Blockhouse Bay Home
Profile & contact details
|Premises name||Blockhouse Bay Home|
|Address||39 Batkin Road New Windsor Auckland 0600|
|Service types||Geriatric, Medical, Rest home care|
|Certification/licence name||Blockhouse Bay Healthcare Limited - Blockhouse Bay Home|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||22 August 2021|
|Certification period||24 months|
|Provider name||Blockhouse Bay Healthcare Limited|
|Street address||39 Batkin Road New Windsor Auckland 0600|
|Post address||24b Kingsview Road Mount Eden Auckland 1024|
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: 11 August 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|There are adequate numbers of accessible toilets/showers/bathing facilities conveniently located and in close proximity to each service area to meet the needs of consumers. This excludes any toilets/showers/bathing facilities designated for service providers or visitor use.||One toilet hand wash dispenser is broken in the resident toilet area, and one bathroom wall lining is badly damaged with the surface scratched down to the chipboard backing which does not allow good infection control cleaning standards to be met.||Ensure all bathroom and toilet areas are maintained to allow good infection control practices to be met.||PA Low||Reporting Complete||24/02/2020|
|The appointment of appropriate service providers to safely meet the needs of consumers.||Currently the RN manager is the only registered nurse employed and therefore 24-hour registered nurse cover cannot be maintained for hospital level care residents for the new unit.||The service provides registered nurse care across the 24 hours, seven days a week period.||PA Low||Reporting Complete||02/09/2019|
|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.||There is no plan in place of how medication will be managed in the new unit when resident numbers increase.||Provide evidence that safe medication management systems are implemented to accommodate a larger number of residents.||PA Low||Reporting Complete||02/10/2019|
|Consumers are provided with safe and accessible external areas that meet their needs.||The grounds and gardens are not completed. The bedrooms with ranch sliders and the exit doors to the outside are not ramped to allow safe exit and entry to the building.||Ensure the grounds and gardens are completed to allow for residents’ safety when outdoors. Ensure the bedrooms with ranch sliders and the exit doors to outside areas allow safe exit for residents using walking frames/mobility aids and/or wheelchairs.||PA Low||Reporting Complete||02/10/2019|
|Where required by legislation there is an approved evacuation plan.||The current fire service approved evacuation plan does not cover the new build. Staff have yet to undertake a fire drill for the new premises.||Provide evidence that an approved fire service approved evacuation plan is in place covering the new building and that staff have undertaken a fire drill in the new build.||PA Low||Reporting Complete||02/10/2019|
|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 present sluice room does not provide easy access to adequate hand washing facilities and personal protective clothing to ensure staff, residents and visitors exposure to infectious agents is minimised||Provide evidence that infection control standards are met.||PA Moderate||Reporting Complete||02/10/2019|
|There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.||Only one care staff member is identified on the roster for night duty. There is a carer who does a ‘sleepover’ shift and who can assist if required. However, this does not meet policy requirements. The staff member who undertakes the sleepover is often rostered for a morning shift the next day or stays over following an afternoon shift. At the time of audit there are two residents who require two-person assistance, one for all cares including two hourly turns and one to mobilise. The cleaner wor… (this text has been trimmed due to space limits).||Provide evidence that all shifts are covered appropriately to meet policy requirements and to ensure resident care are delivered safely and that all staff have a rostered day off.||PA Moderate||Reporting Complete||04/10/2019|
|Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is undertaken by suitably qualified and/or experienced service providers who are competent to perform the function.||Healthcare assistants are completing residents’ initial care plans, initial assessments, ongoing assessments and care plans. The diversional therapist is completing the behavioural and Maori health plan assessments. These are not countersigned by the RN.||Each stage of service delivery is undertaken by the RN or there is evidence to verify that RN input has been provided.||PA Moderate||Reporting Complete||30/10/2019|
|All buildings, plant, and equipment comply with legislation.||There is no code of compliance for the new building.||Provide evidence that the new building has a current code of compliance.||PA Low||Reporting Complete||13/11/2019|
|The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.||The needs of the residents were not accurately identified via the assessment process.||Provide evidence residents needs are identified via the assessment process||PA Moderate||Reporting Complete||02/12/2019|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Care plans do not consistently describe fully the support the resident requires to achieve their desired outcomes.||Provide evidence that care plans describe the support the resident requires to meet their desired outcomes.||PA Moderate||Reporting Complete||02/12/2019|
|The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.||The new buildings physical environment is not completed and appropriate equipment and furnishings are yet to be installed in all areas. The call bells are not activated throughout the new build; the lift is not operational. The kitchen extension is not completed. Laundry equipment is inadequate to cater for 46 residents and there is no working sluice area. The hot water temperatures has not been checked to ensure it is appropriate for use in an aged care facility.||Ensure the new buildings physical environment is completed to promote safe mobility, aid independence and that residents needs can be met. Ensure hot water temperatures are appropriate.||PA Low||Reporting Complete||02/12/2019|
|Service providers have access to designated areas for the safe and hygienic storage of cleaning/laundry equipment and chemicals.||Not all chemicals were labelled and material safety data sheets were not available for current chemicals in use.||Ensure all chemicals are correctly labelled and that material safety data sheets are current for all chemical on site.||PA Low||Reporting Complete||02/12/2019|
|The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.||There is no strategic and business plan for 2020. Not all planned internal audits have been completed.||Ensure that there is strategic and business plan for 2020 and internal audits are completed to reflect the 2020 audit schedule.||PA Low||In Progress|
|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.||Ten expired PRN medications were sighted in the medication storage cupboard in the nurses’ station. Three of the ten expired medications had been administered to residents.||Ensure that all guidelines and best practice for medication administration and disposal is evidenced.||PA Moderate||Reporting Complete||02/11/2020|
|The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.||Staff working upstairs in the hospital are not using the sluice and do not have access to a sanitizer. The rest home sluice does not have a sanitiser.||Provide evidence that staff have access to appropriate equipment in both sluice areas and to also meet infection control standards.||PA Moderate||Reporting Complete||02/12/2020|
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: 11 August 2020
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit