Gardenview Rest Home
Profile & contact details
|Premises name||Gardenview Rest Home|
|Address||134 Bath Street Levin 5510|
|Service types||Dementia care|
|Certification/licence name||Bupa Care Services NZ Limited - Gardenview Rest Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||10 May 2023|
|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: 04 March 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The appointment of appropriate service providers to safely meet the needs of consumers.||Of the 43 staff that work at Gardenview; four caregivers, who have been employed for over two years, have not yet attained the dementia unit standards.||Ensure that all staff who work at Gardenview achieve the dementia unit standards within the required timeframes.||PA Low||In Progress|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||(i). Action plans were not consistently documented following internal audits and resident/family survey. (ii). Action plans documented were not always documented as followed up and signed off. This included; internal audits and action plans following customer focus groups.||(i). Ensure that action plans are documented where a gap in service provision has been evidenced. (ii). Ensure that action plans are documented as followed up and signed off.||PA Low||In Progress|
|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.||None of the toilets have privacy locks or curtains to ensure resident privacy.||Ensure residents privacy is maintained when using toilets.||PA Low||In Progress|
|The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.||(i). RN follow-up was not documented for four incidents reviewed, including; two medication errors, one skin tear and one fall. (ii). One pressure injury did not have an incident form documented (corrected on day of audit).||(i). Ensure that all resident-related incidents have a documented RN review of the resident to ensure their ongoing safety and care and also to minimise further occurrences. (ii). Ensure all incidents are documented.||PA Moderate||In Progress|
|The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.||The weekly progress notes documented by the registered nurses did not reflect an overview of the week in all six resident files.||Ensure the weekly RN overview includes important issues of the resident over the weekly period.||PA Low||In Progress|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||(i) There were no individualised triggers, behaviours and de-escalation techniques identified for two of six files reviewed. (ii) There were no pressure relieving interventions documented in the care plans for two residents with pressure injuries. (iii) Not all preferences of a Māori resident were documented in the care plan.||(i)-(iii) Ensure all care plan interventions are individualised and contain resident-specific information to meet all needs.||PA Low||In Progress|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i). Two of two wound charts with pressure injuries did not always have an assessment or plan completed in a timely manner (gap of 11 days). (ii). Pressure injuries were not correctly staged on assessment in two of two pressure injuries reviewed.||(i). Ensure wound assessment and plans are completed in a timely manner. (ii). Ensure wound assessments are completed in a timely manner.||PA Moderate||In Progress|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||(i). Meetings have not always been held as per schedule for 2019, examples include staff meeting August, October and November, there were no quality meetings documented after May 2019 (until 2020). There were no family meetings, since June 2019 (until 2020). (ii). Meetings held for 2019 did not all document that quality information was presented to meetings. Examples include incident and accidents, infection control, internal audit results and complaints.||(i). Ensure the new process of holding meetings as per the Bupa schedule is fully imbedded (ii). Ensure that quality information is presented at relevant meetings.||PA Low||In Progress|
|Consumers have a right to full and frank information and open disclosure from service providers.||Two of three medication administration errors did not document if family had been informed of the incident.||Ensure that family are informed following all adverse events relating to their family member at the service.||PA Low||In Progress|
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: 04 March 2020
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit