Ascot Care Home

Profile & contact details

Premises details
Premises nameAscot Care Home
Address 149 Racecourse Road Glengarry Invercargill 9810
Total beds104
Service typesRest home care, Physical, Geriatric, Medical, Dementia care
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - Ascot Care Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence04 January 2027
Certification period36 months
Provider details
Provider nameBupa Care Services NZ Limited
Street addressLevel 2 109 Carlton Grove Road Newmarket Auckland 1023
Post addressPO Box 113054 Newmarket Auckland 1149
Websitewww.bupa.co.nz/

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: 26 October 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this.Two of three residents in the dementia unit did not have an interRAI and long-term care plan completed within the required 21 days. Ensure all interRAI assessments and long-term care plans are developed within expected timeframes for all residents. PA LowIn Progress
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.i). The service has been unable to provide a RN on site on some afternoon and night shifts for hospital level care residents since February 2022 – August 2023. From September – October 2023, there has been no RN on night shift. The service has mitigated the risk of this situation by using the EVS. The service does not have enough RNs to always have an RN on duty as per the ARC contract D17.4 a. i. ii). At interviews with RNs and caregivers, there have been at least three occasions over the past… (this text has been trimmed due to space limits).i). Ensure a RN is always on duty to meet the requirements of the ARC contract D17.4 a. i. ii). Ensure the rostered number of caregivers are on site to meet the staffing policy. iii). Ensure there are staff available to run the activity programme across the service. PA ModerateIn Progress
Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity.(i). The availability of the activities team is inconsistent to meet the needs of the residents: (a) to offer appropriate activities that is meaningful; (b) provide diversion at appropriate times during the day; (c) to meet the needs of residents that require individual activities and (d). facilitate regular community outings. (i). Ensure meaningful activities are planned and facilitated to develop and enhance people’s strengths, skills, and interests and shall be responsive to their identity. PA ModerateIn Progress
Service providers shall ensure their health care and support workers have the skills, attitudes, qualifications, experience, and attributes for the services being delivered.Six of the permanent caregivers in the dementia unit are enrolled or in progress to complete the dementia specific standards according to the ARRC clause E4.5.f, and the remaining six are enrolled and in progress. These staff are all outside the 18-month timeframe for completion. Ensure caregivers employed in the dementia unit complete the dementia specific standards according to the ARRC clause E4.5.f within the required timeframes. PA LowIn Progress
Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin… (this text has been trimmed due to space limits).Post fall assessments were not completed for all documented falls for three residents in the dementia unit, two rest home level residents, and one hospital level resident as required by Bupa post falls management policy. Ensure ongoing assessments and reassessments are completed where/when required. PA LowIn Progress
In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov… (this text has been trimmed due to space limits).Neurological observations were not always completed within the frequency required for 10 documented unwitnessed falls. Ensure neurological observations are completed within the required frequency for all unwitnessed falls with or without a head injury. PA ModerateIn Progress
Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided.Six of the ten staff files reviewed did not evidence completed orientation. Ensure there is evidence of completed orientation on staff files. PA LowIn Progress
Health care and support workers shall have the opportunity to discuss and review performance at defined intervals.Three of the five that were due for a performance appraisal did not have a current appraisal on file. Ensure all staff complete annual appraisals as scheduled, and a copy is retained on file. PA LowIn Progress
Service providers shall facilitate safe self-administration of medication where appropriate.(i). The medication charts did not reflect which medication is for self-administration. (ii). The electronic medication signing sheet did not reflect which medications were self-administered by the resident. (iii). Assessments were not completed three-monthly. (i)-(iii) Ensure to follow and implement the Bupa medication policy for residents who self-administer their medications. PA LowIn Progress

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: 26 October 2023

Audit type:Certification Audit

Audit date: 01 December 2022

Audit type:Surveillance Audit

Audit date: 21 September 2021

Audit type:Certification Audit

Audit date: 08 October 2019

Audit type:Surveillance Audit

Audit date: 26 September 2017

Audit type:Certification Audit

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