Kowhainui Complex

Profile & contact details

Premises details
Premises nameKowhainui Complex
Address 88 Virginia Road Otamatea Wanganui 4500
Total beds79
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence namePresbyterian Support Central - Kowhainui Complex
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence21 August 2023
Certification period48 months
Provider details
Provider namePresbyterian Support Central
Street address 3-5 George Street Thorndon Wellington 6011
Post addressPO Box 12706 Thorndon Wellington 6144
Websitewww.psc.org.nz/

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: 28 October 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Where required by legislation there is an approved evacuation plan.The service installed Wi-Fi throughout the facility which resulted in non-compliance of the ceiling fire walls. Remedial work has been completed, but the service has not received fire service approval of the fire evacuation plan. The email correspondence including application to the fire service for an approval was sighted on the day of audit. Ensure there is an approved fire evacuation plan in place. PA ModerateReporting Complete08/08/2019
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) The medication fridge temperatures were inconsistently recorded for the period between July and September. ii) The medication signing sheet in the controlled drug register has not been fully completed. i) Ensure medication fridge temperatures are recorded consistently within the stated timeframes in the policy. ii) Ensure the controlled drug register is fully completed to meet legislative requirements. PA ModerateReporting Complete10/05/2022
New service providers receive an orientation/induction programme that covers the essential components of the service provided.i) Two of two HCA files selected for review were missing evidence of their completed orientation programme. ii) Files reviewed for the clinical coordinator/RN, kitchenhand, cleaner, and recreation coordinator lacked specificity related to their job role and responsibilities. iii) External contractors and students do not receive a health and safety orientation prior to commencing work. i) Ensure systems are implemented to monitor the completion of HCA orientation. ii) Ensure all staff are orientated to their specific job role and responsibilities. iii) Ensure external contractors and students undergo an orientation to the facility’s health and safety programme. PA ModerateReporting Complete10/05/2022
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Five of five staff who have been employed for over one year did not have a current (annual) performance appraisal. The facility manager is aware of this gap and has a corrective action plan in place to address this finding. Ensure all staff undergo regular performance appraisals as per the PSC policies and procedures. PA LowReporting Complete25/05/2022
The appointment of appropriate service providers to safely meet the needs of consumers.Documented evidence of reference checking prior to the appointment of a new staff was missing in all seven files reviewed. Ensure that there is documented evidence of reference checking prior to the appointment of new staff. PA LowReporting Complete25/05/2022

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: 28 October 2021

Audit type:Surveillance Audit

Audit date: 13 June 2019

Audit type:Certification Audit

Audit date: 28 June 2017

Audit type:Surveillance Audit

Audit date: 17 June 2015

Audit type:Certification Audit

Back to top