Broadview Rest Home & Hospital

Profile & contact details

Premises details
Premises nameBroadview Rest Home & Hospital
Address 108 Mosston Road Castlecliff Wanganui 4501
Total beds85
Service typesMental health, Dementia care, Medical, Rest home care, Psychogeriatric, Geriatric
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - Broadview Rest Home & Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence27 August 2018
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: 18 January 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Infection control education is provided by a suitably qualified person who maintains their knowledge of current practice.The infection control coordinator has not completed the external ‘Bug Control’ training (as per Bupa policy). Ensure the infection control coordinator completes training to ensure knowledge of current practice. PA LowReporting Complete25/09/2015
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Four staff who have worked in the psychogeriatric/mental health units longer than 12 months have not completed the required NZQA dementia units. A further three staff who have been employed in the units longer than six months have not yet enrolled in the required standards. Ensure staff who work in the psychogeriatric unit are enrolled in the required NZQA unit standards within six months of employment and complete these within 12 months of employment. PA LowReporting Complete11/01/2016
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 of ten files sampled (from the dementia unit) had not had a six monthly care plan evaluation completed. (ii) One of two mental health files had not had the early warning signs and relapse prevention plan reviewed since it was developed in June 2014. The long term care plan had not been developed within three weeks for a permanent resident in the psychogeriatric unit. (i) Ensure all resident plans are reviewed in appropriate timeframes. (ii) Ensure long term care plans are completed within three weeks. PA LowReporting Complete11/01/2016
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.The following care plans had shortfalls identified;(i) management of seizures for one mental health resident, (ii) current skin integrity status for one rest home resident and (iii) hospital resident with altered behaviours as per the GP and psychiatrist reviews; (vi) There was no specific behavioural management strategies/behaviour management plan in place for one psychogeriatric resident with known altered behaviours.; (v) There were no documented interventions for two residents files sampled … (this text has been trimmed due to space limits).(i)- (iii) Ensure care plans reflect the resident’s current assessed needs and required supports. (iv) Ensure specific behavioural management strategies/behaviour management plans are in place for psychogeriatric residents. (v) Ensure there are documented interventions to manage unintentional weight loss. PA ModerateReporting Complete11/01/2016
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.There has only been one staff meeting (May) in 2015 and discussion around accidents and incident and infection trend analysis were not recorded in the registered nurses meeting minutes reviewed. Ensure that there are regular staff meetings so infection and incident trends can be discussed and that these trends are discussed in registered nurses meetings. PA LowReporting Complete11/01/2016
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.Two medication fridges have not been monitored daily as per Bupa policy. One medication fridge has temperatures outside of the acceptable range. There is no evidence of corrective actions taken. Ensure all medication fridges are monitored as per policy. Ensure corrective actions are documented for temperatures recorded which are outside of the acceptable range. PA LowReporting Complete11/01/2016
Service providers follow a documented process for the safe and appropriate storage and disposal of waste, infectious or hazardous substances that complies with current legislation and territorial authority requirements.In the hospital kitchen chemicals were stored in an unlocked cupboard under the sink and two open bulk containers of chemicals were placed on the floor by the fridge. Chemical spray bottles were found in the resident bathrooms. Ensure all chemicals are stored safely. PA LowReporting Complete11/01/2016
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.The registered nurse in the psychogeriatric/mental health unit leaves the area to meet urgent needs in the dementia unit in the evenings, nights and weekends, leaving the unit without registered nurse cover during these times. Staff reported concerns about staff cover in the hospital and when the RN leaves to attend to emergencies in other areas of the facility. Review current staffing across the hospital and PG/MH units when support is needed. PA LowReporting Complete17/07/2017

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.

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