Peacehaven Village

Profile & contact details

Premises details
Premises namePeacehaven Village
Address 498 Tweed Street Newfield Invercargill 9812
Total beds121
Service typesMedical, Rest home care, Psychogeriatric, Dementia care, Geriatric
Certification/licence details
Certification/licence namePresbyterian Support Southland - Peacehaven Village
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence08 October 2023
Certification period36 months
Provider details
Provider namePresbyterian Support Southland
Street address 181 Spey Street Invercargill 9810
Post addressPO Box 314 Invercargill 9840

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: 17 January 2022

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). There was no fluid chart for a dementia resident identified with weight loss and at risk of dehydration. (ii). One resident receiving end of life care had no position changing chart, this had been completed on the intentional rounding chart, however, this had not been completed since December 2021. (iii). Wound charts were not consistently completed for eight wounds and five pressure injuries. (i)-(ii). Ensure all monitoring charts are implemented and consistently completed as instructed in care plans. (iii). Ensure all wound charts are fully completed at each dressing change. PA ModerateIn Progress
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.(i) In-service training is not routinely being provided. Instead, carers are provided with written material to read and then are asked to either sign that they have read and understand the material (e.g., sexuality and intimacy, incident management, complaint management) or are asked to complete a competency (e.g., open disclosure, restraint, fire safety, nutrition and hydration, delirium). These competencies are handed back to administration to indicate they have been completed but are not cons… (this text has been trimmed due to space limits).(i) Ensure there is evidence to support a minimum of eight hours of in-service education being offered to staff annually. If written information is provided and competencies are completed, these must be assessed and returned to staff. (ii) Ensure all caregivers who work in PG unit have completed the required Careerforce competencies within 18 months of employment. (iii) Ensure that there is a written record kept of staff attendance at all education and training programmes. PA ModerateReporting Complete08/09/2022
An appropriate 'call system' is available to summon assistance when required.The most recent call bell audit undertaken for one week in December 2021 indicates that there are in excess of 500 call bells response times that exceed five minutes. This has been explained by the facility manager as an information technology (IT) fault. Ensure call bells are responded to in a timely manner, evidenced through resident and family interviews and internal audits of the call bell system. PA ModerateReporting Complete08/09/2022
All buildings, plant, and equipment comply with legislation.(i). Water temperature recordings for January – November 2021 were not available. Maintenance staff assured the auditor that they have been completed but were lost. (ii). A selection of resident water taps temperatures taken during December 2021 exceed 45 degrees Celsius with three water temps as high as 49 degrees Celsius. At the time of the audit, maintenance staff were waiting for a plumber to adjust tempering valves. i). Ensure water temperatures are regularly monitored. (ii). Ensure resident water taps do not exceed 45 degrees Celsius. PA ModerateReporting Complete08/09/2022
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.Resident progression towards meeting goals was not documented in all seven resident files reviewed. Ensure resident progression towards meeting goals is documented. PA LowReporting Complete08/09/2022
Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process.(i). Seven of seven (one rest home, two hospital (including one LTS-CHC and one End of Life contract), two dementia and two psychogeriatric) care plans lack specific individualised detail of how to care for residents including (but not limited to); resident capabilities, soap substitutes, equipment required. (ii). All seven care plans did not consider all of the residents past medical history including goals, interventions, and evaluations in the care plans. (iii). One dementia care plan and on… (this text has been trimmed due to space limits).(i)-(xv) Ensure all care plan interventions are reflective of resident current needs and requirements and are inclusive of all residents individualised preferences. PA ModerateReporting Complete08/09/2022
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.Controlled drug checks were not completed weekly in the dementia unit from 27 October 2021 to 17 December 2021 Ensure all weekly controlled drug checks are completed as per policy. PA ModerateReporting Complete08/09/2022

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: 17 January 2022

Audit type:Surveillance Audit

Audit date: 06 August 2020

Audit type:Certification Audit

Audit date: 10 October 2019

Audit type:Surveillance Audit

Audit date: 22 May 2019

Audit type:Partial Provisional Audit

Audit date: 20 March 2019

Audit type:Surveillance Audit

Audit date: 24 July 2017

Audit type:Certification Audit

Audit date: 07 July 2016

Audit type:Partial Provisional Audit

Audit date: 16 March 2016

Audit type:Surveillance Audit

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