Ultimate Care Rhapsody

Profile & contact details

Premises details
Premises nameUltimate Care Rhapsody
Address 30 Mill Road Lower Vogeltown New Plymouth 4310
Total beds72
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameMelody Enterprises Limited - Ultimate Care Rhapsody
Current auditorCentral Region's Technical Advisory Services Limited
End date of current certificate/licence23 May 2025
Certification period36 months
Provider details
Provider nameMelody Enterprises Limited
Street address 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: 08 March 2022

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits).Evaluation of the care plan when there had been a change in the resident’s condition is inconsistent. Ensure that the long-term care plan is evaluated and updated when there is a change in the resident’s condition. PA LowIn 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.i) Registered nurse cover is not provided on all shifts. ii) The domestic duties completed by care giving staff on afternoon and night shifts, are not taken into consideration within the roster tool. Ensure that: i) There is RN cover 24/7. ii) Staffing levels are set to meet both clinical and domestic requirements taking into consideration both facility layout and the needs (acuity) of residents. PA LowIn Progress
My service provider shall practise open communication with me.The documentation of accidents and incidents did not consistently evidence: i) communication with family/whānau ii) documentation of neurological observations. Ensure that the policy and procedures following an unwitnessed fall are implemented. PA LowIn Progress
Health care and support workers shall have the opportunity to discuss and review performance at defined intervals.Performance appraisals for clinical staff, did not have input from a senior clinical staff member. Ensure all clinical staff have their appraisals completed by suitably trained senior clinical staff. 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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