David Lange Care Home

Profile & contact details

Premises details
Premises nameDavid Lange Care Home
Address 4 James Street Mangere East Auckland 2024
Total beds87
Service typesGeriatric, Medical, Physical, Rest home care
Certification/licence details
Certification/licence nameCHT Healthcare Trust - David Lange Care Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence31 January 2025
Certification period12 months
Provider details
Provider nameCHT Healthcare Trust
Street address 97 Great South Rd Market Road Auckland 1543
Post addressPO Box 74341 Market Road Auckland 1543
Websitewww.cht.co.nz/index.php

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: 17 October 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices.(i). There was one full body hoist per wing; however, staff report resident cares are delayed due to insufficient hoist availability. (ii). Staff report a shortage of pressure reducing equipment. Numbers could not be verified on the day; however, management agreed they would benefit from additional resources. (iii). On the day of audit, there was a hole in the wall of the level one dining room. Maintenance was unaware and staff report it has been there for several weeks. (iv). There was a chipbo… (this text has been trimmed due to space limits).(i)–(ii). Ensure there is sufficient moving and handling equipment and pressure reducing equipment to meet resident’s needs. (iii)-(iv). Ensure reactive maintenance is reported and actioned in a timely manner. PA LowReporting Complete01/03/2024
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.(i). Initial assessments and an initial are plan were not created in the first 48 hours for a respite resident. (ii). Two of six residents who required initial interRAI assessments did not have these completed within 21 days of admission. (iii). Two of four residents requiring interRAI reassessments did not have these completed within the six month timeframe. (iv). Four of six residents who required long term care plans did not have the initial long term care plan completed within three weeks o… (this text has been trimmed due to space limits).(i). Ensure initial assessments and care plans are completed with required timeframes. (ii)- (iii). Ensure interRAI assessments are completed within required timeframes. (iv). Ensure initial long term care plans are completed within three weeks of admission. (v). Ensure long term care plan evaluations occur at least six monthly. PA ModerateIn 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).(i). Three residents (one rest home and two hospital) with diabetes did not evidence frequency of blood glucose levels, reportable ranges and/or signs and symptoms of hypo or hyperglycaemia. (ii). Two hospital residents with assessed mood and behavioural concerns did not have interventions documented to manage these. (iii).One hospital resident assessed as at moderate risk of falls did not have all interventions implemented to minimise or manage these documented in the care plan. (iv). One hospi… (this text has been trimmed due to space limits).(i). Ensure that residents with diabetes care plans document interventions to include reportable ranges and signs and symptoms of hyper and hypoglycaemia. (ii)-(ix) Ensure that care plan interventions are reflective of the resident’s care needs. (x). Ensure all residents have a cultural assessment and care plan which identifies individual cultural needs, values, preferences, and beliefs. PA ModerateIn 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).Monitoring charts were either not documented or not consistently completed as required for the following: i). Blood glucose levels for one hospital and one rest home level resident. ii). Fluid output for one rest home and one hospital resident. iii). Nutritional intake for one hospital resident. iv). Repositioning charts for two hospital residents. v) Eight wounds for four hospital residents. i-v). Ensure monitoring of observations is completed as scheduled. PA ModerateIn Progress
Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided.Three of nine staff files reviewed did not have completed orientation records sighted. Ensure there are staff orientation records on file. PA LowIn Progress
Health care and support workers shall have the opportunity to discuss and review performance at defined intervals.Three of three files for staff who have been employed by the service for more than 12 months did not provide evidence of performance reviews or appraisals having been completed in the last 12months. Ensure that performance reviews are completed as scheduled. PA LowIn Progress
Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits).Four completed evaluations did not record progress towards goals in the electronic system. Ensure that evaluations record progress towards meeting documented goals. PA ModerateIn Progress
Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data.Infection surveillance does not include ethnicity data. Ensure infection surveillance includes ethnicity data. PA LowIn Progress
Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care.Meeting minutes (heads of department, quality, health and safety, staff, registered nurse) reviewed did not always have corrective actions signed off as completed. Ensure that where corrective actions are identified, these are followed up and signed off when completed. PA LowReporting Complete01/03/2024
Service providers shall follow the National Adverse Event Reporting Policy for internal and external reporting (where required) to reduce preventable harm by supporting systems learnings.Events are not all logged as incidents. One hospital resident who presented with 12 pressure injuries did not have an incident form / events log recorded. Ensure that any identified events are logged as incidents as per policy. PA ModerateReporting Complete01/03/2024
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.Staff interviews and physical evidence (roster review) confirm that there is not sufficient staff to meet the tasks and responsibilities of the household role. There is only one household staff rostered every Sunday to complete cleaning of the 87-bed facility (shared amenities, lounge, and dining areas) and undertake laundry related duties. Ensure there are sufficient household staff hours to meet the requirements of the service. PA LowReporting Complete01/03/2024
Service providers demonstrate routine analysis to show entry and decline rates. This must include specific data for entry and decline rates for Māori.The service is not currently collecting ethnicity data for potential residents in order to show analysis of entry and decline rates. Ensure ethnicity of prospective residents is included in analysis of admission and decline rates PA LowReporting Complete01/03/2024
People receiving services shall be supported to access their communities of choice where possible.The van has not been operational for the last year and the facility does not organise alternative transport to provide opportunities to engage with the community. Ensure opportunities to engage with the community are fully implemented to enable access to community activities. PA LowReporting Complete01/03/2024
A medication management system shall be implemented appropriate to the scope of the service.(i). Medication room temperatures in two of the three medication rooms evidenced temperatures above 25 degrees on the days of audit. (ii). Medication room and fridge temperature were not monitored consistently and recorded as per policy. (iii). Five eyedrops in current use did not evidence an opening date. (iv). Two eyedrops in current use were dated and in use past the expiry date. (i)- (ii). Ensure medication room temperatures do not exceed 25 degrees. (iii)- (iv). Ensure all eyedrops are dated on opening and disposed of as per manufacturers guidelines. PA ModerateReporting Complete01/03/2024
Service providers shall ensure that the environment is clean and there are safe and effective cleaning processes appropriate to the size and scope of the health and disability service that shall include: (a) Methods, frequency, and materials used for cleaning processes; (b) Cleaning processes that are monitored for effectiveness and audit, and feedback on performance is provided to the cleaning team; (c) Access to designated areas for the safe and hygienic storage of cleaning equipment and chemi… (this text has been trimmed due to space limits).(i). Cleanliness of the facility demonstrated to be below expected standard in relation to; a). dirty toilets, shower chairs and shower surfaces in communal bathrooms; b). bath bed noted to have grime and soap scum; c). urine stains at the back of the toilet and outside rims; and d). faecal matter and soiled flannels in level 1 communal bathroom. (ii). Resident personal toiletries sighted in all communal shower / bathroom areas. (iii). No clear separation and designation of clean and dirty area… (this text has been trimmed due to space limits).(i). Ensure expected standard of cleanliness is demonstrated throughout the facility. (ii). Ensure communal bathrooms are free of resident personal toiletries. (iii). Ensure clean and dirty areas are identified in sluice rooms to minimise risk of cross infection. PA ModerateReporting Complete01/03/2024

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: 17 October 2023

Audit type:Provisional Audit

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