Premise details
- Address
- 18 McMahon Street Stoke Nelson 7011
- Total beds
- 81
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- The Ultimate Care Group Limited - Alden Kensington Court
- 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 |
|---|---|---|---|---|---|
| Alternative essential energy and utility sources shall be available, in the event of the main supplies failing. | Supplies of food stored for emergencies were inadequate to sustain residents and staff for three days in the event of a civil defence emergency. Much of the food supplies that were available were inappropriate and unable to be cooked on a barbeque or prepared in the event of an emergency. | Ensure emergency food supplies stored are adequate and appropriate to sustain all residents and staff on site for three days. | PA Moderate | Reporting Complete | |
| Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this. | i) Three out of five residents did not have a long-term care plan completed within the 21-day timeframe. ii) Two out of five residents did not have care plans evaluated within the six-month timeframe. iii) One out of five residents did not have an interRAI assessment completed within the 21-day timeframe. | i) Ensure residents have a long-term care plan completed within the 21-day timeframe. ii) Ensure residents care plans are evaluated within the six-month timeframe. iii) Ensure residents have an interRAI assessment completed within the 21-day timeframe. | PA Low | In Progress | |
| A medication management system shall be implemented appropriate to the scope of the service. | Medication room temperatures are recorded daily and are consistently above the recommended temperature. | Ensure medication room temperature remains below the recommended temperature. | PA Moderate | In Progress | |
| Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services. | Sampled staff files and the staff roster review confirmed that there were insufficient numbers of staff holding current first aid certificates at the time of audit. This does not fully meet the requirement to ensure an adequate number of staff maintain up to date first aid certification to support safe service delivery. | Ensure that at least one staff member with a current first aid certificate is always rostered on duty (24/7) to meet service requirements and support safe service delivery. | PA Low | In Progress | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Seven staff files were reviewed. Two staff members had been employed for less than one year, and therefore annual performance appraisals were not yet due. One file showed that the performance appraisal had not been completed since March 2024. The remaining files evidenced that annual performance appraisals had been completed in accordance with policy. | Ensure that performance appraisals are completed at least yearly. | PA Low | In Progress | |
| Service providers shall facilitate safe self-administration of medication where appropriate. | There were seven residents who were self-administering medications, who did not have adequate provision for safe storage in their rooms. | Safe storage to be provided within the rooms of residents who are self-administering their medications. | PA Moderate | In Progress |
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
Audit date:
Audit type: Surveillance Audit
