Profile & contact details
|Premises name||Parklands Hospital|
|Address||429 Papanui Road Strowan Christchurch 8052|
|Service types||Geriatric, Medical, Rest home care, Psychogeriatric|
|Certification/licence name||Bupa Care Services NZ Limited - Parklands Hospital|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||13 April 2020|
|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: 07 August 2018
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||a) The care plan for a psychogeriatric resident with a suspected deep tissue pressure injury documented two hourly turning (position changes were required). However monitoring forms reviewed did not evidence that position changes had been consistently completed in this timeframe. b) One hospital resident (palliative care); the syringe driver monitoring form was not evidenced to be checked at a minimum of four hourly intervals as per policy. There was a large gap where checks were not document… (this text has been trimmed due to space limits).||(a-b) Ensure that all monitoring forms document and reflect the frequency of monitoring prescribed.||PA Moderate||Reporting Complete||27/09/2017|
|A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.||(i) On one paper medication chart for a hospital resident the dose of warfarin prescribed to be administered was not evidenced to be signed by a GP; and (ii) Of a sample of three residents prescribed warfarin, one medication administration chart evidenced a gap of four days where the dose was not recorded as being administered as prescribed.||(i) Ensure prescribed medication is signed by the GP. (ii) Ensure that medication is documented as administered as prescribed.||PA Moderate||Reporting Complete||27/09/2017|
|Each episode of restraint is documented in sufficient detail to provide an accurate account of the indication for use, intervention, duration, its outcome, and shall include but is not limited to: (a) Details of the reasons for initiating the restraint, including the desired outcome; (b) Details of alternative interventions (including de-escalation techniques where applicable) that were attempted or considered prior to the use of restraint; (c) Details of any advocacy/support offered, provided o… (this text has been trimmed due to space limits).||Restraint monitoring forms were sighted for six residents using restraint (note the sample size was expanded). Three of the six monitoring forms for the months of January and February 2017 were incomplete.||Ensure monitoring forms reflect each episode of restraint as determined on the restraint assessment.||PA Low||Reporting Complete||27/09/2017|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||(i) One hospital resident with a stage-three pressure injury (sacrum); the care plan had not been updated to reflect that the resident required two hourly changes of position. No turning chart was evidenced to be implemented; (ii) One care plan (psychogeriatric) documented that the resident required the use of a restraint to manage the resident’s behavioural issue of wandering. The resident is now immobile. The care plan had not been updated to reflect that the use of restraint to manage this b… (this text has been trimmed due to space limits).||Ensure care plans are updated as resident need changes.||PA Low||Reporting Complete||20/02/2018|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||i) Attendance at mandatory in-service training is below 50% (eg, code of rights, fire safety, accident and incident reporting, health and safety). The care home manager has identified this as an issue and plans to address it in 2017. ii) Six of twelve staff files reviewed indicated that annual performance appraisals are behind schedule. The care home manager confirmed this finding and plans to address it in 2017.||(i) Ensure staff attend mandatory in-service training. (ii) Ensure staff appraisals are completed a minimum of annually.||PA Low||Reporting Complete||20/03/2018|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||The were no documented interventions for (a) two psychogeriatric (PG) residents current use of T-belt restraint; (b) one PG resident, the care summary did not reflect the use of bedrails restraint, (c) the presence of pressure injuries had not been documented on the care plan for two hospital residents (one resident with one pressure injury and one resident with three pressure injures), (d) there were no falls prevention strategies for one hospital resident identified as medium risk as per int… (this text has been trimmed due to space limits).||(a)-(b) Ensure care plans reflect the resident’s restraint use including interventions to support identified risks, (c) ensure pressure injuries are documented on the plan of care, (d) and (e) ensure assessed needs and supports for risk (falls and pain) are included in the plan of care.||PA Moderate||Reporting Complete||11/12/2018|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(a) Turning charts had not been completed for two residents (one hospital resident with pressure injuries and the other a PG resident at high risk of pressure injury) and (b) neurological observations had not been completed as per protocol for six residents with unwitnessed falls (three hospital and three PG residents.)||(a) Ensure turning charts are in place to evidence pressure cares are completed as per the care plan instructions and (b) ensure neurological observation are completed as per protocol for unwitnessed falls.||PA Moderate||Reporting Complete||11/12/2018|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||The service currently has six pressure injuries logged at the time of audit (one resident had three). There was no corrective action plan implemented to manage the increase in pressure injury stats.||Ensure that corrective action plans are established where an analysis of incidents identifies an increase risk/trends||PA Low||Reporting Complete||07/02/2019|
|The facilitation of safe self-administration of medicines by consumers where appropriate.||The self-medication competency assessment has not been reviewed three monthly.||Ensure self-medication competencies are reviewed three monthly.||PA Low||Reporting Complete||07/02/2019|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||Staff meetings do not document the communication review of tends and discussion of key quality outcomes including incident data, and infection control.||Ensure that key quality information, trends and outcomes are communicated to staff through staff meetings.||PA Low||Reporting Complete||09/04/2019|
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: 07 August 2018
Audit type:Surveillance Audit; Partial Provisional Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit