Ultimate Care Karadean
Profile & contact details
Premises name | Ultimate Care Karadean |
---|---|
Address | 5 Queen Street Oxford 7430 |
Total beds | 53 |
Service types | Geriatric, Medical, Physical, Intellectual, Rest home care |
Certification/licence name | The Ultimate Care Group Limited - Ultimate Care Karadean |
---|---|
Current auditor | Central Region's Technical Advisory Services Limited |
End date of current certificate/licence | 03 December 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 |
Website | www.ultimatecare.co.nz/ |
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 October 2020
Outcome required | Found at audit | Action required | Risk rating | Action status | Date action reported complete |
---|---|---|---|---|---|
Infection control education is provided by a suitably qualified person who maintains their knowledge of current practice. | The IPCC has not completed infection prevention and control education for the infection prevention and control role. | Ensure the infection prevention and control education to staff is provided by a suitable qualified person with knowledge of current practice. | PA Low | Reporting Complete | 12/03/2021 |
Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome. | i) Not all interRAI reassessments were completed and long-term care plans were not consistently evaluated within required six month timeframes. ii) The activities care plans were not always evaluated at the same time as the nursing care plans. | i) Ensure the interRAI reassessments and the long-term nursing care plan are completed six-monthly. ii) Ensure that the activity care plan is evaluated and reviewed each time the long-term care plan is reviewed. | PA Moderate | Reporting Complete | 12/03/2021 |
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group. | i) Hot water temperatures at the sanitary fixtures accessed by residents are not consistently monitored and exceed safe levels. ii) There is no evidence of a documented preventative maintenance plan for the facility buildings, equipment, and external grounds. iii) There is no evidence of the medication room temperature being monitored. | i) Ensure hot water temperatures are monitored and maintained within safe levels. ii) Develop and implement a preventative maintenance plan that minimises the risk of environmental harm to residents. ii) Ensure medication room temperatures are monitored and maintained within acceptable levels. | PA Moderate | Reporting Complete | 12/03/2021 |
Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer. | i) Not all interRAI assessments and care plans are completed within 21 days of admission. ii) Staff response to call bells was not always actioned promptly. | i) Ensure all interRAI assessments and care plans are completed within 21 days of the residents’ admission. ii) Ensure call bells are answered promptly by staff. | PA Moderate | Reporting Complete | 12/03/2021 |
The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk. | Unwitnessed falls records do not consistently evidence neurological observations. | Ensure neurological observations are conducted and documented post unwitnessed falls. | PA Low | Reporting Complete | 12/03/2021 |
There is a document control system to manage the policies and procedures. This system shall ensure documents are approved, up to date, available to service providers and managed to preclude the use of obsolete documents. | Hard copy policies and procedures available in the facility do not consistently evidence the latest version of the document. | Ensure all hard copies of policies and procedures available to staff reflect current documentation. | PA Low | Reporting Complete | 12/03/2021 |
Quality improvement data are collected, analysed, and evaluated and the results communicated to service providers and, where appropriate, consumers. | Quality improvement data is not consistently reported, evaluated, and communicated to service providers. | Ensure quality improvement data is consistently reported, evaluated, and communicated to service providers. | PA Moderate | Reporting Complete | 12/03/2021 |
A corrective action plan addressing areas requiring improvement in order to meet the specified Standard or requirements is developed and implemented. | A corrective action plan addressing the areas identified as requiring improvement is not consistently implemented from meetings, residents’ surveys, residents’ incidents reports and internal audits. | Implement a corrective action plan addressing all areas identified as requiring improvement. | PA Moderate | Reporting Complete | 12/03/2021 |
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.
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 reports
Audit date: 13 October 2020Audit type:Certification Audit
- Ultimate Care Karadean - Oct 2020 (docx, 49.73 KB)
- Ultimate Care Karadean - Oct 2020 (pdf, 193.76 KB)
Audit type:Surveillance Audit
- Ultimate Care Karadean - Jun 2019 (docx, 34.66 KB)
- Ultimate Care Karadean - Jun 2019 (pdf, 135.19 KB)
Audit type:Certification Audit
- Ultimate Care Karadean - Oct 2017 (docx, 46.81 KB)
- Ultimate Care Karadean - Oct 2017 (pdf, 181.63 KB)
Audit type:Surveillance Audit
- Ultimate Care Karadean - Apr 2016 (docx, 31.25 KB)
- Ultimate Care Karadean - Apr 2016 (pdf, 125.45 KB)
Audit type:Certification Audit