Ultimate Care Oakland

Profile & contact details

Premises details
Premises nameUltimate Care Oakland
Address 108 Thirteenth Avenue Tauranga South Tauranga 3112
Total beds92
Service typesIntellectual, Rest home care, Geriatric, Medical, Physical
Certification/licence details
Certification/licence nameThe Ultimate Care Group Limited - Oakland Lifecare
Current auditorThe DAA Group Limited
End date of current certificate/licence28 February 2018
Certification period36 months
Provider details
Provider nameThe Ultimate Care Group Limited
Street addressLevel 2 111 Johnsonville Road Johnsonville Wellington 6037
Post addressPO Box 13120 Johnsonville Wellington 6440
Websitewww.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: 27 October 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Where progress is different from expected, the service responds by initiating changes to the service delivery plan.When residents care needs change, care plans are not always updated to reflect this. Wound care evaluation is incomplete, and there are not always documented goals for wound management. Each resident’s care plan reflects their current care needs and documentation related to the management and evaluation of clinical conditions, such as wounds, is incomplete. PA ModerateIn Progress
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.36 residents do not have a current interRAI assessment. All residents have a current interRAI assessment. PA LowIn Progress
The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.Documentation related to care delivery is incomplete, and there was insufficient evidence to confirm residents were receiving adequate and appropriate care. When a resident has a current interRAI assessment, assessment outcomes are not consistently reflected in the nursing plan. The doctor also expressed concerns about the standard of service delivery. There is clear evidence that residents are receiving adequate and appropriate care and that care plans reflect the outcomes of interRAI assessments. PA ModerateIn Progress
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.Medications are not replaced when past their expiry date. The first date of use of eyedrops is not always recorded, and eyedrops are not discarded within 30 days of first use. All medications are discarded and replaced when past their expiry date. The date of first use of eyedrops is recorded, and eyedrops discarded within 30 days of first use. PA ModerateReporting Complete22/03/2017
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.A corrective action plan has not been completed following the relative and resident satisfaction survey completed this year. Meeting minutes, apart from the quality meetings, do not consistently document the staff member responsible for the corrective action, the timeframe and any sign off that the action has been completed. Provide documented evidence that: (i) corrective action plans are developed, implemented and reviewed following all deficits identified; (ii) meeting minutes state who is responsible for the corrective action, the timeframes for completion and sign off once the corrective action has been completed. PA LowReporting Complete03/07/2017
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Apart from six clinical staff, restraint education has not been provided during 2016. Competency assessments are not current for all clinical staff apart from new staff who have completed this as part of their orientation. Provide documented evidence that: (i) all clinical staff have attended restraint education and that this is on-going; (ii) all clinical staff have current competency assessments. PA LowReporting Complete03/07/2017
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers.Apart from graphs, analysis of quality data to identify any trends is not consistently documented. The only analysis documented were statements such as “numbers increased” and “remains high and care required”. Meeting minutes include numbers and benchmarking of clinical indicators, including but not limited to falls, bruising, skin tears medication errors, behaviours, pressure areas and infections. Provide documented evidence that quality data is comprehensively analysed to identify trends and the results reported back to staff. PA LowReporting Complete11/07/2017
The organisation has a quality and risk management system which is understood and implemented by service providers.The audit programme has not always been followed. The medication audit for August, the clinical files audit for September and the audits for October including restraint and cleaning have not been completed. Other audits have been completed after the scheduled month. Provide documented evidence that the internal audit programme for 2016 is followed. PA LowReporting Complete11/07/2017

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: 27 October 2016

Audit type:Surveillance Audit

Audit date: 05 January 2015

Audit type:Certification Audit

Audit date: 20 August 2014

Audit type:Surveillance Audit

Audit date: 04 February 2014

Audit type:Surveillance Audit

Audit date: 11 December 2012

Audit type:Certification Audit

Audit date: 20 February 2012

Audit type:Surveillance Audit

Audit date: 17 January 2011

Audit type:Certification Audit

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