Kindred Hospital
Profile & contact details
| Premises name | Kindred Hospital |
|---|---|
| Address | 17 Cornwall Park Avenue Epsom Auckland 1051 |
| Total beds | 46 |
| Service types | Dementia care, Psychogeriatric |
| Certification/licence name | Kindred Hospital Limited - Kindred Hospital |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 25 March 2026 |
| Certification period | 24 months |
| Provider name | Kindred Hospital Limited |
|---|---|
| Street address | 17 Cornwall Park Avenue Epsom Auckland 1051 |
| Post address | 17 Cornwall Park Avenue Epsom Auckland 1051 |
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: 18 January 2024
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Governance bodies shall have demonstrated expertise in Te Tiriti, health equity, and cultural safety as core competencies. | The owner/manager does not have recent training or current expertise in Te Tiriti o Waitangi, health equity or cultural safety as core competencies. | Ensure the owner/manager evidences expertise in Te Tiriti o Waitangi, health equity or cultural safety. | PA Low | In Progress | |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | i). A staffing rationale and rosters have not yet been documented for operationalising two separate units. ii). Clinically safe services are not offered when residents requiring support at a dementia level are mixed with residents requiring psychogeriatric care. | i). Ensure there are rosters developed and implemented to provide safe staffing for the dementia and psychogeriatric units separately. ii). Ensure clinically safe care is provided to residents requiring dementia level of care and those requiring psychogeriatric level of care. | PA Moderate | In Progress | |
| My service provider shall design a Pacific plan in partnership with Pacific communities underpinned by Pacific voices and Pacific models of care. | i). The Pacific health plan could not be located. ii). Ensure all management and staff are knowledgeable around the application of the Pacific health plan to the service. | i). Ensure the Pacific health plan is easily accessible to all staff. ii). Ensure staff and management can evidence and describe how the plan is applied across the service. | PA Low | In Progress | |
| Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity. | (i). There are no documented activity programmes for the dementia or psychogeriatric residents. (ii). There are no documented records of resident participation in activities. (iii). Residents do not have an individualised 24-hour activity plan. | (i). Ensure there are separate documented activity calendars for the dementia, and psychogeriatric residents. (ii). Document resident participation in all activities. (iii). Ensure all residents have an individualised 24-hour activity plan. | PA Moderate | In Progress | |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | Psychogeriatric residents are currently housed in the dementia unit with dementia level residents. | Ensure psychogeriatric and dementia level residents are housed in their respective separate, and secure units. | PA Moderate | In Progress | |
| Service providers shall implement systems to determine and develop the competencies of health care and support workers to meet the needs of people equitably. | Staff have not completed all required competencies. | Ensure that staff complete required competencies. | PA Moderate | In Progress | |
| A medication management system shall be implemented appropriate to the scope of the service. | (i). Crushed medications, and covert administration are used without documented instructions detailing their use by the prescriber. (ii). A controlled medication stock has not been checked weekly as per policy. | (i). and (ii). Ensure all required checks are being performed, and methods of administration follow documented instructions. | PA Moderate | In Progress | |
| 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. | i). A training plan is not documented. ii). Not all core and mandatory training has been completed. iii). A plan to ensure that caregivers complete NZQA training within the required 18 months after employment, including the required dementia and PG standards, is not documented. | i). Ensure a training plan is documented and includes competencies and core/mandatory training. ii). Ensure that all staff completed relevant core and mandatory training. iii). Ensure caregivers complete NZQA training within the required 18 months after employment and the required dementia and PG standards. | PA Moderate | In Progress | |
| Service providers shall encourage their workforce to support community initiatives that meet the health needs and aspirations of Māori and whānau. | There is no documented evidence the service is currently supporting community initiatives that meet the health needs and aspirations of Māori and whānau. | Ensure that community initiatives that meet the health needs and aspirations of Māori and whānau are supported. | PA Low | In Progress | |
| Health care and support workers shall receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures. | The service does not have sufficient amounts of stored water to provide for three litres per person per day, in case of an emergency. | Ensure there are sufficient amounts of stored water to provide for three litres per person per day, for a maximum occupancy of 46 residents, in case of an emergency. | PA Low | In Progress | |
| Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. | Not all caregivers, and only one of the RNs who administers medications have a current medication competency. | Ensure all staff who administer medications have been assessed as competent to do so. | PA Moderate | In Progress | |
| Service providers shall facilitate opportunities for Māori to participate in te ao Māori. | There was no documented evidence of the service actively facilitating opportunities for Māori to participate in te ao Māori through the activity programme. | Ensure resources and activities that facilitate opportunities for Māori to participate in te ao Māori are provided. | PA Low | In Progress | |
| The nutritional value of menus shall be reviewed by appropriately qualified personnel such as dietitians. | The menu for Kindred residents has not been reviewed and approved by appropriately qualified personnel. | Ensure the menu for Kindred residents is reviewed and approved by appropriately qualified personnel such as a dietitian. | PA Low | In Progress | |
| Governance bodies shall have meaningful Māori representation on relevant organisational boards, and these representatives shall have substantive input into organisational operational policies. | The governance body does not have meaningful Māori representation or Māori input into service development at this point. | Ensure that the governance body has meaningful Māori representation and Māori input into service development. | PA Low | In Progress |
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
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.
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.
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 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) 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 reports
Audit date: 18 January 2024Audit type:Certification Audit
Audit date: 19 December 2022Audit type:Partial Provisional Audit