Premise details
- Address
- 178 Rutene Road Kaiti Gisborne 4010
- Total beds
- 78
- Service types
- Dementia care, Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Dunblane Lifecare Limited - Dunblane Lifecare
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Dunblane Lifecare Limited
- Street address
- Level 5 25 Broadway Newmarket Auckland 1023
- Postal address
- PO Box 56114 Dominion Road Auckland 1446
Progress on issues from the last audit
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.
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | The two external doors to the garden of two of the new rooms, had a metal lip in the door frame which was identified as a potential trip hazard for residents. In addition to this, the doors for all three rooms that open to the internal hallway are extremely heavy to open and close. Magnetic fastenings were present on the walls. These doors appeared to be fire doors, which would make these rooms fire cells. The plans reviewed did not verify these doors as fire doors. There was also a metal plate | Ensure consultation is sought and the potential hazards are managed appropriately for the safety of the residents. The external doors need to be verified as to whether these are fire doors or not, or whether the doors need to be changed so that residents, family/whānau and staff can open and close the doors safely. | PA Moderate | In Progress | |
| Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity. | The activities coordinator who is overseen by the diversional therapist, is currently employed Monday to Friday 11am to 3.30pm in the dementia care service. With an additional three residents in the dementia service the activities hours will need to be reviewed and approved by the operations manager. | To ensure the hours for the activity programme are adequate for the additional three residents to be admitted to the dementia care service. | PA Low | In Progress | |
| There shall be adequate numbers of toilet, showers, and bathing facilities that are accessible, conveniently located, and in close proximity to each service area to meet the needs of people receiving services. This excludes any toilets, showers, or bathing facilities designated for service providers or visitors using the facility. | During the tour of the dementia care service, it was observed that the 21 dementia care individual resident rooms had a handbasin in the room. The three new rooms do not have a hand basin. | Ensure that a decision is made as to whether the hand basins have been omitted for a particular reason or whether they need to be installed prior to occupancy. | PA Low | In Progress | |
| Service providers shall have a clearly defined and documented IP programme that shall be: (a) Developed by those with IP expertise; (b) Approved by the governance body; (c) Linked to the quality improvement programme; and (d) Reviewed and reported on annually. | The infection prevention policies and procedures and programme are currently being reviewed by the governance group and have not yet been approved and signed off by this group. | Ensure the infection prevention policies and procedures and programme are s approved and signed off by the governance body. | PA Low | In Progress | |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | There are 37 caregivers including two casual caregivers employed at Dunblane Lifecare. Twenty-four caregivers have completed relevant New Zealand Qualifications Authority (NZQA) recognised training. No records were currently available to verify that the required dementia training has been completed for staff working in the dementia care service. | To ensure training records are accurately maintained and that the training of all care givers who currently work in the dementia care service can be verified. | PA Moderate | In Progress | |
| An appropriate call system shall be available to summon assistance when required. | The three newly built residents’ rooms in the dementia care service have the wiring in place for the call bells, however the call bells are yet to be connected. | Ensure the call bells in each resident’s room are connected for residents to be able to summon assistance if needed. | PA Low | In Progress | |
| Infection prevention education shall be provided to health care and support workers and people receiving services by a person with expertise in IP. The education shall be: (a) Included in health care and support worker orientation, with updates at defined intervals; (b) Relevant to the service being provided. | The IPCC has only been in the role for a short time, and although they are an experienced registered nurse, they are yet to complete the relevant infection prevention training for this role. | The IPCC completes the relevant education required for this role. | PA Low | In Progress | |
| Service providers will demonstrate a clear process for early consultation and involvement from the IP personnel or committee during the design of any new building or when significant changes are proposed to an existing facility. | No consultation was sought in relation to the new build of three new dementia care rooms in Orchard Wing. | To ensure consultation is sought from an infection prevention and control perspective for any new build or changes to services as required. | PA Low | In Progress | |
| Governance bodies shall ensure service providers’ structure, purpose, values, scope, direction, performance, and goals are clearly identified, monitored, reviewed, and evaluated at defined intervals. | The 2024 business plan has been recently updated by the acting care home manager. The plan does not include the vision and values of the organisation and has not been signed off by the operations manager. | To ensure the business plan includes the vision and values of the organisation and has been signed and dated by the operations manager. | PA Low | In Progress |
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
About audit reports
Audit reports for this rest home’s latest audits can be downloaded below.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits. The guide gives an overview of the auditing process and explains what the audit reports mean.
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.
Audit date:
Audit type: Partial Provisional Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Provisional Audit
