Premise details
- Address
- 75 Middlepark Road Sockburn Christchurch 8042
- Total beds
- 57
- Service types
- Medical, Rest home care, Geriatric
Certification/licence details
- Certification/licence name
- Elms Court on Middlepark Limited - Elms Court on Middlepark
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 12 months
Provider details
- Provider name
- Elms Court on Middlepark Limited
- Street address
- Elms Court on Middlepark 75 Middlepark Road Sockburn Christchurch 8042
- Postal address
- 75 Middlepark Road Sockburn Christchurch 8042
- Website
- https://www.elmscourt.co.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 |
|---|---|---|---|---|---|
| Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this. | i). An initial assessment and care plan were not competed within required time frames for one rest home resident. ii). Initial InterRAI assessments were not completed within required timeframes for as scheduled for three of five residents where reviews were required over the previous year (two residents did not require an interRAI assessment). iii). Long term care plans were not completed within required timeframes for one hospital and two rest home residents. iv). Six-monthly evaluations were | i). – iv). Ensure assessments, care plans and evaluations are completed within required timeframes. | PA Moderate | In Progress | |
| Service providers shall ensure their health care and support workers have the skills, attitudes, qualifications, experience, and attributes for the services being delivered. | i). There was no evidence of training for mandatory requirements as the Oceania study day has yet to be run. This means that topics including (but not limited to) infection prevention and control, abuse and neglect, culture and informed consent, syringe driver for the RNs have not been completed as per the training schedule. ii). Competencies associated with training including infection prevention and control, culture and informed consent, syringe driver for the RNs have not been completed as p | i). – ii). Ensure training and competencies are completed as per the training schedule. | PA Low | In Progress | |
| Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin | i). One hospital file did not have any interventions related to an assessed risk of pressure injury. ii). One hospital resident with a partner living in the next-door room did not identify the relationship. iii). One hospital resident did not have detailed interventions related to skin and falls risk management. | i). – iii). Ensure long-term care plan documentation reflects detailed interventions to manage and guide the care of the resident. | PA Low | In Progress | |
| In implementing care or support plans, service providers shall demonstrate: (a) Active involvement with the person receiving services and whānau; (b) That the provision of service is consistent with, and contributes to, meeting the person’s assessed needs, goals, and aspirations. Whānau require assessment for support needs as well. This supports whānau ora and pae ora, and builds resilience, self-management, and self-advocacy among the collective; (c) That the person receives services that remov | (i). Twelve of twelve neurological observations were not completed as per policy. (ii). Two hourly intentional rounding was not implemented as per care plan instructions. | (i). – (ii). Ensure monitoring records are completed as per care plan and policy requirements. | PA Low | In Progress | |
| Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided. | In two of the eight files reviewed there was no evidence of a completed induction programme. | Ensure an induction process is completed and signed off for each staff member. | PA Low | Reporting Complete | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | In the files of the eight staff reviewed, five staff had been in their role for more than one year and did not have a current performance appraisal. | Ensure performance appraisals are completed for all staff. | PA Low | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | One cream in the medication trolley in current use, and four creams in stock were past the manufacturer’s guidelines. | Ensure all creams are within the manufacturers guidelines. | 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 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
