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
- 12 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 |
|---|---|---|---|---|---|
| Service providers shall evaluate progress against quality outcomes. | Internal audits are not being completed to the schedule; corrective actions are not being fully described. | Provide evidence that internal audits are being completed to the schedule and that corrective actions are being fully described. | PA Low | In Progress | |
| Governance bodies shall evidence leadership and commitment to the quality and risk management system. | The lack of reporting quality and risk activities to the governing body has compromised the governing body’s leadership and commitment to the quality and risk management system. | Provide evidence to show that quality and risk activities are being provided to the governing body to support leadership and commitment to the quality and risk management system. | PA Moderate | In Progress | |
| An appropriate call system shall be available to summon assistance when required. | The call bell system at Bloomfields Court is not always reliable. | Provide evidence that a reliable call bell system is available at Bloomfields Court. | PA Low | In Progress | |
| Governance bodies shall support people receiving services and whānau to participate in the planning, implementation, monitoring, and evaluation of service delivery. | Governance has no processes in place to monitor the participation of residents and whānau in the planning, implementation, monitoring, and evaluation of service delivery. It does not receive information related to resident feedback of the services it delivers and does not monitor resident and whānau satisfaction in the facility. | Provide evidence that the governing body has a process in place to monitor the participation of residents and whānau in the planning, implementation, monitoring, and evaluation of service delivery, including receiving information from the resident meetings and resident satisfaction surveys. | PA Low | In Progress | |
| Service providers shall maintain an information management system that: (a) Ensures the captured data is collected and stored through a centralised system to reduce multiple copies or versions, inconsistencies, and duplication; (b) Makes the information manageable; (c) Ensures the information is accessible for all those who need it; (d) Complies with relevant legislation; (e) Integrates an individual’s health and support records. | The erratic nature of fibre internet connection is compromising the ability of the staff to get up-to-date policy and procedure information from the electronic portal. interRAI assessments for residents have been compromised by lack of internet service. Access to the medication management portal is compromised by slow and/or erratic internet availability. Use of personal cell phones to access the electronic medication system is a potential security risk. | Provide evidence that work is ongoing to remediate the inconsistent internet performance and availability. Provide evidence that staff have been advised to use the electronic medication management system ‘offline’ to administer medications (entries upload when internet is available) rather than their personal cell phones. | PA Moderate | Reporting Complete | |
| Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. | The administration of controlled drugs (CD), when there is only one staff member on duty, does not meet safe medication management guidelines. Staff administering the CD, using this process, though deemed competent, are not meeting medication competency guidelines. Medication competencies are not reviewed following medication errors. | Provide evidence that CDs are administered in accordance with safe medication management guidelines and legislative requirements. Provide evidence staff administering CDs practice in accordance with medication competency guidelines and that medication competencies are checked following any medication error. | PA Moderate | Reporting Complete | |
| Service providers shall ensure that the environment is clean and there are safe and effective cleaning processes appropriate to the size and scope of the health and disability service that shall include: (a) Methods, frequency, and materials used for cleaning processes; (b) Cleaning processes that are monitored for effectiveness and audit, and feedback on performance is provided to the cleaning team; (c) Access to designated areas for the safe and hygienic storage of cleaning equipment and chemi | Chemicals that feed the dishwasher in the kitchen were not stored securely. Chipped paint and varnished surfaces in the kitchen did not support easy cleaning. | Provide evidence that the chemicals that feed the dishwasher in the kitchen are stored securely and that chipped paint and varnished surfaces in the kitchen have been repaired to support easy cleaning. | PA Moderate | 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 district health board.
- Date action reported complete
The date that the district health board 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: Provisional Audit
