Whitby Rest Home and Hospital

Profile & contact details

Premises details
Premises nameWhitby Rest Home and Hospital
Address 4 Observatory Close Whitby Porirua 5024
Total beds101
Service typesDementia care, Rest home care, Psychogeriatric, Geriatric, Medical
Certification/licence details
Certification/licence nameBupa Care Services NZ Limited - Whitby Rest Home and Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence16 November 2022
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: 04 September 2019

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.The service stored water for an emergency but not sufficient for 20 litre per person per day as required by the Wellington region. Ensure sufficient water is stored. PA LowIn Progress
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.Five of 15 medication charts did not identify the resident’s allergy status. Ensure the allergy status is identified on the medication chart. PA LowReporting Complete16/12/2019
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i) Neurological observations had not been completed as per protocol for four of eight incident/accidents that required neurological observations. (ii) Restraint monitoring had not been completed two hourly for two hospital level residents. (iii) Two residents (hospital) with two wounds each did not have separate wound assessments and evaluations for each wound. Wound evaluations had not occurred at the required timeframes for three wounds. (iv) Pain management plans for six residents (three de… (this text has been trimmed due to space limits).(i) Ensure neurological observations are documented as per Bupa protocol. (ii) Ensure restraint monitoring is documented as per the care plans. (iii) Ensure that each wound has its own assessment plan and evaluations and are reviewed within set timeframes. (iv) Ensure pain monitoring is individualised to the resident. PA ModerateReporting Complete17/01/2020
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.i) Three staff who have been employed over 18 months and who work in the dementia/PG units have not completed the limited credit dementia programme. ii) Of the eleven staff files reviewed, four did not have an up to date annual appraisal. i) Ensure that staff who work in the dementia units have enrolled in and completed the limited credit dementia training according to set timeframes. ii) Ensure that staff have an annual appraisal. PA LowReporting Complete27/02/2020

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.

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