Victoria Epsom Rest Home
Profile & contact details
|Premises name||Victoria Epsom Rest Home|
|Address||28 Orakau Avenue Epsom Auckland 1023|
|Service types||Rest home care|
|Certification/licence name||Victoria Epsom Limited - Victoria Epsom Rest Home|
|Current auditor||Health Audit (NZ) Limited|
|End date of current certificate/licence||21 December 2019|
|Certification period||36 months|
|Provider name||Victoria Epsom Limited|
|Street address||28 Orakau Avenue Epsom Auckland 1023|
|Post address||PO Box 41408 St Lukes Auckland 1346|
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: 06 October 2016
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Results of surveillance, conclusions, and specific recommendations to assist in achieving infection reduction and prevention outcomes are acted upon, evaluated, and reported to relevant personnel and management in a timely manner.||There is no evidence that the infection data are effectively evaluated.||Provide evidence that infection data are evaluated.||PA Low||Reporting Complete||15/03/2017|
|All buildings, plant, and equipment comply with legislation.||The hot water temperatures in resident’s areas has not been monitored or recorded.||Ensure the hot water temperatures in resident areas are monitored and maintained at the required temperatures.||PA Low||Reporting Complete||15/03/2017|
|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.||Staff are transcribing medications in the medication signing sheet.||Provide evidence that staff are not transcribing medications in the medication signing sheet.||PA Moderate||Reporting Complete||15/03/2017|
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: 06 October 2016
Audit type:Certification Audit