Premise details
- Address
- 5 Queen Street Oxford 7430
- Total beds
- 53
- Service types
- Physical, Intellectual, Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- The Ultimate Care Group Limited - Ultimate Care Karadean
- 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 |
|---|---|---|---|---|---|
| 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 were 16 shifts out of 21 that did not have RN cover. | Ensure all shifts have at least one RN on duty. | PA Moderate | In Progress | |
| 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 formalise a partnership with iwi and Māori organisations. | Ensure a formal partnership is created with iwi and Māori organisations within and beyond the health sector to allow for better service integration, planning, and support for Māori. | PA Low | In Progress | |
| 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 partnership with Pacific communities. | Ensure a formal partnership is developed with Pacific communities and organisations to enable better planning, support and improve outcomes for Pacific peoples. | PA Low | In Progress | |
| 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. | The provider has not developed meaningful partnerships with Māori communities, Māori health practitioners, traditional healers and organisations to benefit Māori individuals and whānau. | Ensure that meaningful partnerships with Māori communities, Māori health practitioners, traditional Māori healers and organisations are developed to benefit Māori individuals and whānau. | PA Low | In Progress | |
| 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 | In Progress | |
| Service providers shall facilitate safe self-administration of medication where appropriate. | Self-administration of medication is not carried out in accordance with UCG policy or best practice. | Ensure that self-administration of medication is carried out in accordance with UCG policy and best practice. | PA Moderate | In Progress | |
| Service providers shall ensure there are safe and effective laundry services appropriate to the size and scope of the health and disability service that include: (a) Methods, frequency, and materials used for laundry processes; (b) Laundry processes being monitored for effectiveness; (c) A clear separation between handling and storage of clean and dirty laundry; (d) Access to designated areas for the safe and hygienic storage of laundry equipment and chemicals. This shall be reflected in a writt | There is no clear separation of handling and storage of clean and dirty laundry. | Ensure that there is clear separation between handling and storage of clean and dirty linen, ensure that clean linen is not stored or handled in the dirty side of the laundry. | PA Low | In Progress | |
| I am informed of the findings of my complaint. | The way in which complaints are closed and complainants informed of the outcome is inconsistent and does not meet UCG policy/procedure. | Ensure that all complaints are closed and complainants informed of the outcome in accordance with UCG policy and procedure. | PA Low | Reporting Complete | |
| My complaint shall be addressed and resolved in accordance with the Code of Health and Disability Services Consumers’ Rights. | The way in which complaints are managed did not meet the UCG policy/procedure. | Ensure the complaints process is consistently followed and completed in accordance to UCG policy and procedure and timeframes are met. | PA Low | 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 district health board.
- Date action reported complete
The date that the district health board 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: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
Audit date:
Audit type: Surveillance Audit
Audit date:
Audit type: Certification Audit
