NorthHaven Hospital

Profile & contact details

Premises details
Premises nameNorthHaven Hospital
Address 142 Whangaparaoa Road Red Beach 0932
Total beds106
Service typesPhysical, Intellectual, Rest home care, Psychogeriatric, Medical
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - NorthHaven Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence03 July 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: 05 December 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Attendance at education sessions was evidenced to be low. Examples include: Nutrition and hydration -June 2016; 8 of 94 staff; Restraint -July 2016 12 of 94 staff; Skin care best practise --September 2016 13 of 94 staff; and accident and incident reporting -February 2016 10 of 94 staff attended. This finding has been rated as a low risk as opportunistic education is provided via toolbox talks and competencies are completed. Ensure sufficient staff attend education and training sessions. PA LowReporting Complete15/05/2017
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.Medication fridge temperatures were not consistently documented in three of three medication fridges in use. Ensure that medication fridge temperatures are consistently record as per policy. PA LowReporting Complete15/05/2017
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.i) The kitchen cleaning schedules sighted, did not evidence that the required cleaning had consistently been documented as noted on the corrective action reports. ii) The food premixed and prepared for the next day’s baking (dry goods and butter) was removed from the kitchen food preparation area and was being stored for use the next day on the kitchen manager’s desk in an adjoining room. i) Ensure that all scheduled cleaning is completed and cleaning schedules are fully documented. ii) Ensure that all food preparation and food storage complies with recognised food safety practices. PA LowReporting Complete15/05/2017
Consumers who have additional or modified nutritional requirements or special diets have these needs met.The kitchen manager interviewed on the day of audit was unaware of the two residents (one hospital, one psychogeriatric) requiring support following documented weight loss. Ensure that kitchen staff are aware of the special dietary requirements for all residents. PA LowReporting Complete15/05/2017
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 seven files reviewed (hospital) did not have the interRAI assessment completed within 21 days of admission. ii) One of seven files reviewed (rest home tracer) did not have the long-term care plan reviewed six-monthly. i-ii) Ensure that all interRAI assessments and long-term care plan reviews are completed in the required timeframes. PA LowReporting Complete15/05/2017
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.i)Interventions were not documented or documented in sufficient detail to guide care staff for: a) one hospital resident on insulin had no diabetic emergency management interventions documented and no intervention documented for the management of depression, care of the urostomy or a urinary tract infection, b) one psychogeriatric resident had no specific interventions documented for the monitoring required for signs of depression, or possible side effects of a recent change to medication (midaz… (this text has been trimmed due to space limits).i)-ii) Ensure that interventions are documented for all assessed care needs and in sufficient detail to guide care staff. iii) Ensure that monitoring is consistently documented as detailed in the care plan. iv) Ensure that all interventions requested by allied health care and noted on accident and incident forms are transferred to the care plan. PA ModerateReporting Complete15/05/2017

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.

Audit reports

Audit date: 05 December 2016

Audit type:Surveillance Audit

Audit date: 05 August 2015

Audit type:Partial Provisional Audit

Audit date: 04 May 2015

Audit type:Certification Audit

Audit date: 30 January 2014

Audit type:Surveillance Audit

Audit date: 03 May 2012

Audit type:Certification Audit

Audit date: 17 March 2011

Audit type:Surveillance Audit

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