Premise details
- Address
- 350 Selwyn Street Addington Christchurch 8024
- Total beds
- 78
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- The Ultimate Care Group Limited - Alden Bishop Selwyn
- Current auditor
- BSI Group New Zealand Ltd
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- The Ultimate Care Group Limited
- Street address
- Level 2 111 Johnsonville Road Johnsonville Wellington 6037
- Postal address
- PO Box 425 Waterloo Quay Wellington 6140
- Website
- http://www.ultimatecare.co.nz/
Progress on issues from the last audit
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.
| Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
|---|---|---|---|---|---|
| My complaint shall be addressed and resolved in accordance with the Code of Health and Disability Services Consumers’ Rights. | The complaints register and process was inconsistently completed. | Ensure that the complaints management system is consistently followed as per the organisation policy and procedure. | PA Low | Reporting Complete | |
| I am informed of the findings of my complaint. | The outcome for complaints was not consistently completed. | Ensure that all complaints are completed as per policy and procedure. | PA Low | Reporting Complete | |
| My service provider shall work in partnership with Pacific communities and organisations, within and beyond the health and disability sector, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes. | The provider is yet to develop a formal partnership with Pacific communities/organisations. | The provider is to develop a formal relationship with Pacific communities/organisations to enable better planning, support, interventions, and evaluation of the health and wellbeing of pacific peoples. | PA Low | Reporting Complete | |
| 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 | |
| My service provider shall work in partnership with iwi and Māori organisations within and beyond the health sector to allow for better service integration, planning, and support for Māori. | The provider is yet to develop a formal partnership with iwi and Māori organisations. | The provider is to develop a formal partnership with iwi and Māori organisations within and beyond the health sector to allow for better service integration, planning and support for Māori. | PA Low | Reporting Complete | |
| My service provider shall work in partnership with iwi and Māori organisations within and beyond the health sector to allow for better service integration, planning, and support for Māori. | The facility is yet to develop a formal partnership with iwi and Māori organisations. | The facility is to develop a formal partnership with iwi and Māori organisations within and beyond the health sector to allow for better service integration, planning and support for Māori. | PA Moderate | Reporting Complete | |
| My service provider shall work in partnership with Pacific communities and organisations, within and beyond the health and disability sector, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes. | The facility is yet to develop a formal partnership with Pacific community groups/organisations. | The facility is to develop a formal relationship with Pacific community groups/organisations to enable better planning, support, interventions, and evaluation of the health and wellbeing of Pacific peoples. | PA Moderate | Reporting Complete | |
| My complaint shall be addressed and resolved in accordance with the Code of Health and Disability Services Consumers’ Rights. | The complaints register and process was inconsistently completed. | Ensure that the complaints management system is consistently followed as per the organisation policy and procedure. | PA Moderate | Reporting Complete | |
| I am informed of the findings of my complaint. | The outcome for complaints was not consistently completed. | Ensure that all complaints are completed as per policy and procedure. | PA Moderate | Reporting Complete | |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | Twenty-eight internal audits were reviewed, with twenty requiring corrective actions. Twelve of those corrective actions were not evidenced as being followed up or closed out. | Ensure that all corrective actions are evidenced as being followed up and closed out. | PA Low | Reporting Complete | |
| Service providers shall implement systems to determine and develop the competencies of health care and support workers to meet the needs of people equitably. | Training records documented low attendance for care staff for a number of compulsory training requirements, including Code of Rights; privacy/dignity; spirituality/counselling; the aging process; death/dying; end of life care; continence management; safe food handling; and restraint. | Ensure that care staff attend and complete all compulsory training requirements. | PA Low | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | i). Two eyedrops in the medication trollies were dated and in current use past the manufacturer’s recommended expiry dates. ii). One eyedrop in the trolley and in current use was not dated on opening. | i-ii). Ensure eyedrops are dated on opening and discarded as per manufacturer’s instructions. | PA Moderate | Reporting Complete |
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 corrective action manager.
- Date action reported complete
The date that the corrective action manager was told the issue was fixed.
Audit reports
About audit reports
Audit reports for this rest home’s latest audits can be downloaded below.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits. The guide gives an overview of the auditing process and explains what the audit reports mean.
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.
Before 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) appear on the rest home’s page. As the rest home completes the required actions, the status on the website updates.
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
