Bethlehem Views

Profile & contact details

Premises details
Premises nameBethlehem Views
Address 186 Cambridge Road Bethlehem Tauranga 3110
Total beds90
Service typesDementia care, Rest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameBethlehem Views Limited - Bethlehem Views
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence03 December 2019
Certification period36 months
Provider details
Provider nameViews Lifecare Limited
Street address 186 Cambridge Road Bethlehem Tauranga 3110
Post address

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: 16 July 2018

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Each episode of restraint is documented in sufficient detail to provide an accurate account of the indication for use, intervention, duration, its outcome, and shall include but is not limited to: (a) Details of the reasons for initiating the restraint, including the desired outcome; (b) Details of alternative interventions (including de-escalation techniques where applicable) that were attempted or considered prior to the use of restraint; (c) Details of any advocacy/support offered, provided o… (this text has been trimmed due to space limits).The care requests and monitoring of the restraint in place for one resident is not being sufficiently understood and/or complied with. A documented evaluation on 30 August, of one resident reviewed in detail, showed that the restraint coordinator had another discussion with the family who said they did not want the device removed and wanted evidence the resident was being regularly walked. The most recent care instructions (to mobilise twice every morning and afternoon shift) and new recording p… (this text has been trimmed due to space limits).Review the plan of care in relation to restraint use in accordance with the family’s wishes and the current condition of the resident. Ensure all staff understand and follow instructions for mobilisation and/or other positional movement. PA ModerateReporting Complete22/03/2017
The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.Not all complaints are listed in the register. The documented process has not been followed in four of the thirteen complaints on record. For example, a letter of acknowledgement, the offer of advocacy, explanation about the investigation and the processes to follow, how the complainant will be kept informed and there is no date or evidence that matters have been resolved. Ensure that all concerns and complaints are managed according to the documented policy and process. PA ModerateReporting Complete22/03/2017
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Performance appraisals are not occurring regularly and/or at least annually for all staff. Strengthen and develop the systems for ensuring that all staff engage in an annual performance appraisal. PA LowReporting Complete09/05/2017

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: 16 July 2018

Audit type:Surveillance Audit

Audit date: 22 September 2016

Audit type:Certification Audit

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