Ballarat Care Home
Profile & contact details
|Premises name||Ballarat Care Home|
|Address||278 West Belt Rangiora 7400|
|Service types||Geriatric, Medical, Dementia care, Rest home care|
|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 2021|
|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|
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: 03 October 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.||a) The standing order review dates evidenced a gap between the expired date and the review dates of up to six weeks. Standing order medications were administered during this time. b) Two charts (one dementia, one hospital) did not evidence identification of allergies. c) Four eyedrops in use (dual purpose wing) either did not document an opening date, or were still in use past the expiry date. d) Weekly stocktakes of controlled drugs were not completed (dual-purpose wing).||a) Ensure all standing orders in use comply with contractual and legal requirements. b) Ensure all medication charts document resident allergies. c) Ensure all eyedrops in use document the opening date and are discarded as per legislative requirements. d) Ensure weekly stocktakes of controlled drug medication occur as per legislative requirements.||PA Moderate||Reporting Complete||21/09/2018|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||Weekly monitoring of weight has not been undertaken for one rest home resident as requested by the dietitian.||Ensure weight monitoring as per dietitian instructions are planned and completed as instructed.||PA Low||Reporting Complete||21/09/2018|
|The facilitation of safe self-administration of medicines by consumers where appropriate.||Self-medicating reviews had not been completed as required for two residents.||Ensure self-medicating residents are reviewed three monthly as per policy.||PA Low||Reporting Complete||21/09/2018|
|A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.||Three resident’s regular, non-packaged medication was not named||Ensure all non-packaged medication in use is named with the resident’s name.||PA Moderate||Reporting Complete||03/02/2020|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||Wound care; (i) One hospital resident has two pressure injuries on one wound assessment and plan. (ii)Two dementia care resident wounds have not been documented as reviewed since 17 September 19; (iii) Five wounds (from across the service) have not documented the wound dimensions including two pressure injuries. Care interventions; (i)The instruction for type and size of IDC have not been documented for one rest home resident including the times for changing of the IDC are conflicting. (ii) Th… (this text has been trimmed due to space limits).||Wound care: (i). Ensure each wound have a separate wound assessment and management plan’, (ii) Ensure wounds are reviewed/ dressed according to timeframes; (iii) Ensure wound evaluations are fully completed including dimensions; Care interventions: (i) Ensure that the care and support for IDCs are consistent and include full instructions and that all interventions are fully documented; (ii)- (v) Ensure that care and monitoring is provided as per the care plan||PA Moderate||Reporting Complete||03/02/2020|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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 reportsAudit date: 03 October 2019
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Certification Audit
Audit type:Partial Provisional Audit