Profile & contact details
|Premises name||Ashley Suites|
|Address||Ashley Suites Care Centre 73 Roydvale Avenue Burnside Christchurch 8053|
|Service types||Medical, Rest home care, Geriatric|
|Certification/licence name||The Russley Village Limited - Ashley Suites|
|Current auditor||The DAA Group Limited|
|End date of current certificate/licence||04 November 2020|
|Certification period||12 months|
|Provider name||The Russley Village Limited|
|Street address||Ashley Suites 73 Roydvale Avenue Burnside Christchurch 8053|
|Post address||PO Box 3861 Christchurch 8140|
Progress on issues from the last audit
What’s on this page?
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: 04 October 2019
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||Training in fire safety and emergency management is planned for the new staff orientation session. This has yet to occur.||Evidence of staff having completed training in fire safety, fire evacuation and emergency management during their orientation is required.||PA Low||Reporting Complete||20/11/2019|
|The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.||Light fittings are protruding on walls above handrails of hallways measure 1600 mm from the floor to the base of the units. These are presenting a potential health and safety risk to future residents walking along the hallways.||All areas of the physical environment are hazard free with light fittings in the corridors mounted at a safe level to avoid potential injuries for people using the facility.||PA Low||Reporting Complete||20/11/2019|
|New service providers receive an orientation/induction programme that covers the essential components of the service provided.||An orientation programme for new staff has been planned; however, this has still to be formally organised and delivered.||All staff will have undertaken appropriate orientation and induction processes and demonstrated relevant competencies prior to commencing in the new facility.||PA Low||Reporting Complete||20/11/2019|
|Service providers responsible for medicine management are competent to perform the function for each stage they manage.||Plans are in place for medicine management competencies to be undertaken during orientation. These have yet to be undertaken.||All staff person responsible for any aspect of medicine management has been checked for their competency to undertake the role.||PA Low||Reporting Complete||20/11/2019|
|The appointment of appropriate service providers to safely meet the needs of consumers.||A full contingent of staff have yet to be employed to meet the service requirements for this care facility.||Appropriate service providers are employed to ensure the needs of the residents are met in a safe manner.||PA Low||Reporting Complete||20/11/2019|
|Where required by legislation there is an approved evacuation plan.||The evacuation plan for the facility has been submitted to the Fire Service. This has yet to be approved.||A copy of the fire evacuation fire that has been approved by the fire service is submitted.||PA Low||Reporting Complete||10/12/2019|
|All buildings, plant, and equipment comply with legislation.||There is not currently a Certificate of Public Use/Code of Compliance for the building for the Russley Village – Ashley Suites. Hot water temperature checks, testing and tagging of electrical equipment and calibration of bio-medical equipment including scales and hoists has still to occur. Installation of laundry equipment in the laundry area, where personal laundry is to be undertaken, has still to be completed.||The buildings and equipment within this new facility meet all regulations and compliance requirements.||PA Low||Reporting Complete||10/12/2019|
|Consumers are provided with safe and accessible external areas that meet their needs.||Landscaping was still underway at the time of the partial provisional audit. There are multiple patios on the ground floor that open off residents’ rooms, the downstairs dining room and a lounge area. These have drop offs varying from 180mm to 520 mm and are presenting a potential safety risk.||All external areas are safe. Patios have a safe barrier around the edge to preclude people from inadvertently falling over the edge.||PA Low||Reporting Complete||08/01/2020|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.
What’s on this page?
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.
Prior to 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 Health and Disability Services Standards.
Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.