Glengarry Rest Home & Hospital

Profile & contact details

Premises details
Premises nameGlengarry Rest Home & Hospital
Address 21 Glengarry Place Wairoa 4108
Total beds41
Service typesDementia care, Rest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - Glengarry Rest Home & Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence29 March 2018
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

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: 03 August 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.A review of the meeting minutes show not all aspects of the quality programme are discussed at the various meetings – for example while skin tears and bruising data is minuted, there is no mention of falls, medication errors and/or incidents. There had been instances where the number of falls, medication incidents and infections had exceeded the monthly target. Meeting minutes include discussion of all aspects of the quality management programme. PA LowReporting Complete14/07/2015
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.One resident with a syringe driver did not have the formal monitoring of the syringe driver documented. This same residents pain monitoring was documented as a result of the resident expressing pain rather than a pro-active monitoring and checking process. One resident with an enabler did not have documented monitoring as per plan. Ensure documentation reflects that monitoring occurs. PA LowReporting Complete14/07/2015
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Staff attendance numbers are very low, meaning insufficient staff have completed required trainings. For example, for falls training, observation training and food services, training less than 50 % of staff attended. Ensure all staff receive sufficient training. PA LowIn Progress
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.i) One resident with an unwitnessed fall and one resident had a documented head injury. Both had neurological observation documented for a short while (up to two hours) but not according to the Bupa timeframes; and ii) one resident with an enabler had this documented in the care plan but not the risks associated with its use. Monitoring for the enabler was not documented. i) Ensure that all clinical observations and monitoring are documented according to Bupa policies and best practice; and ii) ensure that the risks associated with enablers are documented in the care plan. PA LowReporting Complete01/12/2017

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: 03 August 2016

Audit type:Surveillance Audit

Audit date: 19 January 2015

Audit type:Certification Audit

Audit date: 21 November 2013

Audit type:Surveillance Audit

Audit date: 04 December 2012

Audit type:Verification Audit

Audit date: 01 February 2012

Audit type:Certification Audit

Audit date: 13 April 2011

Audit type:Surveillance Audit

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