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Premise details

Address
22 Bisset Road Kaikohe 0405
Website
http://www.kaikohecare.co.nz
Total beds
65
Service types
Medical, Dementia care, Rest home care, Geriatric

Certification/licence details

Certification/licence name
Lexhill Limited - Kaikohe Care
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
36 months

Provider details

Provider name
Lexhill Limited
Street address
27 Yelash Road Massey Auckland 0614
Postal address
P.O.BOX 100-347 North Shore Auckland 0745

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: 07 May 2024

Outcome required Found at audit Action required Risk rating Action status Date action reported complete
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. RN staffing for hospital level residents does not meet contractual requirements for the night shifts. Ensure that there is RN on-site cover 24 hours a day, seven days a week. PA Moderate Reporting Complete
Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. (i). Medication room temperatures are not being recorded. (ii).There are no six-monthly CD checks completed. (i). Ensure medication room temperatures are recorded. (ii). Ensure six-monthly CD checks completed. PA Low Reporting Complete
An appropriate call system shall be available to summon assistance when required. A number of sensor mats are not working properly and require replacements. Ensure all sensor mats used at the facility are working properly. PA Low Reporting Complete

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.

About audit reports

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.

Before 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) appear on the rest home’s page. As the rest home completes the required actions, the status on the website updates.

Audit date:

Audit type: Certification Audit; Partial Provisional Audit

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