Terence Kennedy House
Profile & contact details
| Premises name | Terence Kennedy House |
|---|---|
| Address | 267 Glengarry Road Glen Eden Auckland 0602 |
| Total beds | 45 |
| Service types | Rest home care, Geriatric, Medical |
| Certification/licence name | Residential Management Limited - Terence Kennedy House |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 01 July 2021 |
| Certification period | Other months |
| Provider name | Residential Management Limited |
|---|---|
| Street address | 267 Glengarry Road Glen Eden Auckland 0602 |
| Post address | PO Box 121003 Henderson Auckland 0650 |
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: 11 December 2018
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process. | Two of two hospital residents with a recent history of wandering off-site, did not have interventions documented to manage this risk. Staff were aware of the risk and increased monitoring was occurring. Care plan interventions were updated during the audit and therefore the risk has been identified as low. | Ensure that care plan interventions are documented for all identified care needs. | PA Low | Reporting Complete | 23/08/2017 |
| The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group. | Thirty-two of forty-five hand basins in resident bedrooms have hot water temperatures recorded from 46 – 54 degrees Celsius. The service was able to demonstrate ongoing attempts to rectify the issue, including having a signed statement from Plumber stating all has been done to rectify this matter; consideration to the fact no incident/accident has been reported relating to hot water temperature; discussed at staff and resident meetings and renewal of warning signs at each of our resident room s… (this text has been trimmed due to space limits). | Ensure that hot water temperatures in resident areas continue to be monitored and managed to minimise risk when exceed 45 degrees Celsius. | PA Low | Reporting Complete | 10/10/2017 |
| A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented. | i) The results of audits and corrective action plans are not consistently being communicated to staff. ii) Not all corrective action plans documented are reviewed and signed out once completed. | i) Ensure that the results of audits and corrective action plans are consistently communicated to staff. ii) Ensure that all corrective action plans are reviewed and signed out once completed. | PA Low | Reporting Complete | 10/10/2017 |
| The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group. | Some chemicals are noted to be not locked away at all times. | Ensure that chemicals are locked away or fully supervised when in use. | PA Low | Reporting Complete | 08/04/2019 |
| The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes. | Turns (changing resident position) are not always completed two hourly. | Ensure that residents requiring turning at regular intervals are turned with documentation reflecting this. | PA Moderate | Reporting Complete | 08/04/2019 |
| Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process. | Three of five care plans reviewed did not have all interventions fully documented to support all assessed need; (i) one resident with a pressure injury and wounds. However, the care plan did not have any interventions to support wound management and responsibilities of caregivers. (ii) the care plan for one resident who returned from hospital the day before on palliative care had not been updated; (iii) one resident with fragile skin and current wounds did not have interventions in the care pl… (this text has been trimmed due to space limits). | Ensure interventions are documented or updated to support all current assessed needs. | PA Moderate | Reporting Complete | 08/04/2019 |
| The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk. | Neurological observations are not occurring for a sufficient length of time to determine clinical issues. | Complete neurological observations for a sufficient length of time that enables any change in state to be identified. | PA Low | Reporting Complete | 08/04/2019 |
| 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. | (i)InterRAI assessments are being completed after the review of the care plan. (ii) Activities assessments, plans and review are not completed in line with the interRAI and review of care planning. | (i)Ensure that interRAI assessments are completed prior to the review of the care plan. (ii) Complete activities assessments, plans and review in line with the interRAI and review of care planning. | PA Low | Reporting Complete | 10/06/2019 |
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: 11 December 2018Audit type:Surveillance Audit
Audit date: 06 April 2017Audit type:Certification Audit
Audit date: 08 December 2015Audit type:Surveillance Audit
Audit date: 05 May 2014Audit type:Certification Audit
- Terence Kennedy House - May 2014 (docx, 131.17 KB)
- Terence Kennedy House - May 2014 (pdf, 802.22 KB)
Audit type:Surveillance Audit