Dunblane Lifecare

Profile & contact details

Premises details
Premises nameDunblane Lifecare
Address178 Rutene Road Kaiti Gisborne 4010
Total beds67
Service typesRest home care, Geriatric, Medical, Dementia care
Certification/licence details
Certification/licence nameDunblane Lifecare Limited - Dunblane Lifecare
Current auditorThe DAA Group Limited
End date of current certificate/licence29 September 2025
Certification period36 months
Provider details
Provider nameDunblane Lifecare Limited
Street addresslevel 3 60 Parnell Road Parnell Auckland 1052
Post addressPO Box 90573 Victoria Street West Auckland 1142

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: 26 July 2022

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care.Policies and procedures are out-of-date, not fit for purpose, and do not cover all aspects of the Ngā Paerewa standard. Policies and procedures are reviewed to ensure they are fit for purpose and cover all aspects of the Ngā Paerewa standard. PA LowIn Progress
Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits).(i) 41 interRAI assessments were overdue for review ranging from 77 to 883 days. (ii)Not all care plans were developed and reviewed within the required timeframes with four overdue, and four residents had no long term care plans in place. (iii)Residents’ nutritional profiles and activity plans were not reviewed six-monthly as required. i)Ensure all interRAI assessments are completed as per policy and DHB contractual requirements. (ii) Provide evidence of current completed residents’ long term care plans. (iii) Complete resident nutritional profiles and activities care plans six-monthly as per policy requirements. PA ModerateIn Progress
Service providers shall develop and implement policies and procedures in accordance with good employment practice and meet the requirements of legislation.References have not been collected for two out of four staff recruited in the 2021-2022 period. A process is put into place to ensure all staff are reference checked prior to commencing employment, in line with the organisation’s policy and procedure requirements. PA LowIn Progress
Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided.Orientation is not being consistently completed and documented for all staff. A process is put into place to make sure all staff have orientation completed and documented on commencing employment, in line with the organisation’s policy and procedure requirements. PA LowIn Progress
Service providers shall ensure the quality and risk management system has executive commitment and demonstrates participation by the workforce and people using the service.Participation by the workforce and for people receiving services in the implementation, monitoring, and evaluation of service delivery is not consistently taking place. Ensure residents and staff can consistently participate in quality management activities to improve services within the organisation. PA LowIn Progress
Governance bodies shall ensure service providers’ structure, purpose, values, scope, direction, performance, and goals are clearly identified, monitored, reviewed, and evaluated at defined intervals.There is no plan in place to make sure that the organisation’s structure, purpose, values, scope, direction, performance, and goals are clearly identified, monitored, reviewed, and evaluated at defined intervals. Equity requirements for Māori, Pasifika, and tāngata whaikaha have not been addressed at governance level. Strategic planning, when completed, outline the organisation’s structure, purpose, values, scope, direction, performance, and goals and ensures these are clearly identified, monitored, reviewed, and evaluated at defined intervals. Equity requirements for Māori, Pasifika, and tāngata whaikaha will be addressed. PA LowIn Progress

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. 

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 reports

Audit date: 26 July 2022

Audit type:Certification Audit

Audit date: 07 April 2021

Audit type:Provisional Audit

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