Profile & contact details
|Premises name||Kerridge House|
|Address||41 Shaftesbury Avenue Point Chevalier Auckland 1022|
|Service types||Rest home care, Geriatric|
|Certification/licence name||Selwyn Care Limited - Kerridge House|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||11 June 2021|
|Certification period||Other months|
|Provider name||Selwyn Care Limited|
|Street address||Level 4 1 Nugent Street Grafton Auckland 1023|
|Post address||PO Box 8203 Symonds Street Auckland 1150|
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: 12 December 2018
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i) Four of ten wounds do not evidence that the wounds had been reviewed in the prescribed timeframe; (ii) There are two wound care folders in place (one for RNs and one for care supervisors completing wound care), these evidence duplication of three wound assessments and wound management plans; (iii) Wound management plans for two chronic wounds reviewed do not clearly identify the current wound treatment plan.||(i) Ensure wounds are reviewed within the prescribed timeframes; (ii) Ensure that a system and process is implemented to reduce the duplication in wound care documentation and a more cohesive approach to wound management; (iii) Ensure that wound management plans are updated to reflect the current plan of treatment.||PA Moderate||Reporting Complete||09/08/2017|
|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.||(i) Four of sixteen mediation signing charts have signing gaps where medication is not documented as being administered as prescribed; (ii) Indication of use of ‘as required’ medication (Lorazepam) is not documented on two of sixteen medication charts.||(i) Ensure that medications are signed for at time of administration or reason for non-administration of prescribed medication is documented; (ii) Ensure that the GP documents the indication of use of ‘as required’ medication on the medication chart.||PA Moderate||Reporting Complete||09/08/2017|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||Six of the sixteen complaints made in 2016 did not have any documented follow up, investigation or outcome resolutions.||Ensure that all complaints have documentation including follow-up letters, investigations and outcome resolutions within the required timeframes.||PA Low||Reporting Complete||27/03/2018|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||Twelve out of thirty-two internal audits reviewed for 2016 and 2017 do not have documented evidence of corrective actions in place or have not been signed off as completed.||Ensure that all internal audits that are not compliant have corrective actions in place and are signed off as completed.||PA Low||Reporting Complete||14/05/2018|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||(i)Activity plans have not been reviewed six monthly or as changes occur for four of the five files reviewed. (ii) Review of the activity plans is not completed in conjunction with the interRAI assessment and review of the care plan.||(i)Review activities plans for residents six monthly or as changes occur. (ii) Review activity plans in conjunction with the interRAI assessment and review of the care plan.||PA Low||Reporting Complete||29/05/2019|
|Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.||(i)One resident with behaviours that challenge does not have individualised strategies documented. (ii) The long-term care plan for one resident did not reference the wound management plan: and (iii) One care plan for a resident with an ulcer referenced the wound but did not reference other factors that would support the healing process eg nutrition or pain management||Ensure that interventions and strategies are comprehensively documented to meet individual needs of the resident||PA Low||Reporting Complete||29/05/2019|
|Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.||The interRAI reassessment has not being completed six monthly.||Ensure that interRAI reassessments are completed six monthly.||PA Low||Reporting Complete||29/05/2019|
|Consumers who have additional or modified nutritional requirements or special diets have these needs met.||The kitchen does not have a copy of the dietary and nutritional needs profiles for each resident.||Ensure that the kitchen has a copy of the dietary and nutritional needs profiles for each resident.||PA Moderate||Reporting Complete||29/05/2019|
|Service providers responsible for medicine management are competent to perform the function for each stage they manage.||Medication competencies are not completed annually as per policy. Training has not been provided in the past year around management and administration of medication.||Complete medication competencies and training annually for staff who administer medication.||PA Moderate||Reporting Complete||29/05/2019|
|A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.||Training has not been adequately provided in the 2017 to 2018 year to ensure that staff can provide safe and effective services to residents.||Implement the annual training plan for staff as planned.||PA Moderate||Reporting Complete||29/05/2019|
|The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.||A business plan has not been documented for the year July 2018 to June 2019.||Document a business plan for the year July 2018 to June 2019 and monitor progress.||PA Low||Reporting Complete||29/05/2019|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||Six of the sixteen complaints made in 2016 did not have any documented follow-up, investigation or outcome resolutions. The risk rating remains as low, as per the previous audit as the care manager has already put a corrective action plan in place to address the issue and has demonstrated through completion of one complaint that they understand and can implement the policy.||Ensure that all complaints have documentation including follow-up letters, investigations and outcome resolutions within the required timeframes.||PA Low||Reporting Complete||29/05/2019|
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: 12 December 2018
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Partial Provisional Audit
Audit type:Certification Audit