Ultimate Care Manurewa

Profile & contact details

Premises details
Premises nameUltimate Care Manurewa
Address 39 Great South Road Manurewa Auckland 2102
Total beds51
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameThe Ultimate Care Group Limited - Ultimate Care Manurewa
Current auditorThe DAA Group Limited
End date of current certificate/licence04 December 2019
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: 29 August 2018

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
The methods, frequency, and materials used for cleaning and laundry processes are monitored for effectiveness.There are no clearly documented and displayed processes for the management of the laundry. Cleaning of the shower and toilets in the rest home is not being completed to an adequate standard. Develop and display the documented processes for the management of both personal and general laundry so it is available for all staff. Monitor the cleaning in the rest home to ensure it is up to an acceptable standard. PA LowReporting Complete12/06/2017
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.Deferred maintenance in the kitchen area, design and maintenance of the rest home toilets and the placement of approved handrails in some areas of the facility do not minimise risk of harm, promote safe mobility or aid independence appropriate to the needs of the resident group. Carry out maintenance in both the kitchen and the rest home shower and toilet areas to ensure appropriate hygiene standards are able to be maintained. Review and address any issues in the placement and type of all handrails/grab rails in toilet and shower areas so that these enable residents to be as safe and independent as possible. PA LowReporting Complete12/06/2017
Entry criteria, assessment, and entry screening processes are documented and clearly communicated to consumers, their family/whānau of choice where appropriate, local communities, and referral agencies.A number of residents’ files did not include signed service admission agreements. There are signed service admission agreements on file for each permanent resident. PA LowReporting Complete12/06/2017
A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.Medication trolleys were not stored in a secure room. Ensure that all medication is stored to meet the medication safe guidelines. PA LowReporting Complete05/12/2018
The responsibility for restraint process and approval is clearly defined and there are clear lines of accountability for restraint use.The use of a wrist restraint for one person in Ultimate Care Manurewa, is not indicated on the Ultimate Care Group approved restraints list documented within policy, or the requirement of the restraint minimisation and safe practice standard, to ensure all restraints are approved. Include the wrist restraint on the Ultimate Care Group approved restraint register if this restraint continues to be approved and used in Ultimate Care Manurewa. PA LowReporting Complete16/01/2019

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.

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