Premise details
- Address
- 30 Mill Road Lower Vogeltown New Plymouth 4310
- Total beds
- 72
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Melody Enterprises Limited - Ultimate Care Rhapsody
- Current auditor
- Central Region's Technical Advisory Services Limited
- End date of current certificate/licence
- Certification period
- 36 months
Provider details
- Provider name
- Melody Enterprises Limited
- Street address
- 111 Johnsonville Road Johnsonville Wellington 6037
- Postal address
- PO Box 13120 Johnsonville Wellington 6440
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 service provider shall practise open communication with me. | The documentation of accidents and incidents did not consistently evidence: i) communication with family/whānau ii) documentation of neurological observations. | Ensure that the policy and procedures following an unwitnessed fall are implemented. | PA Low | Reporting Complete | |
| Health care and support workers shall have the opportunity to discuss and review performance at defined intervals. | Performance appraisals for clinical staff, did not have input from a senior clinical staff member. | Ensure all clinical staff have their appraisals completed by suitably trained senior clinical staff. | PA Low | Reporting Complete | |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review | Evaluation of the care plan when there had been a change in the resident’s condition is inconsistent. | Ensure that the long-term care plan is evaluated and updated when there is a change in the resident’s condition. | PA Low | Reporting 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. | i) Registered nurse cover is not provided on all shifts. ii) The domestic duties completed by care giving staff on afternoon and night shifts, are not taken into consideration within the roster tool. | Ensure that: i) There is RN cover 24/7. ii) Staffing levels are set to meet both clinical and domestic requirements taking into consideration both facility layout and the needs (acuity) of residents. | PA Low | Reporting Complete | |
| Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy. | Medication room and medication fridge temperatures are not recorded consistently as per UCG policy. Controlled medications were not checked weekly as per UCG policy. | Ensure that medication fridge and medication room temperatures are monitored as per UCG policy and that a check of the controlled medications is carried out weekly. | PA Moderate | Reporting Complete | |
| Fundamental to the development of a care or support plan shall be that: (a) Informed choice is an underpinning principle; (b) A suitably qualified, skilled, and experienced health care or support worker undertakes the development of the care or support plan; (c) Comprehensive assessment includes consideration of people’s lived experience; (d) Cultural needs, values, and beliefs are considered; (e) Cultural assessments are completed by culturally competent workers and are accessible in all settin | A long-term care plan is not developed for all residents within three weeks of admission. The completion of the InterRAI assessment within three weeks of admission is inconsistent. | Ensure that all residents have an interRAI assessment and long-term care plan developed in the required timeframe following admission. | PA Moderate | Reporting Complete | |
| Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review | Long term care plans were not consistently evaluated every six months or when there was a change in the resident’s condition. | Ensure that long term care plans are evaluated at least every six months and / or when there is a change in the resident’s condition. | PA Moderate | Reporting 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. | The provider was unable to provide RN cover 24 hours a day, seven days per week as per contractual obligations. | Ensure there is sufficient RN cover as per contractual obligations. | PA Moderate | 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 did not include the resident’s ethnicity. | Ensure surveillance reports include the resident’s ethnicity. | 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: 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
