Devonport Palms

Profile & contact details

Premises details
Premises nameDevonport Palms
Address 194 Devonport Road, Tauranga 3110
Total beds34
Service typesRest home care
Certification/licence details
Certification/licence nameDevonport Palms Retirement Limited - Devonport Palms
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence18 October 2021
Certification period36 months
Provider details
Provider nameDevonport Palms Retirement Limited
Street address 194 Devonport Road 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: 23 August 2018

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.i) Temperatures of delivered chilled food (ie, milk & fresh meat, and end-cooked food) were not consistently recorded as per the organisations policy and procedures. ii) Fridge temperatures were recorded daily, however temperatures were consistently documented as -ve 0 to -ve 4 degrees Celsius and there was no documented evidence of this having been reported to management, or evidence of corrective action. It is noted that food kept within these fridges was not frozen. iii) Not all dry goods … (this text has been trimmed due to space limits).i) Ensure that temperatures of incoming chilled food and end-cooked hot food are recorded as per policy. ii) Ensure that corrective actions to address temperatures out of range are documented and implemented. iii) Review current practice of decanting dry goods to ensure opening/expiry dates are clearly visible. PA LowReporting Complete18/11/2018
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.i) Medicine reconciliation of received medications with the resident’s medication chart had not been accurately completed for three out of 12 files. ii) In two of twelve files, staff had administered medications without a documented prescription. There was also evidence of transcribed medication changes as per a MHSOP clinic letter in one of the two files. Note: The resident was in hospital during the audit and the service was advised that the resident now required a higher level of care an… (this text has been trimmed due to space limits).(i) Ensure that all medicines when received are reconciled with the resident’s current medication chart. (ii) Ensure that medications are only administered with a signed prescription and that medication changes are documented on the medication chart by the residents GP in a timely manner. (iii) Ensure end dates of short course medications are documented and followed. (vi) Ensure medications are all signed for and administration including time given is clearly documented PA ModerateReporting Complete18/11/2018

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: 23 August 2018

Audit type:Certification Audit

Audit date: 15 May 2017

Audit type:Surveillance Audit

Audit date: 05 August 2015

Audit type:Certification Audit

Audit date: 26 February 2014

Audit type:Surveillance Audit

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