Gladys Mary Rest Home

Profile & contact details

Premises details
Premises nameGladys Mary Rest Home
Address 7 Glamorgan Avenue Tamatea Napier 4112
Total beds39
Service typesDementia care, Rest home care
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - Gladys Mary Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence30 March 2023
Certification period36 months
Provider details
Provider nameBupa Care Services NZ Limited
Street addressLevel 2 109 Carlton Grove Road Newmarket Auckland 1023
Post addressPO Box 113054 Newmarket Auckland 1149
Websitewww.bupa.co.nz/

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: 22 January 2020

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.(i). Currently the facility has the equivalent of three litres of emergency water stored on site per person per day for three days. The Hawkes Bay DHB recommends that the amount of water available be extended from three litres of water per day (per resident) for three days to 10 days (1170 litres). Since the draft report the service has confirmed a 1000 litre tank has been purchase and is soon to be installed. (ii). A first aid trained staff is not always rostered on the night shift. Since th… (this text has been trimmed due to space limits).(i). Ensure that there is a minimum of three litres of water per resident per day for ten days in the event of a civil emergency. (ii). Ensure there is a first aid trained staff available 24/7. PA LowIn Progress
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.(i). Quality and risk data are not being analysed and evaluated. (ii). Meeting minutes and interviews with staff do not indicate quality and risk results and complaints are communicated to staff. (i). Ensure quality and risk data is analysed and evaluated each month to identify areas for improvements. (ii). Ensure quality and risk data including complaints are communicated to staff. 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. 

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: 22 January 2020

Audit type:Certification Audit

Audit date: 25 October 2018

Audit type:Surveillance Audit

Audit date: 31 January 2017

Audit type:Certification Audit

Audit date: 14 July 2015

Audit type:Surveillance Audit

Audit date: 13 January 2014

Audit type:Certification Audit

Audit date: 22 March 2013

Audit type:Surveillance Audit

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