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Premise details

Address
604 Parawai Road Thames 3500
Total beds
69
Service types
Rest home care, Geriatric, Medical, Dementia care

Certification/licence details

Certification/licence name
Bupa Care Services NZ Limited - The Booms Home & Hospital
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: 16 May 2024

Outcome required Found at audit Action required Risk rating Action status Date action reported complete
My service provider shall practise open communication with me. Three of twelve relatives were not informed of the incident occurring in a timely manner. Ensure families are notified in a timely manner following incidents. PA Low Reporting Complete
There is an IP role, or IP personnel, as is appropriate for the size and the setting of the service provider, who shall: (a) Be responsible for overseeing and coordinating implementation of the IP programme; (b) Have clearly defined responsibility for IP decision making; (c) Have documented reporting lines to the governance body or senior management; (d) Follow a documented mechanism for accessing appropriate multidisciplinary IP expertise and advice when needed; (e) Receive continuing education There has been no one responsible for overseeing and coordinating implementation of the infection control programme since January 2022. Ensure a suitably qualified person is in post to oversee and coordinate the implementation of the infection control programme. PA Moderate Reporting Complete
Service providers shall ensure their health care and support workers have the skills, attitudes, qualifications, experience, and attributes for the services being delivered. Four caregivers who have worked in the dementia unit for more than eighteen months have not completed the dementia unit standards. Ensure all caregivers working in the dementia unit achieve the dementia unit standards. PA Low Reporting Complete
Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this. i). Four of five interRAI assessments had not been completed within the required timeframes. ii). InterRAI assessments sampled had not been reviewed six-monthly and evaluations were not completed six-monthly or sooner for a change in health condition. iii). Long-term care plans had not been completed within 21 days for long-term residents. i). & iii) Ensure an interRAI assessment and long-term care plan are completed within 21 days of admission. ii). Ensure interRAI reassessments are completed at least six-monthly. PA Moderate Reporting Complete
Results of surveillance and recommendations to improve performance where necessary shall be identified, documented, and reported back to the governance body and shared with relevant people in a timely manner. Surveillance, collation, analysis and reporting of infections has not consistently been documented as occurring since January 2022. Ensure results of surveillance and recommendations to improve performance where necessary are identified, documented, and reported back to the governance body and shared with relevant people in a timely manner. PA Moderate Reporting Complete
Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices. Hot water temperatures had not been recorded over the previous number of months and there was no record of corrective actions undertaken when temperature outside of expected ranges. Hot water temperature to be recorded and a record of corrective action undertaken when temperature outside of expected ranges. 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