Premise details
- Address
- 36 McLeod Road Henderson Auckland 0612
- Total beds
- 45
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Dutch Village Trust - Ons Dorp Care Centre
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Dutch Village Trust
- Street address
- 36 McLeod Road Henderson Auckland 0612
- Postal address
- PO Box 69174 Glendene Auckland 0645
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 |
|---|---|---|---|---|---|
| My service provider shall practise open communication with me. | (i). Eight of 10 accident / incidents reviewed did not have documented evidence to demonstrate that family/whanau were notified of the accident/incidents. (ii). Family/whanau interviewed advised that there was not always open communication with the senior team with concerns they have. | (i)-(ii). Ensure that there is open and effective communication to meet the needs of residents and family/whanau. | PA Low | Reporting Complete | |
| Service providers shall follow the National Adverse Event Reporting Policy for internal and external reporting (where required) to reduce preventable harm by supporting systems learnings. | Severity Assessment Code (SAC) categorisation is not being used for internal incidents reviewed in the electronic resident management system. Out of 14 events there was only one that had a SAC category documented. | Ensure the accident and incident policy is fully implemented for internal reporting. | 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 | Two of seven resident care plans did not reference interventions to maintain skin integrity or to reference the wound assessment and management plan in place. | Ensure that resident care plans reference interventions to maintain skin integrity and/or to reference the wound assessment and management plan if in place. | PA Low | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | (i). Three of the seven medications with a short shelf life in use on the medication trolley had not been dated when opened. (ii). There were five expired medications in use on the drug trolley on the day of audit. | (i). Ensure that medications with a short shelf life in use on the medication trolley have been dated when opened and discarded when they reach their documented date. (ii). Implement a system that ensures that expired medications are taken out of circulation and returned to pharmacy. | PA Moderate | Reporting Complete | |
| Where standing orders are used, the relevant guidelines shall be consulted to guide practice. | The standing orders have not been signed by the GP to state that they have been reviewed annually. | Ensure there is documented evidence review and sign standing orders annually as per policy. | 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
