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Premise details

Address
1/51 Birdwood Avenue Beckenham Christchurch 8023
Total beds
58
Service types
Dementia care, Rest home care

Certification/licence details

Certification/licence name
Thorrington Village Limited - Thorrington Village
Current auditor
BSI Group New Zealand Ltd
End date of current certificate/licence
Certification period
36 months

Provider details

Provider name
Thorrington Village Limited
Street address
166 Colombo Street Sydenham Christchurch 8023
Postal address
166 Colombo Street Sydenham Christchurch 8023

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: 15 November 2023

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. i). Hot water temperatures in resident areas are consistently recorded as over 45 degrees with no corrective actions documented. ii). Flooring surfaces in kitchen, hallways and studio sitting room, as well as kitchen servery hatch surfaces, pose an infection risk and potential hazards to residents and staff. i). Provide evidence that hot water temperatures are at 45 degrees Celsius or below. ii). Provide evidence that flooring surfaces and kitchen servery hatch surrounds have been repaired or replaced and that hazards to staff and residents are minimised or eliminated, and that cleaning of surfaces to ensure infection prevention, is able to be safely maintained. PA Moderate Reporting Complete
Service providers shall ensure people’s dining experience and environment is safe and pleasurable, maintains dignity and is appropriate to meet their needs and cultural preferences. Decanted dry ingredients do not evidence decanting dates, best before or expiry dates. Ensure all decanted goods evidence best before or expiry dates. PA Low Reporting Complete
A medication management system shall be implemented appropriate to the scope of the service. The medication room air temperature is not monitored. Ensure the medication room air temperature is monitored and documented according to policy 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).Two initial interRAI assessments were not completed within three weeks of admission. ii) Two initial long term care plans were not completed within three weeks of admission. iii).Three of four interRAI reassessments have not been completed within required timeframes. iv), Three of four long term care plan requiring evaluations had not been completed within required timeframes. (i-iv) Ensure interRAI assessments, interRAI reassessments, initial long term care plans and care plan evaluations occur within required timeframes 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.

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.

© Ministry of Health – Manatū Hauora