Accadia Manor Rest Home

Profile & contact details

Premises details
Premises nameAccadia Manor Rest Home
Address 101 Edgecumbe Road Tauranga South Tauranga 3110
Total beds29
Service typesRest home care
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - Accadia Manor Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence15 January 2022
Certification period36 months
Provider details
Provider nameBupa Care Services NZ Limited
Street addressLevel 2 109 Carlton Grove Road Newmarket Auckland 1023
Post addressPO Box 113054 Newmarket Auckland 1149

Progress on issues from the last audit

What’s on this page?

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: 18 October 2018

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.(i) Staff attendance at ten mandatory in-services in 2017-2018 was less than 50%. The care home manager and clinical nurse manager are aware of this shortfall and they are implementing strategies to address it. (ii) In-service education has not been held as scheduled in the annual planners. Education has not been provided as scheduled for infection control, falls prevention, incident accident reporting, challenging behaviour, pain management, cultural awareness, abuse and neglect, nutrition an… (this text has been trimmed due to space limits).(i) Ensure staff attend all required education. (ii) Ensure all education is provided according to the annual planning schedule. (iii) Ensure staff appraisals are completed annually PA LowReporting Complete20/05/2019
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.An incident form had not been completed when a resident absconded. Ensure all adverse events are documented and reviewed for opportunities to identify and manage associated risks. PA LowReporting Complete20/05/2019
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.(i)Quality data is not being trended and analysed. (ii) meeting minutes do not reflect that staff are kept informed regarding adverse events trends and outcomes. (iii) Health and safety, infection control and staff meetings have not always occurred as scheduled. (i)Ensure that the quality data collected is trended and analysed, (ii) ensure information is shared with staff, and (iii) ensure meetings occur as scheduled. PA LowReporting Complete20/05/2019

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

Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.

What’s on this page?

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. 

Prior to 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 Health and Disability Services Standards.

Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.

Audit reports

Audit date: 18 October 2018

Audit type:Certification Audit

Audit date: 19 October 2016

Audit type:Surveillance Audit

Audit date: 04 November 2014

Audit type:Certification Audit

Audit date: 15 February 2013

Audit type:Surveillance Audit

Back to top