Kenwyn Rest Home & Hospital

Profile & contact details

Premises details
Premises nameKenwyn Rest Home & Hospital
Address 56 Kenrick Street Te Aroha 3320
Websitewww.kenwynhome.co.nz
Total beds59
Service typesDementia care, Rest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameT M & D L Beer Holdings Limited - Kenwyn Rest Home & Hospital
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence20 May 2020
Certification period36 months
Provider details
Provider nameTM & DL Beer Holdings Limited
Street address 56 Kenrick Street Te Aroha 3320
Post addressPO Box 5522 Mount Maunganui 3150

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: 02 March 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The facilitation of safe self-administration of medicines by consumers where appropriate.One of two residents (rest home) self-administering medication (inhaler) had not completed the required assessment or consenting process and no checks were being completed to see that the medication had been taken as prescribed. Ensure that all residents who are self-medicating have completed the necessary assessment and consent process. PA LowIn Progress
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.A number of outstanding maintenance issues were noted during the audit. Specifically a) two showers in the dementia unit have cracked and crumbling shower linings and one shower has cracked lino; b) the floor under the commercial washing machine (that is raised off the floor) has exposed unsealed concrete underneath the machine; c) there is an area of flaky paint on the ceiling above the commercial dish washer in the kitchen; d) the cupboard and draws under the kitchen sink in the dementia u… (this text has been trimmed due to space limits).Ensure that all outstanding maintenance issues are addressed. PA LowIn Progress
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.i) Four of four behaviour monitoring forms in use for residents in the dementia unit were not fully completed and there was no documented evidence of review by a registered nurse. ii) Three of eight files sampled (two rest home and one hospital) did not have the monitoring of food and fluid intake recorded at each meal as required by the care plan. (i) Ensure that all sections of the behaviour monitoring form are fully completed and the behaviour monitoring form is reviewed by a registered nurse. (ii) Ensure that the monitoring detailed in the care plan is completed. PA LowIn Progress
Service providers follow a documented process for the safe and appropriate storage and disposal of waste, infectious or hazardous substances that complies with current legislation and territorial authority requirements.One shower in the dementia unit also contains a sink for the cleaner to use. This sink has a cleaning dispensing unit in it that can be accessed by the resident’s. The staff interviewed advised that this shower door is kept locked when not in use. On two occasions during the audit, this shower door was found unlocked. Ensure that all chemicals are stored securely. PA ModerateReporting Complete13/06/2017
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.(i)Three of eight care plans reviewed (one rest home, one hospital and one dementia), did not have care plans documented for the management of indwelling catheters, management of ESBL and a diabetic management plan for a resident on insulin. (ii) Five of eight files sampled (two hospital, two rest home and one dementia) did not have interventions documented in sufficient detail for the management of urosepsis, right-sided blindness, de-escalation strategies for behaviours, weight loss, Parkinso… (this text has been trimmed due to space limits).(i)-(ii)Ensure that care plans are documented for all identified care needs and documented within sufficient detail. (iii) Ensure that interventions to manage the risks associated with the use of restraint are documented in the care plan. PA ModerateReporting Complete28/06/2017

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: 02 March 2017

Audit type:Certification Audit

Audit date: 15 December 2015

Audit type:Surveillance Audit

Audit date: 10 March 2014

Audit type:Certification Audit

Audit date: 18 March 2013

Audit type:Surveillance Audit

Audit date: 28 March 2012

Audit type:Certification Audit

Audit date: 05 April 2011

Audit type:Certification Audit; Provisional Audit; Partial Provisional Audi

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