Ultimate Care Ranburn

Profile & contact details

Premises details
Premises nameUltimate Care Ranburn
Address 7 Nova Scotia Drive Waipu 0510
Total beds71
Service typesRest home care, Geriatric, Medical, Dementia care
Certification/licence details
Certification/licence nameThe Ultimate Care Group Limited - Ultimate Care Ranburn
Current auditorCentral Region's Technical Advisory Services Limited
End date of current certificate/licence28 July 2024
Certification period24 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: 30 March 2021

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this.i) There is no evidence that family/whānau have input into the assessment, care planning and evaluation processes. ii) Long-term care plans did not describe sufficient detail to guide staff to meet the residents assessed pressure injury risk and care needs. i) Ensure that family/whānau are given the opportunity to participate in the assessment, care planning and evaluation processes when the person receiving care requests this. ii) Ensure pressure injury prevention supports and interventions are included in care plans for residents identified at risk of developing pressure injuries. PA ModerateIn Progress
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.Facility does not have 24/7 RN cover as required under the ARRC agreement. Ensure there is 24/7 RN cover. PA LowIn Progress
Service providers shall evaluate progress against quality outcomes.Quality, health and safety, staff meetings do not fully inform staff of corrective action plans evaluations and outcomes. Quality, health and safety, staff meetings should clearly outline corrective actions and improvements. PA LowIn Progress
The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence.There is no safety guard on the hot water dispensing unit to prevent scalding of residents or visitors. Ensure that the resident/whānau hot water unit has a safety guard installed. PA ModerateIn Progress
Meaningful activities shall be planned and facilitated to develop and enhance people’s strengths, skills, resources, and interests, and shall be responsive to their identity.The activities documented in the care plans of the residents living in the secure dementia wing are not described in sufficient detail to meet their assessed needs over 24 hours. Ensure that activities for residents living in the secure dementia wing are documented in sufficient detail to meet their assessed needs over 24 hours. PA LowIn Progress
Service providers shall ensure their health care and support workers have the skills, attitudes, qualifications, experience, and attributes for the services being delivered.Staff who have been employed for more than 18 months and new staff working in the unit have not been enrolled in NZQA dementia training. The provider is to ensure that all staff working in the secure dementia wing have the required NZQA qualifications or are enrolled in a course. PA ModerateIn Progress
Service providers shall ensure health care and support workers are able to provide a level of first aid and emergency treatment appropriate for the degree of risk associated with the provision of the service.A first aid competent healthcare worker is not on duty on afternoon and night shifts The provider is to ensure that a healthcare or support worker/s who is trained in first aid is on duty on each shift. PA LowIn Progress
Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy.Temperature monitoring of the medication refrigerators and medication rooms is not carried out in accordance with UCG policy and best practice. Ensure that temperature monitoring of the medication refrigerators and medication rooms is carried out in accordance with UCG policy and best practice. PA ModerateIn Progress
Health care and support workers shall have the opportunity to discuss and review performance at defined intervals.Annual appraisals have not been carried out for staff employed for 12 months or more. Ensure all staff have annual appraisals carried out. PA LowIn Progress
Each episode of restraint shall be documented on a restraint register and in people’s records in sufficient detail to provide an accurate rationale for use, intervention, duration, and outcome of the restraint, and shall include: (a) The type of restraint used; (b) Details of the reasons for initiating the restraint; (c) The decision-making process, including details of de-escalation techniques and alternative interventions that were attempted or considered prior to the use of restraint; (d) If … (this text has been trimmed due to space limits).A non-approved method of restraint is being used which is not in accordance with UCG policy or best practice. Ensure that only UCG approved restraint is used. PA LowIn Progress
Service providers shall facilitate safe self-administration of medication where appropriate.Self-administering medication procedures are not maintained in accordance with UCG policy and best practice. Ensure that self-administering medication procedures are maintained as per UCG policy. PA ModerateIn Progress
An approved food control plan shall be available as required.The chef and kitchen staff do not have current food safety qualifications. Ensure that staff working in food preparation have current safe food handling qualifications. 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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