Premise details
- Address
- 166 Colombo Street Sydenham Christchurch 8023
- Total beds
- 52
- Service types
- Geriatric, Rest home care, Dementia care, Medical
Certification/licence details
- Certification/licence name
- Archer Villages Limited - Archer Village
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 48 months
Provider details
- Provider name
- Archer Villages Limited
- Street address
- 166 Colombo Street Sydenham Christchurch 8023
- Postal address
- PO Box 12189 Beckenham Christchurch 8242
- Website
- https://archer.org.nz
Progress on issues from the last audit
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.
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| There is an IP role, or IP personnel, as is appropriate for the size and the setting of the service provider, who shall: (a) Be responsible for overseeing and coordinating implementation of the IP programme; (b) Have clearly defined responsibility for IP decision making; (c) Have documented reporting lines to the governance body or senior management; (d) Follow a documented mechanism for accessing appropriate multidisciplinary IP expertise and advice when needed; (e) Receive continuing education | The infection prevention and control coordinator has not yet attended external training in relation to the role. | Ensure the infection prevention and control coordinator attends external training. | PA Low | In Progress | |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | The roster has two week-day shifts which still need to be covered by HCAs. | Ensure that the roster is fully covered. | PA Low | Reporting Complete | |
| Service providers shall develop and implement policies and procedures in accordance with good employment practice and meet the requirements of legislation. | i). Five HCAs transferring from Thorrington Village to Archer Village did not have individual records of previous individual training. ii). Three of the files reviewed did not have qualification records or completion of dementia standards on file. | i). & ii). Ensure that the records of staff being transferred from the sister facility includes all required documentation. | PA Low | Reporting Complete | |
| Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. | The staff employed for Archer Village has not yet commenced the specific orientation programme, which includes the completion of competencies and mandatory topics that meet the educational requirements of clause D17.5 of ARRC. A weeks Orientation commences the 15th September. | Ensure that staff are orientated to the facility. | PA Low | Reporting Complete | |
| Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices. | (i). Furniture and furnishings have not yet been installed. (ii). The access door to the dementia unit is not yet in place and yet to be secured with a call bell for visitors to enter. (iii). The nurses’ area (combined with the medication room) is not yet secured to deter from residents having access. (iv). The medication room (combined with the nurse station) is yet to be fully fitted, and functional. (v). The ventilation, heating, flooring and lighting is yet to be completed in the lounge/din | (i). Ensure furnishings and furniture are all in place. (ii). Ensure that the dementia unit is always secure. (iii)-(iv). Ensure the nurses’ station/medication room is fully fitted, functional and secure, with secure medication storage. (v). Ensure that the ventilation, heating, flooring and lighting is completed in the lounge/dining room area. (vi). Ensure that the kitchenette is fully functional. (vii). Ensure the sluice area is functional and secure with sanitizer, sufficient PPE and handbasi | PA Low | Reporting Complete | |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | (i). Egress is not yet fully completed and levelled. (ii). The fence is not yet completed to provide a secure outdoor area. (iii). The landscaping is still underway with the completion of the directional pathway, adequate path lights, seating and shade. | (i). Ensure egress is fully completed and levelled. (ii)- (iii). Ensure the external garden area off the dementia unit is completed, securely fenced off with seating and shade. | PA Low | Reporting Complete | |
| Where required by legislation, there shall be a Fire and Emergency New Zealand- approved evacuation plan. | (i). The changes to the existing fire evacuation plan are yet to be approved by the New Zealand Fire Service. (ii). Staff have not yet completed a fire drill in the new dementia wing. | (i). Ensure the changes to the fire evacuation plan are approved prior to occupancy. (ii). Ensure a fire drill is scheduled for prior to occupancy for all staff to attend. | PA Low | Reporting Complete | |
| An appropriate call system shall be available to summon assistance when required. | The call bells in the lounge/dining rooms are not yet functional. | Ensure all call bells are functional. | PA Low | Reporting Complete |
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 corrective action manager.
- Date action reported complete
The date that the corrective action manager was told the issue was fixed.
Audit reports
About audit reports
Audit reports for this rest home’s latest audits can be downloaded below.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits. The guide gives an overview of the auditing process and explains what the audit reports mean.
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.
Before 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) appear on the rest home’s page. As the rest home completes the required actions, the status on the website updates.
Audit date:
Audit type: Partial Provisional Audit
Audit date:
Audit type: Certification Audit
