Elms Court Lifecare
Profile & contact details
|Premises name||Elms Court Lifecare|
|Address||125 Withells Road Avonhead Christchurch 8042|
|Service types||Physical, Rest home care, Geriatric, Medical|
|Certification/licence name||Elms Court Lifecare Limited - Elms Court Lifecare|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||24 January 2024|
|Certification period||48 months|
|Provider name||Elms Court Lifecare Limited|
|Street address||125 Withells Road Avonhead Christchurch 8042|
|Post address||2 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 required||Found at audit||Action required||Risk rating||Action status||Date 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 Low||Reporting Complete||19/05/2020|
|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 Low||Reporting Complete||20/09/2022|
|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 Moderate||Reporting Complete||20/09/2022|
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.
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 reportsAudit date: 10 November 2021
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Provisional Audit