Profile & contact details
|Premises name||Kowhainui Complex|
|Address||88 Virginia Road Otamatea Wanganui 4500|
|Service types||Rest home care, Geriatric, Medical|
|Certification/licence name||Presbyterian Support Central - Kowhainui Complex|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||21 August 2019|
|Certification period||48 months|
|Provider name||Presbyterian Support Central|
|Street address||3-5 George Street Thorndon Wellington 6011|
|Post address||PO Box 12706 Thorndon Wellington 6144|
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 June 2017
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|All buildings, plant, and equipment comply with legislation.||The building warrant of fitness had expired on 22 June 2017, before the day of the audit.||Ensure that the building has a current warrant of fitness.||PA Low||Reporting Complete||12/01/2018|
|The service provider understands their statutory and/or regulatory obligations in relation to essential notification reporting and the correct authority is notified where required.||There was no documented evidence of a section 31 notification report being completed for a stage three pressure injury. One pressure injury had not been registered with an incident form.||Ensure that all adverse events that require section 31 notifications are completed and reported. Ensure all PIs have a documented incident form and are included as part of the quality process||PA Moderate||Reporting Complete||15/01/2018|
|Key components of service delivery shall be explicitly linked to the quality management system.||There was no documented evidence of corrective action plans, completion date or sign-off for nine internal audits reviewed for 2016 and 2017 that were below the required compliance threshold. Meeting minutes reviewed did not document discussion of pressure injuries.||Ensure that all corrective action plans resulting from internal audits are completed and signed off. Ensure that pressure injuries are explicitly linked into the quality system.||PA Moderate||Reporting Complete||08/03/2018|
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: 28 June 2017
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Certification Audit; Verification Audit