Premise details
- Address
- 178 Rutene Road Kaiti Gisborne 4010
- Total beds
- 80
- Service types
- Medical, Dementia care, Rest home care, Geriatric
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 |
|---|---|---|---|---|---|
| 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. | No residents in the dementia unit had a 24-hour plan describing how their behaviour is best managed over a 24-hour period, and there was no diversional therapist input or oversight of the implemented activities programme as required by the contract with Health New Zealand – Te Whatu Ora. | Ensure 24-hour activity plans are completed for residents in the dementia unit as required by the contract. Ensure the activities programme is overseen by a qualified diversional therapist as required by the contract. | PA Low | In Progress | |
| 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 | Care plans as implemented did not include all identified needs of the residents. This included physical needs of residents, interventions, and goals of care. | Ensure all identified needs of the residents are included in care planning as implemented. | PA Low | In Progress | |
| Service providers shall implement systems to determine and develop the competencies of health care and support workers to meet the needs of people equitably. | Minimal training and/or competencies had been completed and recorded, to ensure care staff can provide high quality and safe services. | Ensure all training and competencies have been completed to meet the needs of the Ngā Paerewa Standard and the obligations of the service’s agreement with Te Whatu Ora Tairāwhiti. | PA Low | In Progress | |
| Health care and support workers shall receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures. | There were no records of staff completing civil defence emergency and security training as part of the education plan. | Ensure civil defence emergency management and security training is provided for all staff. | PA Low | In Progress | |
| Service providers demonstrate routine analysis to show entry and decline rates. This must include specific data for entry and decline rates for Māori. | Routine analysis of entry and decline rates, including specific data for entry and decline rates for Māori, had not yet been implemented. | Ensure routine analysis to show entry and decline rates, including specific data for entry and decline rates for Māori, is implemented. | PA Low | In Progress | |
| Services shall ensure health care and support workers receive Te Tiriti o Waitangi training and that this is reflected in day-to-day service delivery. | Staff have not completed cultural safety education and/or Te Tiriti o Waitangi education/training. | Ensure staff complete the required cultural safety and/ or Te Tiriti training /education to meet the criterion requirement. | PA Low | In Progress | |
| My service provider shall embed and enact Te Tiriti o Waitangi within all its work, recognising Māori, and supporting Māori in their aspirations, whatever they are (that is, recognising mana motuhake). | The Māori model of care, Te Whare Tapa Whā, had not been implemented into the planning of care for residents who identified as Māori. | Ensure the appropriate model of care has been implemented into the planning of care for residents who identify as Māori. | PA Low | In Progress | |
| Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. | Medication administration competencies were not current for 45% of staff who administer medication. | Ensure annual medication administration competencies are completed annually for all staff who administer medication. | PA Moderate | Reporting Complete | |
| Professional qualifications shall be validated prior to employment, including evidence of registration and scope of practice for health care and support workers. | Contracted service providers such as the dietitian, podiatrist, the nurse practitioner, the pharmacist, and the pharmacy licence to operate, were all recorded appropriately in the folders reviewed. However, medical staff from five practices who cover the residents at this facility did not have their individual APCs and scopes of practice validated and recorded for 2025. | Ensure all contracted health professionals have their annual practising certificates, registration and scopes of practice verified and recorded annually. | PA Low | Reporting Complete | |
| Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. | Staff records reviewed evidenced that orientation for newly employed staff had not been consistently provided and/or recorded, in the individual staff records reviewed. | Ensure full orientation occurs at commencement of employment and that this is consistently recorded. | PA Low | Reporting Complete | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | In the randomly selected staff records reviewed, annual performance appraisals had not been completed in five of eight records reviewed, and the Code of Conduct forms had not been signed and dated in all eight records reviewed. | Ensure Code of Conduct forms are signed and dated, and that annual performance appraisals for staff are completed in a timely manner and appropriately recorded. | 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 corrective action manager.
- Date action reported complete
The date that the corrective action manager 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: Certification Audit
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
