Kauri Coast Hospital & Rest Home

Profile & contact details

Premises details
Premises nameKauri Coast Hospital & Rest Home
Address 102 Hokianga Road Dargaville 0310
Total beds52
Service typesGeriatric, Medical, Rest home care
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - Kauri Coast Hospital & Rest Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence10 April 2019
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: 29 November 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Services conduct comprehensive reviews regularly, of all restraint practice in order to determine: (a) The extent of restraint use and any trends; (b) The organisation's progress in reducing restraint; (c) Adverse outcomes; (d) Service provider compliance with policies and procedures; (e) Whether the approved restraint is necessary, safe, of an appropriate duration, and appropriate in light of consumer and service provider feedback, and current accepted practice; (f) If individual plans of care/… (this text has been trimmed due to space limits).One resident with nine separate restraint incidents did not have those incidents included for discussion in the restraint committee or included as part of the ‘restraint incident’ benchmarking indicators. As a result, interventions were not implemented to minimise the risk to the resident Ensure incidents related to restraint use are fully reviewed and evaluated and actions implemented to minimise ongoing risks to residents PA LowReporting Complete30/05/2016
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.Two of seven resident files (two rest home) did not include an interRAI assessment. To ensure that the interRAI assessment is completed within the required timeframes. PA LowReporting Complete21/06/2017
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.1.The following shortfalls were identified in documentation review of four of seven hospital files reviewed (sample increased due to follow up of three incidents); (i) The long term care plan for a hospital resident with a current PI did not include pressure injury prevention strategies as the pressure risk assessment stated ‘no risk; (ii) The generic STCP in place around the PI management for the same resident did not align with current needs; (iii) De-escalation techniques and supervised wal… (this text has been trimmed due to space limits).1. Ensure care plans include interventions to reflect the current needs of residents: 2. (i) – (ii) Ensure monitoring charts are fully completed as directed in the care plans, (iii) Ensure pressure mattresses are set at the correct weight PA ModerateReporting Complete21/06/2017
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.Meeting minutes reviewed did not all include feedback on internal audits or follow through to identify actions in response to quality data/trends Ensure meeting minutes reflect feedback on internal audits and follow through of analysis of quality data to identify opportunities for improvement PA LowReporting Complete21/06/2017
The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.(i)Four of 18 complaints initial responses were either not dated or responses were outside timeframes as set out in code 10 of the HDC Code of Rights. (ii) Six of 18 investigation outcomes were either not documented or outside expected timeframes Ensure all initial responses and follow-up outcomes are responded to and meet code 10 of the HDC code of rights. PA LowIn Progress
The use of enablers shall be voluntary and the least restrictive option to meet the needs of the consumer with the intention of promoting or maintaining consumer independence and safety.Three of four residents using enablers did not evidence voluntary consent. Ensure all resident using enablers are appropriately assessed and able to voluntarily consent to the use of an enabler. PA LowIn Progress
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.1) The associated risks of enabler use had not been documented for four of five residents using enablers. 2) There were no documented interventions for one hospital resident requiring monitoring of oedematous legs as per GP notes. 1) Ensure risks of enabler use are documented in the care plans. 2) Ensure GP requests for monitoring are documented and followed up. PA ModerateIn 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: 29 November 2017

Audit type:Surveillance Audit

Audit date: 09 February 2016

Audit type:Certification Audit

Audit date: 11 September 2014

Audit type:Surveillance Audit

Audit date: 11 February 2013

Audit type:Certification Audit

Audit date: 30 November 2011

Audit type:Surveillance Audit

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