Ultimate Care Aroha

Profile & contact details

Premises details
Premises nameUltimate Care Aroha
Address 128 Monrad Street Highbury Palmerston North 4412
Total beds48
Service typesGeriatric, Medical, Dementia care, Rest home care
Certification/licence details
Certification/licence nameThe Ultimate Care Group Limited - Ultimate Care Aroha
Current auditorThe DAA Group Limited
End date of current certificate/licence07 March 2020
Certification period36 months
Provider details
Provider nameThe Ultimate Care Group Limited
Street addressLevel 2 111 Johnsonville Road Johnsonville Wellington 6037
Post addressPO Box 13120 Johnsonville Wellington 6440

Progress on issues from the last audit

What’s on this page?

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.

Details of corrective actions

Date of last audit: 13 December 2016

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.The drive way that leads to the back of the facility and the hospital entrance is unsafe for residents and visitors and needs repairing/re-surfacing. Provide a timeframe for the completion of the repairs/re-surfacing of the driveway. PA ModerateReporting Complete04/04/2017
Consumers who have additional or modified nutritional requirements or special diets have these needs met.Residents of the secure unit have limited access to additional nutritional requirements to meet their needs over 24 hours per day, seven days per week. The secure unit has food available to meet residents’ additional needs at all times. PA LowReporting Complete04/04/2017
The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.Right 10 of the Code has not always been complied with for all complaints received since the last audit. Ensure the management of complaints meets Right 10 of the Code. PA LowReporting Complete08/06/2017
A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers.Not all non-clinical staff have received on-going education including but not limited to challenging behaviour, infection control and the management of chemicals. On-going education that is relevant to their position is to be provided to non-clinical staff. PA LowReporting Complete08/06/2017
Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.The activities for residents are planned and provided, however these are unable to develop and maintain residents’ strengths and interests due to limited time and resources allocated. Activities are provided to develop, facilitate and maintain residents’ strengths, interests and skills. PA LowReporting Complete08/06/2017

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

Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.

What’s on this page?

Audit reports for this rest home’s latest audits can be downloaded below.

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. 

Prior to 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 Health and Disability Services Standards.

Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.

Audit reports

Audit date: 13 December 2016

Audit type:Certification Audit

Audit date: 26 May 2016

Audit type:Surveillance Audit

Audit date: 17 September 2015

Audit type:Surveillance Audit

Audit date: 07 January 2014

Audit type:Certification Audit

Audit date: 29 October 2012

Audit type:Surveillance Audit

Audit date: 25 January 2011

Audit type:Certification Audit

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