Crofton Downs Care Home
Profile & contact details
|Premises name||Crofton Downs Care Home|
|Address||122 Churchill Drive Crofton Downs Wellington 6035|
|Service types||Geriatric, Medical, Rest home care|
|Certification/licence name||Bupa Care Services NZ Limited - Crofton Downs Care Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||09 May 2023|
|Certification period||12 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: 28 March 2022
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.||The service has not yet appointed a full complement of staff including RNs to staff Bupa Crofton Downs for an initial capacity of 31 residents.||Recruit staff to meet staffing requirements for Bupa Crofton Downs.||PA Low||Reporting Complete||02/06/2022|
|Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy.||Medication competencies were not able to be sighted for staff transferring from Bupa Harbourview on the day of audit.||Ensure that relevant care staff have an annual medication competency.||PA Low||Reporting Complete||02/06/2022|
|An approved food control plan shall be available as required.||The food control plan is not yet in place.||Register the food control plan.||PA Low||Reporting Complete||02/06/2022|
|Where required by legislation, there shall be a Fire and Emergency New Zealand- approved evacuation plan.||A fire evacuation plan has not yet been approved||Ensure there is an approved fire evacuation plan in place.||PA Low||Reporting Complete||02/06/2022|
|Health care and support workers shall receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||Care staff and non-clinical have not yet received appropriate information, training, and equipment to respond to identified emergency and security situations with this including fire safety and emergency procedures.||Ensure that health care and support workers receive appropriate information, training, and equipment to respond to identified emergency and security situations including fire safety and emergency procedures.||PA Low||Reporting Complete||02/06/2022|
|Service providers shall ensure health care and support workers are able to provide a level of first aid and emergency treatment appropriate for the degree of risk associated with the provision of the service.||There are insufficient staff employed to work in the new facility who will have a first aid certificate.||Ensure that there are an adequate number of staff on each shift with a first aid certificate.||PA Low||Reporting Complete||02/06/2022|
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: 28 March 2022
Audit type:Partial Provisional Audit