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Premise details

Address
101 Edgecumbe Road Tauranga South Tauranga 3110
Total beds
29
Service types
Rest home care

Certification/licence details

Certification/licence name
Bupa Care Services NZ Limited - Accadia Manor Rest Home
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
36 months

Provider details

Provider name
Bupa Care Services NZ Limited
Street address
Level 2 109 Carlton Grove Road Newmarket Auckland 1023
Postal address
PO Box 113054 Newmarket Auckland 1149
Website
http://www.bupa.co.nz/

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: 25 May 2023

Outcome required Found at audit Action required Risk rating Action status Date action reported complete
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 (i). Three of five care plans did not identify key assessed risks including medical risks. (ii). Three of five care plans did not identify the scores of assessments. (iii). Three of five care plans did not have individualised goals. (iv). Four of five care plans did not have interventions documented to the detail to guide staff in the management of resident needs; for example, one resident did not have sufficient interventions to manage and prevent recurrent falls. (v). Two of two wound care do (i)-(v)Ensure long-term care plans and wound care plans are current with goals and detailed interventions to manage and guide the care of the resident. PA Moderate Reporting Complete
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 (i). Three of three long-term care plan evaluations were not completed within the required timeframes. (ii). Three of three long-term care plan evaluations did not demonstrate progress towards meeting the goals. (iii). Wound evaluations did not document progression or deterioration of the wound. (i)-(ii). Ensure care plan evaluations are completed within required timeframes and evidence progress towards meeting the goals. (iii). Ensure wound evaluations are documented to evidence wound progression or deterioration. PA Low Reporting Complete
A medication management system shall be implemented appropriate to the scope of the service. Five of ten charts did not demonstrate documentation on the effectiveness of PRN medication administered to residents. Ensure effectiveness of PRN medication is consistently documented. PA Low Reporting Complete

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.

About audit reports

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.

Before 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) appear on the rest home’s page. As the rest home completes the required actions, the status on the website updates.

© Ministry of Health – Manatū Hauora