Kamo Home and Village
Profile & contact details
|Premises name||Kamo Home and Village|
|Address||31 Ford Avenue Kamo 0112|
|Service types||Medical, Geriatric, Dementia care, Rest home care|
|Certification/licence name||Kamo Home & Village Charitable Trust - Kamo Home and Village|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||03 April 2020|
|Certification period||48 months|
|Provider name||Kamo Home & Village Charitable Trust|
|Street address||31 Ford Avenue Kamo 0112|
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: 07 May 2018
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.||Actions taken in response to reported events / incidents are not consistently documented in the designated area on the incident forms, or do not include all required components to prevent the event reoccurring. Strategies to reduce and minimise the risk of escalating challenging behaviours for individual residents, and for the residents in general in the dementia unit in the late afternoon are not apparent.||Ensure actions taken in response to accidents and incidents is consistently documented on the incident report or clearly referenced to the resident’s care plan, and are monitored for effectiveness. Ensure individualised and unit wide strategies are in place to mitigate the risk of sun downing and other challenging behaviours for residents in the dementia unit.||PA Moderate||Reporting Complete||12/11/2018|
|All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.||Not all food in the fridges are covered and have expiry dates documented. Expired food was found in the fridge in the kitchenette.||Provide evidence that that storage of food complies with current legislation and guidelines.||PA Moderate||Reporting Complete||12/11/2018|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||Five out of five residents’ files reviewed in the dementia unit did not have care plans that document a description of how the resident’s behaviour is managed over a 24 hour period.||Develop individualised care plans for residents in the dementia unit that detail how to manage challenging behaviours over a 24 hour period.||PA Moderate||Reporting Complete||12/11/2018|
|The use of enablers shall be voluntary and the least restrictive option to meet the needs of the consumer with the intention of promoting or maintaining consumer independence and safety.||The organisation policy and procedure documents on restraint minimisation and safe use and enablers is not sufficiently detailed to provide clear guidance for staff on the use of enablers and restraints. Some of the caregivers interviewed were unaware of recent changes in the organisation’s policy.||Ensure the organisation’s policy and procedure related to restraint minimisation and enabler use provides clear guidance for staff on expected practice, that the policy is consistently implemented, and that staff are provided with updated education on the requirements.||PA Moderate||Reporting Complete||12/11/2018|
|In assessing whether restraint will be used, appropriate factors are taken into consideration by a suitably skilled service provider. This shall include but is not limited to: (a) Any risks related to the use of restraint; (b) Any underlying causes for the relevant behaviour or condition if known; (c) Existing advance directives the consumer may have made; (d) Whether the consumer has been restrained in the past and, if so, an evaluation of these episodes; (e) Any history of trauma or abuse, whi… (this text has been trimmed due to space limits).||A resident with restraint in use did not have the restraint use assessment undertaken prior to the use of restraints.||Ensure appropriate assessments (that includes all components to meet these standards) are consistently undertaken prior to the use of restraint.||PA Moderate||Reporting Complete||12/11/2018|
|Each episode of restraint is documented in sufficient detail to provide an accurate account of the indication for use, intervention, duration, its outcome, and shall include but is not limited to: (a) Details of the reasons for initiating the restraint, including the desired outcome; (b) Details of alternative interventions (including de-escalation techniques where applicable) that were attempted or considered prior to the use of restraint; (c) Details of any advocacy/support offered, provided o… (this text has been trimmed due to space limits).||Evidence of observation / monitoring is not consistently present in the resident’s clinical record for when restraints are being used.||Ensure records are available to demonstrate that observation / monitoring consistently occurs for all residents with restraints in use, as detailed on organisation policy and / or in the resident’s care plan.||PA Moderate||Reporting Complete||12/11/2018|
|Service providers responsible for medicine management are competent to perform the function for each stage they manage.||Not all registered staff and caregivers who support residents with medication have a current medicine competency.||Ensure all staff responsible for administering or checking medicines have a current medicine competency.||PA Low||Reporting Complete||29/01/2019|
|The facilitation of safe self-administration of medicines by consumers where appropriate.||A resident self-administering medicines does not have an assessment on file verifying the resident has been assessed as safe to self-administer medicines. Medicines self-administered by residents are not stored appropriately/securely.||Ensure a process is implemented to assess and monitor resident’s safety to self-administer medicines. Ensure medicines self-administered by residents are stored securely.||PA Low||Reporting Complete||29/01/2019|
|A restraint register or equivalent process is established to record sufficient information to provide an auditable record of restraint use.||The restraint register does not included details of all residents with a restraint in use.||Ensure the restraint register is current and includes all restraints in use.||PA Low||Reporting Complete||29/01/2019|
|Key components of service delivery shall be explicitly linked to the quality management system.||Restraint minimisation is not explicitly linked to the quality and risk programme.||Ensure the use of restraint is explicitly lined to the quality and risk programme.||PA Low||Reporting Complete||29/01/2019|
|Professional qualifications are validated, including evidence of registration and scope of practice for service providers.||The annual practising certificates and associated records for registered health professionals (employed and contracted) are not current.||Ensure processes are in place to monitor and ensure records are available to demonstrate that all registered health professionals providing services / care have current annual practising certificates.||PA Low||Reporting Complete||29/01/2019|
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: 07 May 2018
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Partial Provisional Audit
- Kamo Home and Village - Oct 2013 (docx, 107.63 KB)
- Kamo Home and Village - Oct 2013 (pdf, 197.26 KB)
Audit type:Verification Audit
Audit type:Certification Audit