Profile & contact details
|Premises name||Thorrington Village|
|Address||1/51 Birdwood Avenue Beckenham Christchurch 8023|
|Service types||Dementia care, Rest home care|
|Certification/licence name||Thorrington Village Limited - Thorrington Village|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||09 June 2019|
|Certification period||36 months|
|Provider name||Thorrington Village Limited|
|Street address||166 Colombo Street Sydenham Christchurch 8023|
|Post address||166 Colombo Street Sydenham Christchurch 8023|
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: 11 October 2017
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|Consumers have a right to full and frank information and open disclosure from service providers.||There was no documented evidence of family having been informed for eight of ten incident forms sampled.||Ensure family are informed of all incidents and that this is documented.||PA Low||Reporting Complete||20/09/2016|
|The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk.||Nine of ten incident forms sampled did not document the causative factor or identify opportunities to prevent recurrence.||Ensure all incidents identify the causative factor and opportunities to prevent recurrence and that this is documented,.||PA Low||Reporting Complete||20/09/2016|
|The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.||i) Four (two rest home residents and two residents in the dementia unit) of the seven files show the registered nurses do not enter consistently in the progress notes; and ii) the registered nurses do not consistently follow up after adverse events in eight of ten incident forms sampled, for example, skin tears and falls.||i) Ensure the registered nurse documents clinical input and follow up in the progress notes.||PA Low||Reporting Complete||21/03/2017|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||i)There were insufficient interventions recorded to manage the needs of the resident on respite care and ;ii) Two of the four current wounds have no wound assessment , plan or review documentation completed.||i)Ensure the care plan interventions reflect the support needed to manage the health needs of all residents including those on respite care ;and ii) Ensure that a wound assessment, plan and reviews are completed for all wounds.||PA Moderate||Reporting Complete||25/07/2017|
|Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.||All four long-term files did not have up to date activity assessments, activity plans, or reviews.||Ensure all long-term residents receive an activities assessment and plan and these are reviewed at least 6 monthly with the care plan review||PA Low||Reporting Complete||03/05/2018|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||There are detailed handovers between staff informing of resident status, however, the documentation of all detail was lacking. In two of five care plans reviewed specific interventions were lacking to support all assessed needs. Example: (i) one resident had a change of health status and need that was not reflected in the care plan and (ii) another resident had a significant anxiety disorder but there was no mention of this or possible interventions to minimise the anxiety.||Ensure interventions are documented to support all current needs||PA Moderate||Reporting Complete||03/05/2018|
|The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate.||Five files reviewed did not evidence regular RN entries in progress notes following changes in health status and following RN assessment.||Ensure progress notes evidence follow up review and assessment by registered nurses||PA Moderate||Reporting Complete||03/05/2018|
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.
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 reportsAudit date: 11 October 2017
Audit type:Surveillance Audit
Audit type:Certification Audit
Audit type:Surveillance Audit
Audit type:Provisional Audit