Ultimate Care Bishop Selwyn
Profile & contact details
|Premises name||Ultimate Care Bishop Selwyn|
|Address||350 Selwyn Street Addington Christchurch 8024|
|Service types||Rest home care, Geriatric, Medical|
|Certification/licence name||The Ultimate Care Group Limited - Ultimate Care Bishop Selwyn|
|Current auditor||Central Region's Technical Advisory Services Limited|
|End date of current certificate/licence||09 November 2023|
|Certification period||36 months|
|Provider name||The Ultimate Care Group Limited|
|Street address||Level 2 111 Johnsonville Road Johnsonville Wellington 6037|
|Post address||PO Box 425 Waterloo Quay Wellington 6140|
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: 01 September 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The facilitation of safe self-administration of medicines by consumers where appropriate.||Self administration of medication is not carried out in accordance with UCG policy and best practice.||Ensure that self administration of medications is carried out in accordance with UCG policy and best practice.||PA Moderate||Reporting Complete||02/02/2021|
|Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.||First aid boxes do not have a list of designated content items and a number of single use items l had expired.||Ensure all first aid boxes have a list of designated content items and all single use items are within date.||PA Low||Reporting Complete||02/02/2021|
|The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed.||The UC Bishop Selwyn annual business plan had not been reviewed for 2020.||Ensure a current business plan is available for UC Bishop Selwyn.||PA Low||Reporting Complete||08/06/2021|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||Wound assessment and evaluation is not carried out consistently in accordance with UCG policy and best practice.||Ensure that wound management is carried out in accordance with UCG policy and best practice.||PA Low||Reporting Complete||08/06/2021|
|A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented.||Meeting minutes and internal audits corrective action plans, identifying requirements for improvements, do not consistently include recorded evidence of the person responsible for implementing the corrective action, the required timeframe for implementation and date the action is closed.||Ensure all meeting minutes and corrective action plans consistently evidence the person responsible for implementing the corrective action plan, the required timeframes and the date the action is closed.||PA Low||Reporting Complete||07/09/2021|
|Service providers shall facilitate safe self-administration of medication where appropriate.||Medication self-administration 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||Reporting Complete||29/09/2022|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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.
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.
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 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) 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 reportsAudit date: 01 September 2020
Audit type:Certification Audit
- Ultimate Care Bishop Selwyn - Sep 2020 (docx, 44.08 KB)
- Ultimate Care Bishop Selwyn - Sep 2020 (pdf, 171.9 KB)
Audit type:Surveillance Audit
- Ultimate Care Bishop Selwyn - Sep 2018 (docx, 30.76 KB)
- Ultimate Care Bishop Selwyn - Sep 2018 (pdf, 121.72 KB)
Audit type:Certification Audit