Telford Rest Home & Hospital

Profile & contact details

Premises details
Premises nameTelford Rest Home & Hospital
Address 15 Telford Street Merrilands New Plymouth 4312
Total beds53
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - Telford Rest Home & hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence13 April 2020
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: 09 February 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.i) Hot water temperatures have not been monitored between August 2016 and February 2017. ii) The hot water temperatures monitored on the 7 February 2017 showed hot water temperatures from 45.6 to 50 degrees in nine resident areas. No corrective action had been taken to address the hot water temperatures at the time the recordings were taken. Ensure hot water temperatures in resident areas do not exceed 45 degrees Celsius and where corrective action is required this is implemented in a timely manner PA ModerateReporting Complete04/05/2017
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.Eight of the seventeen corrective action plans developed in 2016 have not been signed off as completed. Ensure corrective action plans are implemented and signed off when completed. PA LowReporting Complete27/07/2017
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) Five of seven files reviewed (three hospital - including one resident admitted under a YPD contract and two rest home residents) had not and their initial InterRAI assessment and long-term care plan documented within the required timeframes. ii) Three of four (hospital) residents had not been seen by a GP within 48 hours of admission. iii) Three of three residents that required a review of their InterRAI and long-term care plans had not had the InterRAI re-assessments or long-term care plan… (this text has been trimmed due to space limits).i) Ensure that all initial InterRAI assessments and long-term care plans are completed within the required timeframes. ii) Ensure that all new residents have been seen by a medical officer within the required timeframes. iii) Ensure that all InterRAI re-assessments and long-term care plans are reviewed within the required timeframes. PA LowReporting Complete28/08/2017
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.(i) Two of seven files reviewed had interventions noted in the progress notes that had been implemented but not transferred to a short-term care plan or updated in the long-term care plan; for a) one hospital resident with suicidal ideologies and b) one rest home resident (tracer) with weight loss. (ii) One resident who identifies as Māori did not have cultural needs documented. (iii) Three of seven files reviewed (hospital) did not have interventions documented in sufficient detail to gui… (this text has been trimmed due to space limits).(i) Ensure that all interventions documented in the progress notes are transferred to the care plan. (ii) Ensure that all residents who identify as Māori have any cultural needs documented. (iii) Ensure all care plans include interventions. PA LowReporting Complete28/08/2017
Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.(i) Six of fourteen medication charts (three hospital, three rest home) did not have the route of administration documented; (ii) Five of fourteen medication charts (two hospital and three rest home) did not have ‘indications for use’ charted for all ‘as required’ medication; (iii) One hospital resident with standing orders charted did not have an explanation as to why the order was required, the circumstances in which the standing order applies, the contraindications, the indications for which… (this text has been trimmed due to space limits).i-iii) Ensure that all medications prescribed meet all legislative, contractual and MoH Medication Guidelines (MoH Standing Orders 2016, and Medicines Care Guides for Residential Aged Care 2011). (iv) Ensure that all residents medication is reviewed at least three monthly by the GP. (v) Ensure that resident medication allergies are noted on the medication chart. PA ModerateReporting Complete28/08/2017

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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