Bethesda Rest Home & Hospital
Profile & contact details
|Premises name||Bethesda Rest Home & Hospital|
|Address||235 Harewood Road Bishopdale Christchurch 8053|
|Service types||Rest home care, Geriatric, Medical, Dementia care|
|Certification/licence name||Bupa Care Services NZ Limited - Bethesda Rest Home & Hospital|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||19 June 2023|
|Certification period||48 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: 18 May 2021
|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.||Partial Provisional: The medication fridge is not yet installed.||Ensure a medication fridge is installed prior to occupancy.||PA Low||Reporting Complete||16/07/2019|
|All buildings, plant, and equipment comply with legislation.||Partial Provisional: A secure fire door is to be installed that links to the alarm system.||Ensure the new key padded fire door is reviewed and approved as part of the warrant of fitness||PA Low||Reporting Complete||16/07/2019|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||Partial Provisional: As the unit is not yet secure, a fire drill is yet to be completed.||Ensure a fire drill of the wing has been completed.||PA Low||Reporting Complete||16/07/2019|
|The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.||Partial Provisional: (i) The proposed area is not yet secure. (ii) The cupboard holding the hot water zip is not locked. (iii) Outdoor furniture and shade sail are yet to be installed.||(i). Ensure the unit is secure and keypads have been activated. (ii) Ensure the hot water zip is in a locked cupboard, and (iii) outdoor furniture is in place.||PA Low||Reporting Complete||16/07/2019|
|Where required by legislation there is an approved evacuation plan.||Partial Provisional: The fire evacuation procedure is the process of being updated and will need to be approved by the fire service||Ensure the fire evacuation scheme is amended and approved by the fire service||PA Low||Reporting Complete||16/07/2019|
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.
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 reportsAudit date: 18 May 2021
Audit type:Surveillance Audit
- Bethesda Rest Home & Hospital - May 2021 (docx, 34.3 KB)
- Bethesda Rest Home & Hospital - May 2021 (pdf, 137.59 KB)
Audit type:Partial Provisional Audit; Certification Audit
- Bethesda Rest Home & Hospital - Apr 2019 (docx, 51.48 KB)
- Bethesda Rest Home & Hospital - Apr 2019 (pdf, 202.4 KB)
Audit type:Surveillance Audit
- Bethesda Rest Home & Hospital - Nov 2017 (docx, 35.89 KB)
- Bethesda Rest Home & Hospital - Nov 2017 (pdf, 143.98 KB)
Audit type:Certification Audit