Ultimate Care Karadean

Profile & contact details

Premises details
Premises nameUltimate Care Karadean
Address 5 Queen Street Oxford 7430
Total beds53
Service typesPhysical, Intellectual, Medical, Rest home care, Geriatric
Certification/licence details
Certification/licence nameThe Ultimate Care Group Limited - Ultimate Care Karadean
Current auditorHealth and Disability Auditing New Zealand Limited
End date of current certificate/licence03 December 2026
Certification period36 months
Provider details
Provider nameThe Ultimate Care Group Limited
Street addressLevel 2 111 Johnsonville Road Johnsonville Wellington 6037
Post addressPO Box 425 Waterloo Quay Wellington 6140
Websitewww.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: 07 September 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported 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.There were 16 shifts out of 21 that did not have RN cover. Ensure all shifts have at least one RN on duty. PA ModerateIn Progress
My service provider shall work in partnership with iwi and Māori organisations within and beyond the health sector to allow for better service integration, planning, and support for Māori.The facility is yet to formalise a partnership with iwi and Māori organisations. Ensure a formal partnership is created with iwi and Māori organisations within and beyond the health sector to allow for better service integration, planning, and support for Māori. PA LowIn Progress
My service provider shall work in partnership with Pacific communities and organisations, within and beyond the health and disability sector, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes.The facility is yet to develop a partnership with Pacific communities. Ensure a formal partnership is developed with Pacific communities and organisations to enable better planning, support and improve outcomes for Pacific peoples. PA LowIn Progress
Prior to a Māori individual and whānau entry, service providers shall: (a) Develop meaningful partnerships with Māori communities and organisations to benefit Māori individuals and whānau; (b) Work with Māori health practitioners, traditional Māori healers, and organisations to benefit Māori individuals and whānau. The provider has not developed meaningful partnerships with Māori communities, Māori health practitioners, traditional healers and organisations to benefit Māori individuals and whānau. Ensure that meaningful partnerships with Māori communities, Māori health practitioners, traditional Māori healers and organisations are developed to benefit Māori individuals and whānau. PA LowIn Progress
My complaint shall be addressed and resolved in accordance with the Code of Health and Disability Services Consumers’ Rights.The way in which complaints are managed did not meet the UCG policy/procedure. Ensure the complaints process is consistently followed and completed in accordance to UCG policy and procedure and timeframes are met. PA LowIn Progress
Surveillance methods, tools, documentation, analysis, and assignment of responsibilities shall be described and documented using standardised surveillance definitions. Surveillance includes ethnicity data.Surveillance reports do not include the resident’s ethnicity. Ensure surveillance reports include the resident’s ethnicity. PA LowIn Progress
Service providers shall facilitate safe self-administration of medication where appropriate.Self-administration of medication 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 ModerateIn Progress
I am informed of the findings of my complaint.The way in which complaints are closed and complainants informed of the outcome is inconsistent and does not meet UCG policy/procedure. Ensure that all complaints are closed and complainants informed of the outcome in accordance with UCG policy and procedure. PA LowIn Progress
Service providers shall ensure there are safe and effective laundry services appropriate to the size and scope of the health and disability service that include: (a) Methods, frequency, and materials used for laundry processes; (b) Laundry processes being monitored for effectiveness; (c) A clear separation between handling and storage of clean and dirty laundry; (d) Access to designated areas for the safe and hygienic storage of laundry equipment and chemicals. This shall be reflected in a writt… (this text has been trimmed due to space limits).There is no clear separation of handling and storage of clean and dirty laundry. Ensure that there is clear separation between handling and storage of clean and dirty linen, ensure that clean linen is not stored or handled in the dirty side of the laundry. PA LowIn Progress

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.

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