Premise details
- Address
- 30 Mill Road Lower Vogeltown New Plymouth 4310
- Total beds
- 70
- Service types
- Rest home care, Geriatric, Medical
Certification/licence details
- Certification/licence name
- Melody Enterprises Limited - Alden Rhapsody
- Current auditor
- BSI Group New Zealand Ltd
- 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 |
|---|---|---|---|---|---|
| Service providers shall ensure there are implemented fire safety and emergency management policies and procedures identifying and minimising related risk. | (i)The egress for two fire exits does not support safe exit for residents with disability. Specifically, both exits have a step that leads onto gravel and an uneven surface. (ii)There is no documented evidence of civil defence emergency supplies being checked in 2024. (iii)Review of the contents in the civil defence container confirmed that the contents were past their use by dates, with some having expired in 2018 and 2019. | (i)Ensure fire exits that meet the safe evacuation for residents with disability. (ii)-(iii)Ensure that civil defence supplies are checked as scheduled and documented. | PA Moderate | Reporting Complete | |
| Service providers shall develop and implement policies and procedures in accordance with good employment practice and meet the requirements of legislation. | (i). Three staff files did not evidence police checking. (ii). One staff file did not document references on employment. (iii). One staff file had no documented orientation. | i)-iii) ensure that the staff recruitment policy is implemented. | PA Low | Reporting Complete | |
| My complaint shall be addressed and resolved in accordance with the Code of Health and Disability Services Consumers’ Rights. | For three complaints dated from 2023 and early 2024, two do not document if the complaint has been followed up and one has no written response to the complainant for a verbal follow up. | Ensure that complaints management adheres to UCG policies and complaints are documented as acknowledged, investigated, and follow-up meetings and closure letters are documented. | PA Low | Reporting Complete | |
| Service providers shall maintain quality records that comply with the relevant legislation, health information standards, and professional guidelines, including in terms of privacy. | Five of eight files reviewed did not have laboratory results uploaded, letters from specialist reviews and general practitioner three monthly review notes. | Ensure resident records are integrated. | PA Low | Reporting Complete | |
| Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care. | (i). Action plans are documented for issues raised but these have not been consistently signed off and issues raised through meeting minutes are not documented as followed up. (ii). Issues identified as hazards have not been rectified (an example is a kerb that is a trip hazard). | (i). Ensure documented action plans are followed up and signed off. (ii). Ensure that known hazards are documented. | PA Low | 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 of eight resident files (two rest home and one hospital) did not have the initial assessments completed within 24 hours of admission. (ii). Two initial care plans (one rest home, one hospital) were not completed within the required timeframes. (iii). Three initial medical reviews (one rest home and two hospital) were not completed within the required timeframes as per the contractual requirement. | (i)-(iii). Ensure that initial assessments, initial care plans, and initial GP reviews are completed within the required timeframes. | PA Low | Reporting Complete | |
| A medication management system shall be implemented appropriate to the scope of the service. | (i)Daily medication room temperature monitoring readings have consistently been recorded as -17 degrees, with no evidence of action plans to address these since January 2025. (ii)Controlled drug checks have not completed weekly. (iii)Four entries in controlled drug register were missing a second signature. (iv)The effectiveness of ‘as required’ medicines were not documented in eight of sixteen records reviewed. | (i)Ensure accurate documentation of room temperature. (ii)-(iii)Ensure the documentation of controlled drugs meets legislative requirements. (iv)Ensure effectiveness of ‘as required’ medicines is consistently documented. | PA Moderate | Reporting Complete | |
| Alternative essential energy and utility sources shall be available, in the event of the main supplies failing. | There is no on-site generator to supply alternative power for the facility in case of civil defence emergency. | Ensure that there is an alternative power source supply in place. | 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 | (i)The initial care plan for the respite resident did not provide detailed interventions to guide staff in the delivery of care. (ii)There are no detailed interventions for the management of hypo and hyperglycaemia in three resident files reviewed (two rest home and one hospital). (iii)One hospital resident with Extended-Spectrum Beta-Lactamase (ESBL) does not have detailed interventions documented. | (i)-(iii)Ensure that there are detailed interventions to provide guidance to staff in the delivery of care needs. | 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. | (i)There were three eye drops still in use post their ‘discard by’ date. (ii)There is no process in place for checking of stock medications. | (i)Ensure eye drops are discarded and returned to pharmacy post their ‘discard by’ date. (ii)Ensure there is a process in place. | 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: 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
