One resident identified as Māori and is Catholic. There were no interventions included in the cultural/spiritual section of the care plan around resident preferences or affiliations, or spiritual practices including whether the priest visited for communion. iii) One resident has a diagn… (this text has been trimmed due to space limits).(i)-(iii) Ensure there are individualised interventions documented to meet all resident needs. PA LowReporting Complete06/12/2021
Consumers have a right to full and frank information and open disclosure from service providers.Fifteen accident/incident forms were reviewed for June, July, and August 2021. There was no documented notification to the next of kin for 14 of 15 accident/incident forms reviewed. Ensure that documentation reflects that next of kin are notified of any resident incidents/accidents or if not notified, the reason why should be documented. PA ModerateReporting Complete06/12/2021
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.i) There was no documentation of daily activities that have taken place. ii) There was no activities assessment or plan documented for two of five residents. iii) Three of five residents did not have a six-monthly review of their activities plan. i) Ensure there is a record of all resident activities maintained. ii-iii) Ensure all residents have a current activity assessment, and plan documented tailored to residents’ preferences, which is reviewed at least six-monthly. PA LowReporting Complete06/12/2021
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.The temperature of the medication room has not been recorded to evidence the temperature is maintained at less than 25 degrees. Ensure the medication room temperatures are recorded daily. PA LowReporting Complete06/12/2021
Key components of service delivery shall be explicitly linked to the quality management system.There have been no staff/quality meetings or resident meetings documented as held for 2021 year to date. Ensure meetings are held as scheduled. PA LowReporting Complete07/06/2022

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. 

From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.

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 Ngā Paerewa Health and Disability Services Standard.

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 September 2021

Audit type:Certification Audit

Audit date: 21 September 2018

Audit type:Certification Audit

Audit date: 25 October 2017

Audit type:Surveillance Audit

Audit date: 13 October 2016

Audit type:Certification Audit

Audit date: 29 October 2015

Audit type:Provisional Audit

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