Kimihia Home & Hospital
Profile & contact details
|Premises name||Kimihia Home & Hospital|
|Address||76 Rosser Street Huntly 3700|
|Service types||Medical, Dementia care, Rest home care, Geriatric|
|Certification/licence name||North Waikato Care of the Aged Trust Board|
|Current auditor||Health Audit (NZ) Limited|
|End date of current certificate/licence||19 February 2018|
|Certification period||36 months|
|Provider name||North Waikato Care of the Aged Trust Board|
|Street address||76 Rosser Street Huntly 3700|
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 June 2016
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||There was insufficient evidence that corrective action plans had been implemented or effective.||Maintain evidence of corrective actions, and review whether they have been effective.||PA Low||Reporting Complete||15/04/2015|
|New service providers receive an orientation/induction programme that covers the essential components of the service provided.||Records of orientation have not been maintained, or could not be found during the audit.||Maintain records of orientation.||PA Low||Reporting Complete||15/04/2015|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||The system for maintaining training records does not ensure that all staff have completed the required mandatory training topics.||Review the system for recording attendance at training to better ensure all staff are attending the required mandatory training topics.||PA Low||Reporting Complete||15/04/2015|
|The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.||Three of the three residents files of residents living in the dementia unit do not evidence a behaviour assessment or have these needs detailed in the care plan. Three other files (two rest home and one hospital) do not have a comprehensive assessment of specific needs, for example cultural needs or pain management.||Provide documented evidence that the assessment process is used to identify resident needs and these needs are described on the care plan.||PA Low||Reporting Complete||15/04/2015|
|Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.||Seven of the ten care plans reviewed do not have a detailed evaluation of the care that is resident-focused, indicates the degree of achievement or response to the support and/or interventions, and progress towards meeting the desired outcomes.||Provide evidence that evaluations are detailed.||PA Low||Reporting Complete||15/04/2015|
|Services conduct comprehensive reviews regularly, of all restraint practice in order to determine: (a) The extent of restraint use and any trends; (b) The organisation's progress in reducing restraint; (c) Adverse outcomes; (d) Service provider compliance with policies and procedures; (e) Whether the approved restraint is necessary, safe, of an appropriate duration, and appropriate in light of consumer and service provider feedback, and current accepted practice; (f) If individual plans of care/… (this text has been trimmed due to space limits).||The reviews and internal audits sighted do not include an overall review of the extent of restraint use, any trends and the services progress in reducing restraint.||Conducted a comprehensive review of all restraint practice in order to determine: (a) The extent of restraint use and any trends; (b) The service’s progress in reducing restraint||PA Low||Reporting Complete||23/12/2015|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||The complaints register did not contain all complaints; this was addressed at the time of audit.||Ensure the complaints register contains all complaints.||PA Negligible||Reporting Complete||18/01/2017|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||Short term care plans are not consistently developed when acute conditions are identified.||Ensure that short term care plans are developed when acute conditions are identified.||PA Low||Reporting Complete||18/01/2017|
|The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning.||Pain assessments are not consistently conducted for residents on regular or “as required” analgesia and controlled medications.||Ensure that residents receiving controlled medications and regular or “as required analgesia” have pain assessments.||PA Moderate||Reporting Complete||03/04/2017|
|Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.||Long and short term care plans do not have consistent evidence that indicate the resident’s degree of achievement or response to the interventions, and/or progress towards meeting the desired goals/outcomes.||Ensure that long and short term care plans have documented evidence of the resident’s degree of achievement to the interventions, and/or progress towards meeting the desired goals/outcomes.||PA Moderate||Reporting Complete||03/04/2017|
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: 02 June 2016
Audit type:Surveillance Audit
- Kimihia Home & Hospital - Jun 2016 (docx, 32.07 KB)
- Kimihia Home & Hospital - Jun 2016 (pdf, 127.85 KB)
Audit type:Certification Audit
- Kimihia Home & Hospital - Nov 2014 (docx, 65.99 KB)
- Kimihia Home & Hospital - Nov 2014 (pdf, 196.85 KB)
Audit type:Surveillance Audit
- Kimihia Home & Hospital - Jul 2013 (docx, 120.39 KB)
- Kimihia Home & Hospital - Jul 2013 (pdf, 531.19 KB)
Audit type:Verification Audit
Audit type:Certification Audit; Verification Audit