St Kilda Care Home

Profile & contact details

Premises details
Premises nameSt Kilda Care Home
Address 91 Alan Livingstone Drive RD 1 Cambridge 3493
Total beds80
Service typesRest home care, Geriatric, Medical, Dementia care
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - St Kilda Care Home
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence16 December 2021
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: 01 October 2018

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.The monthly collation of quality data is available; however, the quality data trends analysis is not documented as being completed. Quality and staff meetings reviewed did not evidence discussion of quality data analysis and trends. Ensure that quality data trends analysis is completed monthly and is discussed at quality and staff meetings. PA LowReporting Complete26/04/2019
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Three residents with repositioning charts did not have all interventions documented two hourly as per care plan (one rest home and two hospital). Ensure that repositioning charts are documented as per care plan. PA LowReporting Complete26/04/2019
Consumers have a right to full and frank information and open disclosure from service providers.Accident/incident forms have a section to indicate if next of kin have been informed of an accident/incident. Fifteen accident/incident forms were reviewed for September 2018. Five of fifteen forms did not have documented evidence that family were informed. Three of twelve relatives interviewed stated that they are not always informed when their family member’s health status changes. Ensure that all next of kin are informed of any accident/incident and changes in health status to their family member. PA LowReporting Complete26/04/2019
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Care plans did not include all interventions to safely guide care and support; (1) Two of three rest home care plans did not include interventions to support all assessed needs; (i) one resident who smoked did not have interventions documented to support the risks; (ii) one resident did not include interventions to support wandering and ‘getting lost’ in the facility and a process to ensure the resident wears clean clothes. (2) One of three hospital care plans did not include interventions to su… (this text has been trimmed due to space limits).Ensure that care plans reflect care interventions to support current assessed needs. PA ModerateReporting Complete26/04/2019

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: 01 October 2018

Audit type:Certification Audit

Audit date: 11 August 2017

Audit type:Surveillance Audit

Audit date: 14 October 2015

Audit type:Certification Audit

Audit date: 26 November 2014

Audit type:Partial Provisional Audit

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