Terrace View Retirement Village
Profile & contact details
Premises name | Terrace View Retirement Village |
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Address | 37 Carters Terrace Tinwald Ashburton 7700 |
Total beds | 64 |
Service types | Medical, Rest home care, Geriatric |
Certification/licence name | Terrace View Lifecare Limited - Terrace View Retirement Village |
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Current auditor | The DAA Group Limited |
End date of current certificate/licence | 04 November 2023 |
Certification period | 36 months |
Provider name | Terrace View Lifecare Limited |
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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: 10 February 2022
Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
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A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers. | The system in place to record training does not identify which service providers have not completed training or show when service providers are due for retraining, for example, attending compulsory topics biennially. | Implement a recording system to ensure that all staff have completed the defined training requirements | PA Low | Reporting Complete | 25/05/2021 |
There is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery. | Policy includes use of an acuity tool to support staffing decisions. This tool is not being used for each resident to inform the clinical nurse manager and managers’ meeting regarding safe staffing levels. | Implement the acuity tool process as defined in procedures to ensure service provider levels and skill mix safely meet the needs of residents | PA Low | Reporting Complete | 25/05/2021 |
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented. | Areas identified as requiring improvement are not being managed through the corrective action plan processes as described within the quality and risk management system. | Corrective action plans are formally developed to address areas requiring improvement. These are logged within the recording system and documented follow-up actions demonstrate that all requirements of the Standards and of accepted best practice are consistently met. | PA Low | In Progress | |
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers. | The current training recording systems do not verify that service providers have completed training or training updates on mandatory topics to meet contractual requirements. Healthcare assistants have not completed performance appraisals that are required annually. | Implement a recording system to ensure that all staff have completed the defined training requirements. Ensure all staff have a performance appraisal completed annually. | PA Moderate | Reporting Complete | 27/07/2022 |
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 February 2022Audit type:Surveillance Audit
- Terrace View Retirement Village - Feb 2022 (docx, 35.57 KB)
- Terrace View Retirement Village - Feb 2022 (pdf, 138.82 KB)
Audit type:Certification Audit
- Terrace View Retirement Village - Sep 2020 (docx, 48.02 KB)
- Terrace View Retirement Village - Sep 2020 (pdf, 183.59 KB)
Audit type:Surveillance Audit
- Terrace View Retirement Village - Mar 2019 (docx, 33.92 KB)
- Terrace View Retirement Village - Mar 2019 (pdf, 131.8 KB)
Audit type:Certification Audit
- Terrace View Retirement Village - Aug 2017 (docx, 44.98 KB)
- Terrace View Retirement Village - Aug 2017 (pdf, 172.48 KB)
Audit type:Surveillance Audit