David Lange Care Home
Profile & contact details
|Premises name||David Lange Care Home|
|Address||4 James Street Mangere East Auckland 2024|
|Service types||Physical, Rest home care, Geriatric, Medical|
|Certification/licence name||Bupa Care Services NZ Limited - David Lange Care Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||14 April 2021|
|Certification period||36 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: 14 October 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines.||A review of 20 medication charts across three floors identified the following shortfalls; (i) five medication charts were overdue for three-monthly GP reviews. (ii) Three of five electronic charts in Orion wing did not have photo ID. One of five did not have allergies documented. (iii) There were eight phone order medication charts across the three medication folders. While all eight had been signed by two staff (one being an RN), the GP had not followed up and signed the form or updated the… (this text has been trimmed due to space limits).||(i)Ensure overdue 3-monthly reviews are followed up and completed by GPs; (ii) Ensure electronic records include photo ID and allergy status; (iii) Ensure the process around phone-orders is followed to meet policy and guidelines||PA Moderate||Reporting Complete||21/05/2018|
|The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.||(1) Short-term care plans (STCPs) are completed for acute changes in health status. Currently current STCPs are stored in a separate folder from the residents file, therefore when reviewing resident files, it was unclear if a resident had a current STCP in place. STCPs in place for the Orion wing (ground floor) are currently stored on the top floor, so are not accessible for the care staff undertaking cares to residents in Orion wing. A review of the STCP folders on floor one and two identifi… (this text has been trimmed due to space limits).||(1) Ensure STCPs are integrated in resident files; Ensure STCPs are personalised and evaluated; (2) Ensure allied health instructions are updated as interventions in care plans.||PA Moderate||Reporting Complete||10/07/2018|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||The following shortfalls were identified in the files reviewed. (i) The rest home respite care plan lacked interventions to support all current needs as identified in the initial assessment (i.e., continence management). (ii) The care plan for one hospital resident did not reflect the use of an oxygen concentrator and management of risks. (iii). One hospital resident with CVA had the following gaps in care plans; a) Care summary states resident incontinent but care plan did not include any m… (this text has been trimmed due to space limits).||Ensure care plans are updated to include interventions to support all current needs.||PA Low||Reporting Complete||30/07/2018|
|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).||Restraint monitoring charts for both residents using restraint were lacking adequate detail to reflect two hourly monitoring.||Ensure each episode of restraint use is monitored in sufficient detail to reflect regular checks as indicated on the restraint assessment form.||PA Low||Reporting Complete||30/07/2018|
|New service providers receive an orientation/induction programme that covers the essential components of the service provided.||Six of thirteen staff files of staff who had been employed since the last audit were missing evidence that they had completed their orientation programme. (Note: sample size was expanded).||Ensure evidence is retained to confirm that newly employed staff have completed their orientation programme.||PA Low||Reporting Complete||17/10/2018|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||i) Four of ten caregivers have attended less than eight hours annually of education. Attendance rates are often low (less than 50% attendance). This has been identified as an issue by the management team and a corrective action is being implemented for the 2018 calendar year. ii) Six of seven staff files reviewed of staff who have been employed for over one year were missing evidence of an annual performance appraisal. iii) Activities staff who accompany residents on outings did not hold curre… (this text has been trimmed due to space limits).||i) Ensure all care staff attend a minimum of eight hours annually of professional development as per the aged residential care contract agreement. ii) Ensure staff undergo annual performance appraisals in line with Bupa policy. iii) Ensure there is a minimum of one staff trained in CPR/first aid to accompany residents on outings.||PA Low||Reporting Complete||17/10/2018|
|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.||(i) Two hospital and two rest home residents did not have interRAI assessments and long-term care plans completed within 21 days of admission. (ii) Three hospital and two rest home residents did not have routine 6 monthly interRAI assessments and long-term care plans evaluations completed on time.||(i) Ensure an interRAI assessment and long-term care plan is completed within 21 days of admission. (ii) Ensure routine 6 monthly interRAI assessments and long-term care plan evaluations are completed on all long-term residents.||PA Low||Reporting Complete||18/03/2020|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i) One hospital level resident for daily PEG Feed monitoring did not have monitoring documentation completed. (ii) One rest home resident with identified weight loss did not have the daily food and fluid monitoring chart completed. (iii) Two hospital level residents with enablers did not have regular monitoring updates recorded in the progress notes.||(i) Ensure hourly monitoring of PEG feeds are completed and recorded. (ii) Ensure food and fluid chart monitoring is recorded as prescribed. (iii) Ensure residents with enablers have monitoring updates recorded in progress notes as per policy.||PA Low||Reporting Complete||18/03/2020|
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: 14 October 2019
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit