Tranquillity Bay Care

Profile & contact details

Premises details
Premises nameTranquillity Bay Care
Address 839A Whangarei Heads Road Parua Bay 0174
Total beds34
Service typesRest home care
Certification/licence details
Certification/licence nameTranquillity Bay Care Limited - Tranquillity Bay care
Current auditorHealthShare Limited
End date of current certificate/licence05 May 2019
Certification period36 months
Provider details
Provider nameTranquillity Bay Care Limited
Street address 839A Whangarei Heads Road Parua Bay 0174
Post address54 Hutchinson Avenue New Lynn Auckland 0600

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: 14 March 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Not all wound care plans had RN oversight at regular intervals. Not all wound care plans had full evaluation documented at regular intervals for example on a weekly basis. One skin tear showed no improvement after three weeks however there was no evidence of a referral to the GP or other relevant professional in a timely fashion. i) Document that the registered nurse has provided oversight of the wound/s at regular intervals. ii) Document a full evaluation/review of wound care plans at regular intervals for example on a weekly basis. iii) Document evidence of a referral to a GP or other relevant professional in a timely fashion should a wound not improve over a period. PA ModerateReporting Complete12/09/2016
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.Two of five resident records did not have a needs assessment included and these were not able to be located on the day of audit. Two newly admitted residents (one admitted in November 2015 and one in January 2016) did not have an interRAI assessment completed within three weeks following entry to the service. Each resident’s needs are assessed by the needs assessment team in a timely manner. Each resident’s needs are documented within the required time. PA ModerateReporting Complete12/09/2016
The organisation has a quality and risk management system which is understood and implemented by service providers.Not all meetings have been held in a regular manner as per schedule. Ensure that meetings are held regularly as per schedule. PA LowReporting Complete12/12/2016
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Not all staff have had an annual performance appraisal. Ensure that all staff have an annual performance appraisal. PA LowReporting Complete01/03/2017
The appointment of appropriate service providers to safely meet the needs of consumers.Not all new staff have a documented reference check/s. Ensure that all new staff have reference checks completed. PA LowIn Progress
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.Three cooks have not completed food safety training. Provide training around food safety for all cooks. PA LowIn Progress
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.Evaluation of the short-term care plan is not well documented. Document evaluation of the short-term care plan at regular intervals. PA LowIn Progress
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Not all staff have had an annual performance appraisal. Ensure that all staff have an annual performance appraisal. PA LowIn Progress
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.Two staff signatures were not consistently evident on the administration records when administering controlled drugs. Ensure two staff signatures are documented for the administration of controlled drugs PA LowIn Progress
The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.The business plan is partially reviewed. The quality plan is not fully documented. Review the business plan. Document and implement the quality plan with regular reviews documented. PA LowIn Progress
The service develops and implements policies and procedures that are aligned with current good practice and service delivery, meet the requirements of legislation, and are reviewed at regular intervals as defined by policy.Some policies have not been reviewed with the name of the new provider put on the policies. There is insufficient documentation of policies for residents referred under the mental health contract including model of service delivery. Continue to review policies as per schedule. Review policies and update to reflect needs of residents referred to the service under the mental health contract. PA LowReporting Complete24/10/2017

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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