Ballarat Care Home
Profile & contact details
| Premises name | Ballarat Care Home |
|---|---|
| Address | 278 West Belt Rangiora 7400 |
| Website | www.bupa.co.nz/care-homes/care-homes/choose-a-care-home/rangiora/ballarat-care-home/ |
| Total beds | 80 |
| Service types | Dementia care, Rest home care, Geriatric, Medical |
| Certification/licence name | Bupa Care Services NZ Limited - Ballarat Care Home |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 01 July 2024 |
| Certification period | 36 months |
| Provider name | Bupa Care Services NZ Limited |
|---|---|
| Street address | Level 2 109 Carlton Grove Road Newmarket Auckland 1023 |
| Post address | PO Box 113054 Newmarket Auckland 1149 |
| Website | www.bupa.co.nz/ |
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: 20 February 2023
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process. | (i). One hospital level resident did not have the need for analgesia prior to dressings documented in the care plan (or wound care plan). (ii). One hospital level resident did not have interventions to manage behaviours that challenge documented. (iii). One rest home resident did not have nursing interventions to assist relaxation and sleep (only medication). | Ensure the care plans document all interventions to manage resident care. | PA Low | Reporting Complete | 01/09/2021 |
| The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes. | One resident did not always have analgesia given prior to dressings as per the palliative nurse specialist instructions, the analgesia given was not always the analgesia directed by the palliative nurse specialist and the outcome of analgesia was not always documented. | Ensure that the care and analgesia directed by the nurse specialist is followed and that the outcome of ‘as needed’ medication is documented. | PA Moderate | Reporting Complete | 01/09/2021 |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | Approximately 50% of internal audits have not been completed as scheduled for 2022. | Ensure all internal audits are implemented as per the scheduled planner. | PA Low | Reporting Complete | 20/11/2023 |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | There is not sufficient RN coverage to meet the requirements of the ARRC D17.4.a. i. | Ensure sufficient registered staff are employed to meet the requirements of ARRC D17.4.a. i. | PA Low | Reporting Complete | 20/11/2023 |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | Not all compulsory education sessions have been provided as scheduled, such as (but not limited to) cultural safety, abuse and neglect, and health and safety. | Ensure all education sessions are provided as scheduled. | PA Low | Reporting Complete | 20/11/2023 |
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.
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.
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 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) 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: 20 February 2023Audit type:Surveillance Audit
Audit date: 12 April 2021Audit type:Certification Audit
Audit date: 03 October 2019Audit type:Surveillance Audit
Audit date: 26 April 2018Audit type:Certification Audit