Waikiwi Gardens Rest Home
Profile & contact details
|Premises name||Waikiwi Gardens Rest Home|
|Address||25 Ruru Street Waikiwi Invercargill 9810|
|Service types||Rest home care|
|Certification/licence name||Kyber Health Care Limited - Waikiwi Garden Rest Home|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||01 March 2021|
|Certification period||36 months|
|Provider name||Kyber Health Care Limited|
|Street address||40 O'Neill Street Ponsonby Auckland 1011|
|Post address||25 Ruru Street Waikiwi Invercargill 9810|
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: 07 October 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.||The carpet in one corridor has been replaced. The other area is where the wrinkles are running the same way as foot traffic in that area. This area is planned to be replaced early in the New Year. Signage remains in place where there is a trip hazard. Advised that since the draft report, these carpets have been replaced 9 January 2018||Ensure the carpet does not pose a risk for residents, and ensure the remaining carpet is replaced as planned.||PA Low||Reporting Complete||16/02/2018|
|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.||Twelve incident forms were reviewed in total. Five incident forms reviewed were for resident falls with a potential head injury. There was no documented evidence of neurological observations being completed as per the policy.||Ensure that neurological observations forms are completed for any resident fall with a head injury.||PA Low||Reporting Complete||12/04/2018|
|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.||i) Nine of ten incident reports did not evidence the opportunity to minimise risk. ii) Neurological observations were not completed for four unwitnessed falls with a potential for head injury as per the policy.||i) Ensure the incident reports include the opportunity to minimise risks. ii) Ensure neurological observations are completed for unwitnessed falls as per policy.||PA Moderate||In Progress|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||i) One wound chart documented more than one wound. ii) Two wound charts do not indicate what the wound is. iii) Monitoring charts were not in place for monitoring enabler bedrail or changes in resident position (same resident) as per instructions in the care plan.||i) – ii) Ensure all wound charts are completed fully to indicate the type of wound and only one chart per wound. iii) Ensure all monitoring charts are completed as per the care plan instructions.||PA Low||In Progress|
|Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.||i) Internal audits and corrective actions have not been documented as being discussed at the staff meetings. ii) Resident satisfaction surveys have only been distributed to a sample of three residents within the facility.||i) Ensure all quality data and corrective actions are discussed and included in the meeting minutes. ii) Ensure all residents and relatives have the opportunity to participate in resident surveys.||PA Low||In Progress|
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: 07 October 2019
Audit type:Surveillance Audit
- Waikiwi Gardens Rest Home - Oct 2019 (docx, 32.15 KB)
- Waikiwi Gardens Rest Home - Oct 2019 (pdf, 126.67 KB)
Audit type:Certification Audit
- Waikiwi Gardens Rest Home - Dec 2017 (docx, 39.28 KB)
- Waikiwi Gardens Rest Home - Dec 2017 (pdf, 154.2 KB)
Audit type:Surveillance Audit
- Waikiwi Gardens Rest Home - Sep 2017 (docx, 33.84 KB)
- Waikiwi Gardens Rest Home - Sep 2017 (pdf, 133.67 KB)
Audit type:Provisional Audit