Premise details
- Address
- 125 Withells Road Avonhead Christchurch 8042
- Total beds
- 33
- Service types
- Geriatric, Medical, Physical, Rest home care
Certification/licence details
- Certification/licence name
- Elms Court Lifecare Limited - Elms Court Lifecare
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Elms Court Lifecare Limited
- Street address
- 125 Withells Road Avonhead Christchurch 8042
- Postal address
- 2 Sarahs Lane RD 2 Christchurch 7672
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 ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | Four nightshifts per week do not evidence an RN on duty; therefore, the service is unable to meet the requirements of the ARRC contract D17.4 a-i. | Ensure an RN is rostered on all shifts to meet the requirements of the ARC contract D17.4 a-i. | PA Low | In Progress | |
| A medication management system shall be implemented appropriate to the scope of the service. | i). Three midazolam nasal sprays were not dated on opening as per manufacturer instructions. ii). One eyedrop was in use past the recommended expiry date. iii). Room temperatures are recorded on night shift by the RN; however, the temperature was above 25 degrees when checked on the day of audit. iv). A six-monthly physical check and reconciliation of controlled drugs has not been implemented for over 16 months. | i). Ensure all midazolam sprays are dated on opening. ii). Ensure eyedrops are discarded as per manufacturer instructions. iii). Ensure room temperatures are maintained below 25 degrees. iv). Ensure six-monthly physical checks and reconciliation of controlled drugs is completed six-monthly. | PA Moderate | In Progress | |
| The frequency and extent of monitoring of people during restraint shall be determined by a registered health professional and implemented according to this determination. | Restraint monitoring had not been completed as scheduled for four of five residents using restraint. | Ensure monitoring of restraint occurs as per monitoring requirements. | PA Low | In Progress |
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: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Provisional Audit
