Premise details
- Address
- 1 Winger Crescent Kamo 0112
- Website
- https://www.bupa.co.nz/care-homes/find-a-care-home-near-you/northland/merrivale-care-home/
- Total beds
- 66
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Bupa Care Services NZ Limited - Merrivale Care 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/
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 |
|---|---|---|---|---|---|
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | Audits are being completed as per the schedule; however, they are not signed off as being complete and corrective actions are not consistently documented when required. | Ensure audits are signed off when complete and corrective actions are documented and implemented where required. | PA Low | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | (i). Eye drops and creams in use have not been consistently dated on opening. (ii). Weekly stock take for controlled drugs has not been completed consistently. (iii). Two of three medication room temperatures are not monitored and recorded consistently. (iv). One of two medication fridge temperatures are not monitored and recorded consistently | (i). Ensure all eye drops and creams are dated on opening. (ii). Ensure weekly stock take of controlled drugs is completed. (iii)-(iv). Ensure temperature monitoring of medication rooms and fridge is completed consistently. | PA Moderate | Reporting 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). There were no detailed interventions documented to manage diabetes for three residents (one rest home, one dementia and one hospital) (ii). There were no interventions documented around pain management for a hospital resident on regular narcotic analgesia. (iii). Falls management interventions were not documented for two hospital level residents. (iv). There were insufficient interventions documented around activities for a younger resident with a disability. (v). There were insufficient i | (i).- (v). Ensure care plan documentation reflects the residents’ needs and interventions to provide adequate guidance for care staff related to management of resident needs. (vi) Ensure that all care plans reflect 24-hour management of the resident behaviours. | PA Low | Reporting 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 | One resident file reviewed did not have an interRAI assessment completed. One interRAI assessment had been completed in October 2023 and again in April 2024 however the long-term care plan had not been completed until December 2023 and again in July 2024. Two of the eight resident files (both newly admitted residents) did not have a long-term care plan completed. One short-term care plan around a wound was not linked to the long-term care plan. | (i) Complete an interRAI assessment in a timely manner for any newly admitted resident. (ii) Ensure that long term care plans are completed in a timely manner using information from the interRAI assessment to identify needs and interventions. (iii) Ensure that any new resident has a long-term care plan completed in a timely manner. (iv) Ensure that any short-term care plan is linked to the long-term care plan. | PA Moderate | In Progress | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Three of the nine staff files did not have evidence of an annual current performance appraisal. | Ensure that all staff have a performance appraisal completed annually. | PA Low | In Progress | |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | Te Whare Awhina remains a secure unit until the last resident requiring dementia care has been moved to an appropriate facility. | Remove secure features of Te Whare Awhina communities to promote safe mobility and independence for residents using hospital or rest home level of care. | 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. | Three of the nine staff who had been employed within the last two years did not have evidence on file that they had completed an orientation. | Ensure that all staff have completed orientation with documentation in place to evidence this. | PA Low | Reporting Complete | |
| Menu development that considers food preferences, dietary needs, intolerances, allergies, and cultural preferences shall be undertaken in consultation with people receiving services. | Kitchen staff do not have access to current dietary needs of residents or to potential allergies. | Ensure that kitchen staff have access to current dietary needs of residents with allergies or sensitivities to foods displayed for kitchen staff to reference. | PA Moderate | 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.
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: Certification Audit
Audit date:
Audit type: Partial Provisional Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
