Premise details
- Address
- 134 Rangiora Woodend Road Woodend 7610
- Total beds
- 27
- Service types
- Rest home care
Certification/licence details
- Certification/licence name
- Fervor Cooperation Limited - Bloomfield Court Retirement Home
- Current auditor
- The DAA Group Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Fervor Cooperation Limited
- Street address
- 10 Pacers Lane Yaldhurst Christchurch 8042
- Postal address
- 10 Pacers Lane Yaldhurst Christchurch 8042
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 |
|---|---|---|---|---|---|
| Governance bodies shall appoint a suitably qualified or experienced person to manage the service provider with authority, accountability, and responsibility for service provision. | The person responsible for health and safety is not suitably qualified or experienced for the role. | Ensure the person responsible for health and safety completes relevant training and understands their responsibilities under the Health and Safety at Work Act 2015. | PA Low | Reporting Complete | |
| Service providers shall evaluate progress against quality outcomes. | While quality data was reported and available, there has been no evaluation of progress towards identified quality outcomes. | Ensure progress towards quality outcomes is evaluated. | 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. | Police vetting information was not available for staff employed prior to Fervor Cooperation Limited purchasing the facility or for the two managers. | Ensure police vetting results are available for all staff and managers. | PA Low | Reporting Complete | |
| Service providers shall identify external and internal risks and opportunities, including potential inequities, and develop a plan to respond to them. | The risk register in place had not been reviewed to identify which risks applied to the facility, no risks specific to the facility had been identified and risks related to potential inequities had not been considered. As a result, the severity of risks at the facility had not been identified, mitigation strategies were not documented and there was no review framework in place. | Ensure there is an up-to-date risk register which identifies current risks, including potential inequities, records the severity of risks, has a plan to respond to them and identifies a review timeframe based on the severity of the risk. Ensure the risk register is reviewed at governance level at defined intervals. | PA Moderate | Reporting Complete | |
| My service provider shall work in partnership with Pacific communities and organisations, within and beyond the health and disability sector, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes. | Bloomfield Court has not yet established connection with local Pacific communities to enable them to work in partnership to facilitate better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes. | Establish a connection with local Pacific communities and work in partnership to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes. | PA Low | Reporting Complete | |
| Service providers shall ensure the skills and knowledge required of each position are identified and the outcomes, accountability, responsibilities, authority, and functions to be achieved in each position are documented. | There was no job description in place to identify the outcomes, accountability, responsibilities, authority, and functions to be achieved by the management positions. | Ensure the skills and knowledge required for each management position are clearly identified and the outcomes, accountability, responsibilities, authority, and functions to be achieved by each position are documented. | PA Low | Reporting Complete | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | There was no process in place for managers to discuss and review their performance. | Ensure there is a process in place for managers to discuss and review their performance. | PA Low | Reporting Complete | |
| Service providers shall improve health equity through critical analysis of organisational practices. | There had been no critical analysis of organisation practices with the aim to improve health equity. | Ensure that critical analysis of organisation practices occurs with the aim to improve health equity. | PA Low | Reporting Complete | |
| Governance bodies shall ensure service providers’ structure, purpose, values, scope, direction, performance, and goals are clearly identified, monitored, reviewed, and evaluated at defined intervals. | There had been no monitoring, review or evaluation of goals identified in the business plan. | Ensure that goals identified in the business plan are monitored, reviewed and evaluated at defined intervals. | 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.
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: Certification Audit
Audit date:
Audit type: Provisional Audit