Ultimate Care Madison

Profile & contact details

Premises details
Premises nameUltimate Care Madison
Address 144 Queen Street West Levin 5510
Total beds57
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameThe Ultimate Care Group Limited - Ultimate Care Madison
Current auditorCentral Region's Technical Advisory Services Limited
End date of current certificate/licence20 February 2025
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: 19 October 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
A process to measure achievement against the quality and risk management plan is implemented.(i) Outcomes for corrective actions are not documented, inclusive of evaluations prior to sign off. (ii) Quality, health and safety, staff meetings do not fully inform staff of evaluations and outcomes. (i) Outcomes and evaluations of corrective actions should be documented. (ii)) Quality, health and safety, staff meetings should clearly outline corrective actions and improvements. PA LowReporting Complete26/05/2022
The service has an easily accessed, responsive, and fair complaints process, which is documented and complies with Right 10 of the Code.(i) Clinical aspects of complaints are not always identified to clinical management for follow up with clinical oversight. (ii) In respect of complaints involving human resource issues, there is no documentation of human resource policy being followed in the complaints register. (iii) Outcomes and rationale of the complaint are not always disclosed at staff meetings to educate and prevent recurrence. (i) Clinical aspects of complaints need to have clinical management oversight as a part of the investigation and implementation of improvements. (ii) Human resource policy relating to employment code of conduct should be followed and notation of this process stated within the outcome of the complaint. (iii) Staff meetings should clearly outline the aspect of the complaint and the outcomes to educate staff and to prevent recurrence. PA ModerateReporting Complete21/06/2022

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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