Terrace View Retirement Village

Profile & contact details

Premises details
Premises nameTerrace View Retirement Village
Address 37 Carters Terrace Tinwald Ashburton 7700
Total beds64
Service typesMedical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameTerrace View Lifecare Limited - Terrace View Retirement Village
Current auditorThe DAA Group Limited
End date of current certificate/licence04 November 2020
Certification period36 months
Provider details
Provider nameTerrace View Lifecare Limited
Street address 37 Carters Terrace Tinwald Ashburton 7700
Post address

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: 28 March 2019

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The service develops and implements policies and procedures that are aligned with current good practice and service delivery, meet the requirements of legislation, and are reviewed at regular intervals as defined by policy.There is a lack of detailed documentation to guide cleaning and caregivers on cleaning routine and chemical usage. The organisation develop guidelines based on the best practice policy and chemical manufacturers instructions, to guide staff on the cleaning processes. PA LowReporting Complete21/09/2018
Where progress is different from expected, the service responds by initiating changes to the service delivery plan.There were three significant examples found of care plans not being updated to reflect changes in the residents’ conditions. Re-assessments are undertaken, and relevant changes are made to the service delivery plan, when changes to a residents’ short and/or long-term needs are identified, PA ModerateReporting Complete24/07/2019
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.Overdue evaluations mean that the degree of achievement, or response to support and/or interventions, was not always evident in short and long-term care plans that were reviewed. All residents have documented evaluations and reviews that are current and indicate the degree of achievement or response to the goals, support and/or interventions. PA ModerateReporting Complete24/07/2019
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.Documentation related to residents’ assessment, planning and evaluation processes is not all being completed within the required timeframes. Adequate numbers of registered nurses will be available to enable residents’ assessment, planning and evaluation processes and documentation is completed within the required timeframes. PA ModerateReporting Complete24/07/2019
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery.There is a shortage of RN staff. The facility has been recruiting for two extra RNs since November without success. While all shifts are covered with an RN, and staffing meets minimum requirements, this is because the CNM often steps in to cover for absenteeism. This leaves the required CNM duties not always being completed including documentation in residents’ records. Ensure there is adequate RN staff to provide safe service delivery. PA LowReporting Complete24/07/2019

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. 

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.

Audit reports

Audit date: 28 March 2019

Audit type:Surveillance Audit

Audit date: 24 August 2017

Audit type:Certification Audit

Audit date: 28 April 2016

Audit type:Surveillance Audit

Audit date: 04 September 2014

Audit type:Certification Audit

Audit date: 15 October 2013

Audit type:Partial Provisional Audit

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