Elms Court Lifecare

Profile & contact details

Premises details
Premises nameElms Court Lifecare
Address 125 Withells Road Avonhead Christchurch 8042
Total beds33
Service typesPhysical, Rest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameElms Court Lifecare Limited - Elms Court Lifecare
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence24 January 2024
Certification period48 months
Provider details
Provider nameElms Court Lifecare Limited
Street address125 Withells Road Avonhead Christchurch 8042
Post address2 Sarahs Lane RD 2 Christchurch 7672

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: 10 November 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.(i) Neurological observations had not been completed as required by policy for four of six unwitnessed falls reviewed, and (ii) there were no interventions documented for the management/de-escalation of potential behaviours of concern for rest home SMI resident. (i) Ensure neurological observations are completed as per policy, and (ii) ensure interventions and de-escalation strategies for behaviours of concern are included in the behaviour management plan. PA LowReporting Complete19/05/2020
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome.Eight of ten short term care plans within the sample of files reviewed developed for infections were not always evaluated or signed off. Ensure short term care plans are evaluated and signed off as resolved. PA LowReporting Complete20/09/2022
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.The following shortfalls were identified: i) One rest home resident had a care plan completed and then the interRAI was completed two months later. The care plan has not been updated to include the cardiopulmonary triggers identified in the interRAI to include management of shortness of breath and diuretic use. ii) The resident (YPD) presents with advanced Parkinson’s and receives continuous subcutaneous infusion for diaphragmatic pain and shortness of breath. The change in pain management a… (this text has been trimmed due to space limits). i) Ensure interRAI triggers are addressed in the care plan and care plans are evaluated in line with the interRAI. ii -iii) Ensure that interventions are recorded to a level of detail to support the needs of the resident. PA ModerateReporting Complete20/09/2022

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

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. 

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.

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 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) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.

Audit reports

Audit date: 10 November 2021

Audit type:Surveillance Audit

Audit date: 06 November 2019

Audit type:Certification Audit

Audit date: 28 November 2018

Audit type:Provisional Audit

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