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Premise details

Address
131 Wairakei Road Bryndwr Christchurch 8053
Total beds
110
Service types
Geriatric, Medical, Rest home care

Certification/licence details

Certification/licence name
Elmswood Court Lifecare Limited - Elmswood Retirement Village
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
48 months

Provider details

Provider name
Elmswood Court Lifecare Limited
Street address
131 Wairakei Road Bryndwr Christchurch 8053
Postal address

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.

Details of corrective actions

Date of last audit: 11 March 2024

Outcome required Found at audit Action required Risk rating Action status Date action reported complete
The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. Partial provisional: (i).The refurbishment (flooring and soft furnishings’) of apartments 410 and 411 are yet to be completed. (ii). The landscaping and pathways outside Penley lounge are incomplete and safe access to the outdoors from this lounge is not yet provided. (iii) There is not yet enough shelve space for an increased in linen. (i) Ensure to complete the outstanding refurbishment of apartment 410 and 411. (ii) Ensure safe access to the outdoors from Penley lounge. iii) Ensure there is sufficient shelving in the linen room. PA Low In Progress
A medication management system shall be implemented appropriate to the scope of the service. Surveillance: (i). Medication with a discard date after opening did not evidence dates on opening. Partial provisional: (ii). The current controlled medication cabinet is insufficient to safely store and promote safe handling of a larger number of controlled medications. (i). Ensure all eye ointments, nasal sprays and midazolam sprays are dated on opening. (ii) Ensure the controlled drug safe is appropriate for safe storage and to promote safe handling of medications prior to occupancy. 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.

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.

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