Beetham HealthCare

Profile & contact details

Premises details
Premises nameBeetham HealthCare
Address 50 Beetham Avenue Lytton West Gisborne 4010
Total beds49
Service typesDementia care, Rest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameBeetham HealthCare Limited - Beetham Healthcare
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence01 September 2021
Certification periodOther months
Provider details
Provider nameBeetham HealthCare Limited
Street address 50 Beetham Avenue Lytton West Gisborne 4010
Post addressPO Box 152 Gisborne 4040

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: 10 January 2019

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.One cleaner allocated to assist with resident feeds in the hospital has not received any training to carry out this duty. The risk is considered low as the practise was to cease immediately with a change in the roster to reflect that only care staff would feed the hospital level residents. Ensure staff carrying out residents’ feeds have been trained to safely carry out the task. PA LowReporting Complete16/01/2018
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.1) Five neurological observations post unwitnessed falls had not been completed as per policy. There was no pulse recorded for three of five neurological recordings. 2) One resident requiring first aid for a choking incident did not have the choking risk alert on file. 1) Ensure neurological observations are completed as per protocol. 2) Ensure potential risks are identified on residents’ files. PA ModerateReporting Complete05/02/2018
The infection control team/personnel and/or committee shall comprise, or have access to, persons with the range of skills, expertise, and resources necessary to achieve the requirements of this Standard.The infection control coordinator has not attended external education within the last two years. Ensure the infection control coordinator attends external education to maintain own knowledge in infection control and prevention. PA LowReporting Complete16/07/2018
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i)The interventions for managing behaviours that challenge were not documented in one hospital resident and one dementia level resident’s care plan. (ii) Falls interventions and managing weight loss were not well documented in one dementia level resident’s care plan. (iii) Two dementia level residents’ files did not document RN evaluation and follow up of issues raised though progress notes or monitoring forms such a behaviour monitoring. (i) and (ii) Ensure that care plans reflect the resident needs. (iii) Ensure that there is RN follow up and evaluation of care in progress notes. PA ModerateReporting Complete20/05/2019
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.One rest home and one hospital resident did not have the long-term care plan or initial interRAI completed within set timeframes post admission Ensure that interRAI assessments and long-term care plan documented within set timeframes on admission. 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: 10 January 2019

Audit type:Surveillance Audit

Audit date: 19 June 2017

Audit type:Certification Audit

Audit date: 20 January 2016

Audit type:Surveillance Audit

Audit date: 01 July 2014

Audit type:Certification Audit

Audit date: 03 October 2013

Audit type:Surveillance Audit

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