Kingswood Rest Home

Profile & contact details

Premises details
Premises nameKingswood Rest Home
Address 422A Thames Street Morrinsville 3300
Total beds47
Service typesDementia care, Rest home care
Certification/licence details
Certification/licence nameKingswood Healthcare Morrinsville Limited - Kingswood Rest Home
Current auditorThe DAA Group Limited
End date of current certificate/licence28 February 2021
Certification period48 months
Provider details
Provider nameKingswood Healthcare Morrinsville Limited
Street address 422A Thames Stree Morrinsville 3300
Post address80 Hoeka Road RD4 Hamilton 3284

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: 02 July 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.There were insufficient staff on site to provide reliable and safe service delivery and the temporary RN was not carrying out all tasks required in the role. The acute staff shortage on the day of the audit had not been reported to the GM. Suitable activities were not occurring in the male dementia unit, quality monitoring systems had ceased over a month ago and effective delivery of day to day procedures was compromised. There were not enough staff employed at this site (with three separate bui… (this text has been trimmed due to space limits).Ensure that there are sufficient staff on site each day and implement a ‘fail safe’ staffing system, which allows for additional staff to be called in when needed. Ensure all staff fully understand their roles and carry out the tasks required of them. PA ModerateReporting Complete16/12/2019
An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.The complaints register did not include the information required to provide an auditable record of the complaint management process. Ensure that all complaints received are acknowledged in writing, that evidence of investigation and actions taken is documented and filed with each complaint along with proof that resolution was reached and that the matter is closed. PA LowReporting Complete02/02/2020
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers. The collection and sharing of quality improvement data has ceased since the departure of the clinical manager. Ensure that quality data is reviewed, analysed, investigated and discussed with staff. PA ModerateReporting Complete02/02/2020
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.The reconciliation of medicines and the safe administration of controlled drugs in the rest home was not occurring as required. Provide evidence that reconciliation of medication occurs for each unit, with input from the RN. Provide evidence that a safe system operates to manage the administration of controlled drugs. PA ModerateReporting Complete02/02/2020
The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate. The absence of recent regular RN oversight and clinical guidance has led to, residents not being reviewed by the RN on a regular basis and resident care plans not being in place or updated to reflect the care the resident requires Provide evidence an RN is available to provide ongoing clinical oversight, guidance, review and direction in the provision of resident care. PA ModerateReporting Complete02/02/2020
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.There is no evidence to support the activities provided are developed to maintain strengths, skills and interests that are meaningful to the resident. Provide evidence that activities are planned and facilitated to develop residents’ skills strengths and interest. Provide evidence of assessment, implementation and evaluation of the activities programme. PA ModerateReporting Complete02/02/2020
Results of surveillance, conclusions, and specific recommendations to assist in achieving infection reduction and prevention outcomes are acted upon, evaluated, and reported to relevant personnel and management in a timely manner.Surveillance and analysis of infections has not occurred at Kingswood since April 2019. Provide evidence that surveillance and analysis of infections is occurring. PA LowReporting Complete02/02/2020

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. 

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 reports

Audit date: 02 July 2019

Audit type:Surveillance Audit

Audit date: 06 December 2016

Audit type:Certification Audit

Audit date: 13 January 2016

Audit type:Partial Provisional Audit

Audit date: 25 August 2015

Audit type:Surveillance Audit

Audit date: 10 December 2013

Audit type:Certification Audit

Audit date: 06 June 2013

Audit type:Verification Audit

Audit date: 07 January 2013

Audit type:Provisional Audit

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