Kumeu Village

Profile & contact details

Premises details
Premises nameKumeu Village
Address 507 State Highway 16 Kumeu 0892
Websitewww.kumeuvillage.co.nz/
Total beds93
Service typesMedical, Dementia care, Rest home care, Geriatric
Certification/licence details
Certification/licence nameKumeu Village Aged Care Limited - Kumeu Village
Current auditorThe DAA Group Limited
End date of current certificate/licence17 February 2019
Certification period36 months
Provider details
Provider nameKumeu Village Aged Care Limited
Street address 507 State Highway 16 Kumeu 0892
Post address507 State Highway 16 Kumeu 0892

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 December 2015

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.On the day of the audit the food served for the mid-day meal was not in line with what was written on the menu. No documented evidence is kept when a menu change is made. Provide evidence that food, fluids and nutritional needs for the residents are provided in line with dietitian approved menu and any variance is documented. PA LowIn Progress
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.Fridge/freezer temperature monitoring is not consistently occurring. When it was known that the cooler in the shop was not operating at optimal temperature staff continued to use it. Not all frozen food is dated or labelled. Provide evidence that all aspects of safe food management legislation and guidelines are met. PA LowIn Progress
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.At the time of audit only 66.25% of residents are interRAI assessed. The overdue assessments range from 10 days to 475 days. Provide evidence that all interRAI assessments are completed and up to date. PA ModerateIn 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.Three bottles of antibiotics and one box of paracetamol suppositories in the medication cupboard had the residents’ names crossed off and the word imprest handwritten on them. The residents’ whose names had been crossed off were no longer at the facility. Ensure that all aspects of safe medicines management are followed in relation to the imprest system and disposal and return of medications to the pharmacy. PA ModerateIn Progress
Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group.On the day of the audit the food served for the mid-day meal was not in line with what was written on the menu. No documented evidence is kept when a menu change is made. Provide evidence that food, fluids and nutritional needs for the residents are provided in line with dietitian approved menu and any variance is documented. PA LowIn Progress
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.Fridge/freezer temperature monitoring is not consistently occurring. When it was known that the cooler in the shop was not operating at optimal temperature staff continued to use it. Not all frozen food is dated or labelled. Provide evidence that all aspects of safe food management legislation and guidelines are met. PA LowIn Progress
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.At the time of audit only 66.25% of residents are interRAI assessed. The overdue assessments range from 10 days to 475 days. Provide evidence that all interRAI assessments are completed and up to date. PA ModerateIn 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.Three bottles of antibiotics and one box of paracetamol suppositories in the medication cupboard had the residents’ names crossed off and the word imprest handwritten on them. The residents’ whose names had been crossed off were no longer at the facility. Ensure that all aspects of safe medicines management are followed in relation to the imprest system and disposal and return of medications to the pharmacy. PA ModerateIn Progress

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 December 2015

Audit type:Certification Audit

Audit date: 09 June 2015

Audit type:Surveillance Audit

Audit date: 22 January 2015

Audit type:Partial Provisional Audit

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