Premise details
- Address
- 3/1 Bluff Road Kenepuru Porirua 5022
- Total beds
- 111
- Service types
- Rest home care, Geriatric, Medical, Dementia care
Certification/licence details
- Certification/licence name
- Summerset Care Limited - Summerset on the Landing Kenepuru
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Summerset Care Limited
- Street address
- Majestic Centre Floor 27, 100 Willis Street Wellington Central Wellington 6011
- Postal address
- PO Box 5187 Wellington 6140
- Website
- http://www.summerset.co.nz/
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 |
|---|---|---|---|---|---|
| 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). One rest home resident did not have an interRAI assessment completed until 12 weeks after admission. (ii). Two rest home resident care plans showed no assessment or care planning for oral health. (iii). One rest home resident with a 10kg weight loss since admission six months ago had a). No interventions addressing this documented in the care plan. b). A malnutrition assessment had not been completed since December 2024 and, c). The malnutrition assessment identified a low risk despite 10% | (i). Ensure interRAI assessment is completed within three weeks of admission. (ii). Ensure oral assessment and care planning is included in the long-term care planning process. (iii). Ensure detailed interventions are recorded that support resident need. (iv). Ensure activity plans in memory care are individualised to support the 24-hour period. (v). Ensure food and fluid charts are completed as per care plan instructions. | PA Moderate | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | In the eighteen medication charts reviewed nine did not have the efficacy of ‘as required’ medicines recorded. | Ensure efficacy of ‘as required’ medicines are recorded as per policy. | 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). One resident with dementia did not have sufficient de-escalation and diversion strategies documented in the care plan. (ii). Two hospital level resident files did not evidence sufficient detail for the monitoring and management of regarding pain management to guide staff in the possible non-therapeutic interventions. (iii). Interventions from two short term care plans which were ongoing were not transferred to the long-term care plan. | (i). Ensure that all care plans reflect 24-hour management of the resident behaviours. (ii). Ensure interventions are documented in sufficient detail to manage and guide the care of the resident. (iii). Ensure all ongoing issues are transferred from the short-term care plan to the long-term care plan as per policy. | 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 | Of the six sets of neurological observations reviewed, three were not completed as per the Summerset policy as part of post falls management. | Ensure the timeframes for monitoring are completed as per policy. | 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). Corrective actions from meeting minutes have not been consistently documented and there is no evidence of sign off when completed. (ii). Internal audit corrective actions have not always been documented. (iii). Where corrective actions have been documented there is no evidence of being signed off when completed (iv). Internal audit forms have not been consistently signed off by the care centre manager/ village manager | (i)-(iii)Ensure corrective actions are documented, implemented and signed off when completed. (iv). Ensure the internal audit forms are fully completed. | PA Moderate | Reporting Complete | |
| Service providers shall follow the National Adverse Event Reporting Policy for internal and external reporting (where required) to reduce preventable harm by supporting systems learnings. | (i). Three events related to infections in April 2025 have not been closed off. (ii). Behaviour related incident involving two residents has one accident/incident form documented for one resident but no corresponding accident/incident form for the second resident. | (i). Ensure that events are closed off. (ii). Ensure that there are separate accident / incident forms documented where an accident/incident involves two or more residents. | PA Low | Reporting 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. | Review of the roster confirms eight caregiver shifts over a two-week period when staff have not been replaced to cover sick leave. | Ensure there are sufficient staff at all times to provide culturally and clinically safe service. | 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 | (i). One infection event did not have a short-term care plan developed. (ii). One hospital resident with a wound plan did not include ongoing wound measurement as part of the wound monitoring and management. | (i)-(ii). Ensure short term care plans and wound care plans are completed according to policy. | PA Moderate | Reporting Complete | |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review | (i). Three short term care plans reviewed were not evaluated or transferred to the long-term plan after three weeks. (ii). In two memory care files evaluation of long-term care plan goals were not evidenced. | (i)-(ii). Ensure evaluations are completed for both short-term and long-term care plans. | PA Moderate | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | (i). Insulin administration observed during the medication round did not show a two person check process as per policy. (ii). The controlled drug register in the care centre shows that weekly stocktake has not been completed consistently. (iii). There has been a delayed follow-up on the effectiveness of PRN medicines on two occasions sighted in the medication administration record (one in memory care and one in hospital level care). | (i)-(iii). Ensure compliance with medication policy and legislative requirements. | PA Moderate | Reporting Complete | |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | Review of the records indicate a low compliance rate with completion of the required mandatory training. | Ensure that all staff complete the required training to support their ongoing learning and development so they can provide high quality safe service. | 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 corrective action manager.
- Date action reported complete
The date that the corrective action manager 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Partial Provisional Audit
