Ultimate Care Oakland

Profile & contact details

Premises details
Premises nameUltimate Care Oakland
Address 108 Thirteenth Avenue Tauranga South Tauranga 3112
Total beds90
Service typesGeriatric, Medical, Physical, Intellectual, Rest home care
Certification/licence details
Certification/licence nameThe Ultimate Care Group Limited - Ultimate Care Oakland
Current auditorCentral Region's Technical Advisory Services Limited
End date of current certificate/licence28 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: 25 July 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
All buildings, plant, and equipment comply with legislation.i) There are areas of carpet where there is separation of joints and tears within corridors. In the corridor ramp leading from the two double rooms, there is a bump under the new carpet. Older high-backed vinyl chairs are unstable and have damaged parts and the chairs on the lounge balcony in Rubcor wing are dilapidated and not fit for purpose. ii) Maintenance requests are not always responded to in a timely manner, (e.g. bell call system), cleaning of moss and mould from decking and paths and e… (this text has been trimmed due to space limits).i) Ensure that fixtures and fittings are up to standard, routinely monitored, cleaned, and are repaired or replaced in a timely manner. ii) Ensure that environmental hazards are addressed promptly and minimised or closed out. iii) Ensure that vehicles used to transport residents are fit for purpose. iv) Ensure that staff and residents smoke in the designated area, and that maintenance is carried out to remove clumps of cigarette butts from car parks and gardens. PA ModerateReporting Complete08/09/2023
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 Complete14/09/2022
Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures.i) The amount of food stored, inclusive of kitchen stock, would not meet the requirements for three days’ supply of food in an emergency. ii) Emergency and civil defence planning guides have not been kept updated and are generic and not site specific. iii) The fire emergency steps beside the van car parking have a non-slip matting which is covered in moss and mould and require to be part of routine maintenance for cleaning to ensure safe use. i) Ensure there is sufficient food supply for three days in an emergency situation. ii) Ensure emergency and civil defence planning guides are site specific and updated. iii) Ensure fire exit steps are maintained and non-slip/skid proof. PA ModerateReporting Complete14/09/2022
The methods, frequency, and materials used for cleaning and laundry processes are monitored for effectiveness.i) Old and disused equipment stored in the small laundry space taking up room and collecting dust. The commercial dryers have old equipment stored behind them which makes servicing them difficult for the contractor. One of the dryers has had elbows from the ventilation hose removed and the hose put back into the ventilation hole in the outside wall. This hose is now ill fitting and has left gaps for vermin to enter the laundry and also allowing dust from the dryer to escape into the clean side o… (this text has been trimmed due to space limits).i) Ensure that old disused equipment is removed from the laundry and that a repair/replacement is carried out on the dryer ventilation hose. High cleaning in this area should be part of routine maintenance. ii) Ensure that high cleaning in sluice rooms inclusive of expellant fans is carried out as a part of routine maintenance. PA ModerateReporting Complete14/09/2022
An appropriate 'call system' is available to summon assistance when required.The week prior to the audit it had been noted that the lift call bells were not functioning, and staff had reported in the electronic maintenance log that some resident room call bells were not functioning. Batteries were replaced with no effect and an external contractor visited. The facility was awaiting either repair or replacement for the call bell system. i) Ensure that correct routine testing and maintenance of the call bell system is maintained, results are reported to management, and that repairs or replacement are actioned on in an urgent manner. ii) Ensure that failures in the call bells system are reported to the DHB and Ministry of Health as required under Section 31 of the health and Disability Safety Act 2001. PA ModerateReporting Complete14/09/2022
The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the needs of the consumer/group.i) Residents kitchenettes have family/resident facilities to make a hot drink. The water at the hot water dispensers is at boiling point, and they do not have guards to protect inadvertent scalding. ii) There are holes and cracks in many of the bathroom facilities that are allowing water penetration and difficulties to ensure cleaning to prevent infection control issues. iii) When oxygen is being used by residents there are no warning notices posted near the rooms. Spare oxygen cylinders are sto… (this text has been trimmed due to space limits).i) Ensure that the hot drink water dispensers have guards to prevent injury due to the high water temperature. ii) Ensure wall surfaces in bathrooms meet infection control guidelines. iii) Ensure that notices regarding oxygen usage is posted near rooms and residents having oxygen therapy and ensure all oxygen cylinders are firmly secured in storage. PA ModerateReporting Complete22/12/2022
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.i) Effectiveness of PRN medications administered is not consistently documented on the electronic medication system. ii) The temperature of the medication rooms is not recorded as per UCG policy. i) Ensure that the documentation of the effectiveness of all PRN medication administered is documented on the electronic medication management system. ii) Ensure that the temperature of the medication rooms is monitored and recorded in accordance with UCG policy. PA ModerateReporting Complete22/12/2022
All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines.i) There is no current food control plan. ii) Not all food stored in the fridges and freezers is labelled and dated. iii) The kitchen cleaning schedule is not adhered to and does not include small kitchen fridges or fridges in residents’ rooms. iv) Monitoring of food temperatures for the evening meal is inconsistent. i) Ensure that a current food control plan is in place. ii) Ensure that food stored in the fridges and freezers is labelled and dated. iii) Ensure that the kitchen is clean, and the cleaning schedule adhered to. iv) Ensure that the temperature of food served to residents at mealtimes is checked and recorded. PA ModerateReporting Complete08/09/2023
Protective equipment and clothing appropriate to the risks involved when handling waste or hazardous substances is provided and used by service providers.Sluice rooms are not always stocked with PPE for sluicing substances and there are no protective “splash” barriers over the sluices or face shields provided. i) Ensure that face shields or protective barriers on sluices are provided and used by staff. ii) Ensure that hand sanitizer and soap dispensers are replenished. PA ModerateReporting Complete12/09/2023
Buildings, plant, and equipment shall be fit for purpose, and comply with legislation relevant to the health and disability service being provided. The environment is inclusive of peoples’ cultures and supports cultural practices.The outside decks in the Rubcor wing were open and used for by residents and visitors. These did not have adequate safety railings and were potentially hazardous. Ensure that environmental hazards were addressed promptly and closed out. PA ModerateReporting Complete12/02/2024
A medication management system shall be implemented appropriate to the scope of the service.Medication room temperatures were not recorded. Medication fridge temperatures were recorded inconsistently. Ensure medication room temperatures are recorded. Ensure fridge temperatures are recorded regularly. PA ModerateReporting Complete12/02/2024
Service providers shall ensure that the environment is clean and there are safe and effective cleaning processes appropriate to the size and scope of the health and disability service that shall include: (a) Methods, frequency, and materials used for cleaning processes; (b) Cleaning processes that are monitored for effectiveness and audit, and feedback on performance is provided to the cleaning team; (c) Access to designated areas for the safe and hygienic storage of cleaning equipment and chemi… (this text has been trimmed due to space limits).Air vents in the sluice rooms and laundry contained a build-up of dust and were dirty. Ensure air vents in the sluice rooms and laundry were removed of built-up dust and were cleaned. PA ModerateReporting Complete12/02/2024

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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