Chalmers Elderly Care

Profile & contact details

Premises details
Premises nameChalmers Elderly Care
Address 20 Octavius Place New Plymouth 4312
Total beds80
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence namePresbyterian Support Central - Chalmers Elderly Care
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence23 June 2019
Certification period24 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: 27 March 2017

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate 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.(i) Two resident bathrooms (WC1 and WC3) had lino lifting and this was not listed on the reactive maintenance schedule and no repairs had been scheduled. (ii) In five of twelve resident bedrooms, the water temperatures were noted to be between 48 and 53 degrees Celsius. As yet no corrective actions had been taken. (i) Ensure all reactive maintenance is completed. (ii) Ensure all hot water temperatures in resident areas are within safe and appropriate temperatures as per relevant legislation and guidelines. PA ModerateReporting Complete29/08/2017
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.One registered nurse was observed administering medications to hospital residents without checking prior ‘as required’ medication given. RN was observed on two occasions to sign for medications prior to administration. Ensure medication administration practices align with policy, legislation and guidelines. PA ModerateReporting Complete25/09/2017
The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.i) Three of five complaints received since the last audit were not responded to within the timeframes required by the Code. ii) Two of five complaint responses did not include information on how to contact the Health and Disability Commission. i)-ii) Ensure that complaints management complies with the requirements of the Code and the organisational policy on complaints management. PA LowReporting Complete09/10/2017
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.(i) Corrective action plans have not always been documented where improvements are required. For example, hot water temperatures and nurse call bell response times. (ii) Corrective actions have not been documented for clinical indicators above the benchmark (eg, increase in urinary tract infections in the summer and respiratory tract infections in the winter). Staff could describe where corrective actions have been implemented as a result of clinical indicators being above the benchmark and th… (this text has been trimmed due to space limits).(i)-(ii) Ensure that corrective actions plans are documented where opportunities for improvement are noted and the corrective action plans are then implemented, reviewed and signed off once completed. PA LowReporting Complete09/10/2017
New service providers receive an orientation/induction programme that covers the essential components of the service provided.i) Six of eight volunteer files sampled had no evidence of completion of the required volunteer orientation. ii) Five of eight volunteer files sampled had no evidence of a signed volunteer agreement. iii) Three of eight volunteer files sampled had no evidence of completion of the required reference checks. Ensure that the recruitment and orientation of volunteers complies with all PSC organisational policies and procedures. PA LowReporting Complete09/10/2017
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Attendance at the on-site education sessions over the 2016 and 2017 (YTD) has been low. Ensure that attendance at on-site education is appropriate. PA LowReporting Complete09/10/2017
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Six long-term resident files reviewed (four hospital and two rest home) sampled did not evidence documented evaluations/outcomes against goals achieved. Ensure that the activity care plan is evaluated against the stated goals as a change occurs or at least six-monthly. PA LowReporting Complete17/10/2017
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.Shortfalls were identified across the following care plans reviewed: (i) There was a comprehensive DHB rehabilitation discharge summary in place for one rest home resident, however, interventions from the discharge plan were not included on a STCPs or added to the initial care plan to guide staff around the support required; (ii) One rest home care plan reviewed did not have interventions documented as instructed by allied health; (iii) Two of nine care plans reviewed (one hospital and one rest … (this text has been trimmed due to space limits).(i)-(iv) Ensure all resident care plans document the required support needs and/or relevant interventions obtained via ongoing assessment process to guide care. PA ModerateReporting Complete17/10/2017

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: 27 March 2017

Audit type:Certification Audit

Audit date: 12 September 2016

Audit type:Surveillance Audit

Audit date: 07 December 2015

Audit type:Surveillance Audit

Audit date: 14 April 2014

Audit type:Certification Audit

Audit date: 10 June 2013

Audit type:Surveillance Audit

Audit date: 23 April 2012

Audit type:Certification Audit

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