Premise details
- Address
- 32 Percival Road Paraparaumu Beach Paraparaumu 5032
- Website
- http://www.kenakena.co.nz
- Total beds
- 51
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Kena Kena Rest Homes Limited - Kena Kena Rest Home
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Kena Kena Rest Homes Limited
- Street address
- 32 Percival Road Paraparaumu Beach Paraparaumu 5032
- Postal address
Progress on issues from the last audit
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.
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Service providers shall understand and comply with statutory and regulatory obligations in relation to essential notification reporting. | The service has not completed a Section 31 notification for a resident who was unaccounted for a period of two days in March 2023. | Ensure to notify HealthCERT of any health and safety risk to residents or a situation that puts (or could potentially put) the health and safety of people at risk. | PA Low | Reporting Complete | |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | (i). Quality assurance meetings have not been held as scheduled since September 2022; therefore, there were no opportunity to evidence that: (a) outcomes of performance monitoring activities and subsequent corrective actions identified are discussed and shared with staff; and (b) health and safety issues identified are discussed and shared with staff. (ii). There was no documented evidence that resident and family/whānau satisfaction survey results/outcomes were discussed with residents and fami | (i). Ensure quality assurance meetings are held as scheduled, to evidence staff engagement occurs in relation to all aspects of service delivery. (ii). Ensure the resident and family/whānau satisfaction survey feedback is provided to residents and family/whānau. (iii). Ensure that corrective actions identified are responded to. | PA Moderate | Reporting Complete | |
| Service providers shall develop and implement policies and procedures in accordance with good employment practice and meet the requirements of legislation. | Four of six staff files did not evidence that reference checks were completed prior to the employment of staff. | Ensure reference checks are included as part of the pre-employment process. | PA Low | Reporting Complete | |
| In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov | Neurological observations had not been completed as per protocol for two residents with unwitnessed falls. | Ensure neurological observations occur as required. | PA Low | Reporting Complete | |
| Service providers shall have a clearly defined and documented IP programme that shall be: (a) Developed by those with IP expertise; (b) Approved by the governance body; (c) Linked to the quality improvement programme; and (d) Reviewed and reported on annually. | The infection control programme was last reviewed in March 2022. | Ensure the annual review of the infection control programme is completed. | PA Low | Reporting Complete | |
| Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. | (i). There was no evidence of orientation documentation on file for a caregiver/cleaner. (ii). Orientation documentation was not signed off by the employee and employer and there were sections not signed off as completed in the orientation manual for one (caregiver) file. | (i)-(ii) Ensure there is evidence of completed orientation records in staff files. | PA Low | Reporting Complete | |
| Service providers shall ensure that there is a pandemic or infectious disease response plan in place, that it is tested at regular intervals, and that there are sufficient IP resources including personal protective equipment (PPE) available or readily accessible to support this plan if it is activated. | (i). The response plan did not evidence a coordinated approach with sufficient guidance to staff. (ii). There were no readily available outbreak kits. (ii). Best practice principles related to donning, doffing and disposal of PPE were not followed. | (i)-(ii). Ensure the response plan is implemented in a coordinated manner with sufficient guidance to staff, followed by a lessons learned meeting following the current outbreak. (iii). Ensure staff have appropriate knowledge of correct donning, doffing and disposal of PPE. | PA Moderate | Reporting Complete | |
| My complaint shall be addressed and resolved in accordance with the Code of Health and Disability Services Consumers’ Rights. | (i). All fourteen complaints reviewed did not have a formal acknowledgement, a documented investigation process of the complaint and timeframes for resolution communicated to the complainants. (ii). Four of the fourteen complaints reviewed did not have final resolution letters sent back to the complainants. (iii). There was no evidence in nine complaints reviewed to confirm that the complainant was satisfied with the outcome. (iv). There were no corrective actions documented in relation to com | (i)-(iv). Ensure compliance with the complaints policy and standards, as set out in the Code of Health and Disability Services Consumers’ Rights by the Health and Disability Commission (HDC). | PA Moderate | Reporting Complete | |
| Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin | (i). Behaviour and mood identified in interRAI assessments were not addressed in the care plan for two residents. (ii). Two residents identified as a moderate falls risk had no interventions documented to manage the risk. (iii). The interRAI assessment identified undernutrition for one resident which was not addressed in the care plan. (iv). There was no documented evidence for risk mitigation strategies for one resident at risk of leaving the facility for a prolonged period of time. (v) There | (i).-(iii). Ensure all care plan interventions are reflective of the assessed needs, including the interRAI triggers and early warning signs. (iv).-(vi). Ensure care plan interventions are updated when health care needs change. | PA Moderate | 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.
Audit reports
About audit reports
Audit reports for this rest home’s latest audits can be downloaded below.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits. The guide gives an overview of the auditing process and explains what the audit reports mean.
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
Audit date:
Audit type: Partial Provisional Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
