Ultimate Care Cambridge Oakdale
Profile & contact details
| Premises name | Ultimate Care Cambridge Oakdale |
|---|---|
| Address | 58 Tennyson Street Leamington Cambridge 3432 |
| Total beds | 47 |
| Service types | Geriatric, Medical, Dementia care, Rest home care |
| Certification/licence name | The Ultimate Care Group Limited - Ultimate Care Cambridge Oakdale |
|---|---|
| Current auditor | Health and Disability Auditing New Zealand Limited |
| End date of current certificate/licence | 02 November 2026 |
| Certification period | 36 months |
| Provider name | The Ultimate Care Group Limited |
|---|---|
| Street address | Level 2 111 Johnsonville Road Johnsonville Wellington 6037 |
| Post address | PO Box 425 Waterloo Quay Wellington 6140 |
| Website | www.ultimatecare.co.nz/ |
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: 08 August 2023
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| There shall be adequate personal space that is safe and age appropriate, and has accessible areas to meet relaxation, activity, lounge, and dining needs. | Residents in share bedrooms do not have access to areas that provide privacy. | Ensure quiet, low stimulus areas are provided for residents in shared rooms. | PA Low | In Progress | |
| I shall give informed consent in accordance with the Code of Health and Disability Services Consumers’ Rights and operating policies. | i) Resident consent forms did not include consent to outings. ii) Use of resident information on a closed social media platform did not comply with the Privacy Act. | Ensure consent to all activities and the sharing/use of personal data is obtained | PA Moderate | Reporting Complete | 20/01/2024 |
| Service providers shall evaluate progress against quality outcomes. | i) There was insufficient evidence that quality activities had occurred consistently as scheduled. ii) Corrective actions did not consistently demonstrate progress towards achieving quality outcomes. | Ensure that all quality activities: i) Are consistently completed and recorded. ii) Evidence evaluation of progress towards quality outcomes. | PA Moderate | Reporting Complete | 20/01/2024 |
| Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services. | There was one shift each week that did not have RN cover. | Ensure all shifts have at least one RN on duty. | PA Low | Reporting Complete | 22/01/2024 |
| Service providers shall develop and implement policies and procedures in accordance with good employment practice and meet the requirements of legislation. | A police check and signed employment agreement was not available for all staff. | Ensure all staff have a current police check and signed employment agreement. | PA Moderate | Reporting Complete | 22/01/2024 |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Not all performance reviews were current. | Complete outstanding performance reviews. | PA Low | Reporting Complete | 22/01/2024 |
| Prior to a Māori individual and whānau entry, service providers shall: (a) Develop meaningful partnerships with Māori communities and organisations to benefit Māori individuals and whānau; (b) Work with Māori health practitioners, traditional Māori healers, and organisations to benefit Māori individuals and whānau. | There are no developed partnerships with Māori community organisations. | Ensure partnerships are developed with Māori community agencies. | PA Low | Reporting Complete | 22/01/2024 |
| The following aspects of the system shall be performed and communicated to people by registered health professionals operating within their role and scope of practice: prescribing, dispensing, reconciliation, and review. | The medication room temperature was not consistently recorded. | Ensure the medication room temperature is consistently recorded. | PA Low | Reporting Complete | 22/01/2024 |
| The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence. | Panel heaters in resident areas were too hot should a resident come in contact with these. | Ensure heaters used in resident areas do not exceed safe temperatures. | PA Low | Reporting Complete | 22/01/2024 |
| Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data. | Surveillance reports do not include the resident’s ethnicity. | Ensure surveillance reports include the resident’s ethnicity. | PA Low | Reporting Complete | 22/01/2024 |
| Service providers shall ensure that the environment is clean and there are safe and effective cleaning processes appropriate to the size and scope of the health and disability service that shall include: (a) Methods, frequency, and materials used for cleaning processes; (b) Cleaning processes that are monitored for effectiveness and audit, and feedback on performance is provided to the cleaning team; (c) Access to designated areas for the safe and hygienic storage of cleaning equipment and chemi… (this text has been trimmed due to space limits). | The cleaning processes were not appropriate for the size and scope of the service. | Ensure the cleaning processes are appropriate for the size and scope of the service. | PA Moderate | Reporting Complete | 22/01/2024 |
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: 08 August 2023Audit type:Certification Audit
- Ultimate Care Cambridge Oakdale - Aug 2023 (docx, 70.38 KB)
- Ultimate Care Cambridge Oakdale - Aug 2023 (pdf, 220.13 KB)
Audit type:Certification Audit
- Ultimate Care Cambridge Oakdale - Aug 2019 (docx, 45.65 KB)
- Ultimate Care Cambridge Oakdale - Aug 2019 (pdf, 176.29 KB)
Audit type:Surveillance Audit