Ons Dorp Care Centre

Profile & contact details

Premises details
Premises nameOns Dorp Care Centre
Address 36 McLeod Road Henderson Auckland 0612
Total beds45
Service typesRest home care, Geriatric
Certification/licence details
Certification/licence nameDutch Village Trust
Current auditorHealth Audit (NZ) Limited
End date of current certificate/licence12 November 2017
Certification period36 months
Provider details
Provider nameDutch Village Trust
Street address 36 McLeod Road Henderson Auckland 0612
Post addressPO Box 69174 Glendene Auckland 0645

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: 21 April 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
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 working in the rest home are transcribing medications in six out of seven reviewed medication charts. Transcribed medications are written in the non-packed medication signing sheets which include analgesia, laxatives, anti-depressants, inhalers, ear drops, food supplements and creams. Four out of four medication charts do not have documented instructions in relation to crushing of medications. Staff must comply with current legislation and guidelines. Medications charts must contain clear instructions in relation to crushing of medications in order to comply with current legislation and guidelines. PA LowReporting Complete10/12/2014
Advance directives that are made available to service providers are acted on where valid.If the resident is deemed not competent, then this is documented by the doctor. The form also includes preferences documented by family around resuscitation. The clinical manager describes actively engaging the family in the discussions. Some documented preferences written by family state that they do not want their family member resuscitated and this may be interpreted by staff as an advance directive. Review documentation around advance directives to ensure that only residents deemed competent document this. PA LowReporting Complete05/05/2015
Service providers responsible for medicine management are competent to perform the function for each stage they manage.Six out of 21 staff administering medications have documented medication competencies. Ensure that all staff who administer medications have current medication competencies. PA HighIn Progress
Advance directives that are made available to service providers are acted on where valid.Two of nine files reviewed had resuscitation instructions in place that were not signed by the resident but by the next of kin. When staff were interviewed they stated they were unaware of what made the forms valid. They did not know that a resident who is mentally competent must make their own decisions regarding their resuscitation status. Education covering documentation which included informed consent was presented on 19 April 2016 by the gerontology nurse specialist from the Waitemata Distr… (this text has been trimmed due to space limits).Ensure all staff are aware of what makes a resuscitation order valid. PA LowReporting Complete31/08/2016
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.Two of nine files did not have short term care plans consistently developed. One of nine files did not have a long term care plan developed. Develop short term care plans when residents have episodes of acute infections. Develop long term care plans in a timely manner in order to meet legislative and contractual requirements. PA ModerateReporting Complete31/08/2016
The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.Assessments for neurological observations are not being undertaken to meet policy requirements. Ensure policy requirements are met in relation to fall assessment procedures. PA ModerateReporting Complete31/08/2016
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Long and short term care plans are developed by the RNs. Care plans are updated when the planned interventions are not effective to address the desired outcomes. Care plans are not consistently evaluated to show the resident’s progress towards meeting the desired goals. Short term care plans do not consistently evidence resident’s response to the treatment. Review long term care plans within the required timeframes. Provide evidence that short term care plans are evaluated to show resident’s response to the treatment. PA ModerateReporting Complete31/08/2016

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: 21 April 2016

Audit type:Surveillance Audit

Audit date: 15 September 2014

Audit type:Certification Audit

Audit date: 17 July 2013

Audit type:Surveillance Audit

Audit date: 04 October 2011

Audit type:Certification Audit

Audit date: 11 May 2011

Audit type:Surveillance Audit

Audit date: 19 October 2010

Audit type:Certification Audit

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