Premise details
- Address
- 71 Middleton Road Upper Riccarton Christchurch 8041
- Total beds
- 78
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Elms Court Care Limited - Elms Court Village
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Elms Court Care Limited
- Street address
- 71 Middleton Road Upper Riccarton Christchurch 8041
- 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 |
|---|---|---|---|---|---|
| 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 is a lack of documented evidence to indicate that business goals are regularly monitored, reviewed, and evaluated at defined intervals. | Ensure that the goals of the facility are monitored, reviewed, and evaluated at defined intervals. | PA Low | Reporting Complete | |
| Service providers shall maintain quality records that comply with the relevant legislation, health information standards, and professional guidelines, including in terms of privacy. | Two of nine initial care plans (rest home level) and three falls risk assessments were missing evidence of staff signatures and dates. | Ensure all clinical documentation is dated and signed by the relevant service provider. | PA Low | Reporting Complete | |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review | One rest home resident in a serviced apartment did not have their long-term care plan updated following changes in their care needs. | Ensure that all changes to care requirements are documented in the long-term care plan. | PA Low | Reporting 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). InterRAI reassessments have been completed after the completion of the long-term care plan for three hospital level residents: ii). InterRAI has been completed two months late for one rest home resident and, (iii) a care plan not completed within 21 days (previous clinical requirement HDSS 2008 criteria # 1.3.3.3) | i) and ii) Ensure that all interRAI assessments are completed within required timeframes and that these inform the long-term care plan. (iii) Ensure that all residents have a care plan in place that addresses all their assessed needs. | 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. | There is no evidence of corrective actions being completed for hot water temperature monitoring results that are out of range of the acceptable limits. | Ensure corrective actions are put in place for hot water temperatures out of expected range. | PA Low | In Progress | |
| A medication management system shall be implemented appropriate to the scope of the service. | (i). The weekly stock take for controlled drugs has not been completed consistently between June and October 2023. (ii). Five rest home residents on regular controlled medications do not have own stock of controlled drugs dispensed and administered. These are currently being ordered and administered under the bulk stock order process for controlled drugs. | (i). Ensure that stock take of controlled drugs is completed weekly. (ii). Ensure that controlled drugs for rest home level care residents are ordered, dispensed, and administered under their individual identification in line with expected regulations and not as bulk stock process. | PA Moderate | 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: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Provisional Audit
