Winara Rest Home
Profile & contact details
|Premises name||Winara Rest Home|
|Address||9 Winara Avenue Waikanae 5036|
|Service types||Dementia care, Rest home care, Geriatric, Medical|
|Certification/licence name||Bupa Care Services NZ Limited - Winara Rest Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||28 January 2023|
|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: 30 September 2021
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Alternative energy and utility sources are available in the event of the main supplies failing.||The service has 1000 litres of water stored; this is not equivalent to the 20 litres per person per day for seven days as per the DHB requirements. The civil defence stores have not been checked for 2019.||Ensure that sufficient water is stored that meets the DHB water storage requirements for the Wellington region. Ensure that civil defence stores are checked as per Bupa policy.||PA Moderate||In Progress|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||(i) There were no documented interventions for two residents (one hospital and one dementia care) for new pain identified requiring GP involvement and analgesia; (ii) There were no documented interventions for one dementia care resident with a risk of absconding; (iii) There were no documented interventions to reflect one dementia care residents unintentional weight loss; (iv) There were no early warning signs documented in the care plan for one dementia care resident recently discharged from th… (this text has been trimmed due to space limits).||(i)-(v) Ensure care plans reflect the current health status of residents and describe the supports required to meet the resident goals.||PA Moderate||Reporting Complete||10/06/2020|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||(i). One complaint regarding a resident leaving the secure unit had a follow-up toolbox talk around ensuring the door is closed and a section 31 notification. It did not document a full investigation or any reflection on how the service could be improved. (ii). Meeting minutes did not document that the complaints had been communicated and discussed with staff.||(i). Ensure that complaints are reported to the relevant service meetings. (ii). Ensure that complaints document a full investigation and, when needed, an analysis of causes and how to improve services.||PA Low||Reporting Complete||10/06/2020|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||Neurological observations had not been completed as per protocol for four of eight incident/accidents that required neurological observations.||Ensure neurological observations are completed as per protocol for unwitnessed falls and where there has been an obvious knock to the head.||PA Low||Reporting Complete||10/06/2020|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Four of eleven caregivers that have been employed for more than 18 months, and directly involved in the dementia unit have not yet enrolled to commence the dementia standards.||Ensure each caregiver directly involved in the dementia unit is enrolled to commence the dementia standards.||PA Low||Reporting Complete||09/02/2022|
|All buildings, plant, and equipment comply with legislation.||The 52-week planned maintenance schedule had been completed and signed off for 2018, but there was no documented evidence the 52-week maintenance schedule had been completed for 2019.||Ensure the 52-week planned maintenance schedule is completed.||PA Low||Reporting Complete||21/02/2022|
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.
From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.
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 Ngā Paerewa Health and Disability Services Standard.
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: 30 September 2021
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit