Ultimate Care Rose Lodge

Profile & contact details

Premises details
Premises nameUltimate Care Rose Lodge
Address 129 Tweed Street West Invercargill Invercargill 9810
Total beds30
Service typesRest home care, Geriatric, Medical
Certification/licence details
Certification/licence nameThe Ultimate Care Group Limited - Ultimate Care Rose Lodge
Current auditorCentral Region's Technical Advisory Services Limited
End date of current certificate/licence02 March 2027
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

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: 28 June 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Service providers shall evaluate progress against quality outcomes.Meeting minutes provided insufficient information that quality outcomes were communicated. Ensure the UCG meeting process is consistently followed, and all documentation is complete including date of the meeting, attendees, items discussed, who is responsible for tasks allocated to address the issue raised, timeframes for this to be completed, and what was improved for the issue to be closed. Ensure all staff and/or residents involved are updated regarding the outcome. PA ModerateIn Progress
The physical environment, internal and external, shall be safe and accessible, minimise risk of harm, and promote safe mobility and independence.Rat poison had been left in a toilet at the front of the facility creating a significant hazard.Remove rat poison from the toilet and ensure safer options are put in place to manage vermin issues.PA ModerateIn Progress
Service providers shall maintain an information management system that: (a) Ensures the captured data is collected and stored through a centralised system to reduce multiple copies or versions, inconsistencies, and duplication; (b) Makes the information manageable; (c) Ensures the information is accessible for all those who need it; (d) Complies with relevant legislation; (e) Integrates an individual’s health and support records. Residents’ medical records were not integrated. Ensure all residents medical records are integrated PA LowIn Progress
Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services.Current staff training records do not record all staff training attended and when the next training is due. Ensure a system is implemented that records all staff training attended and ongoing development. PA LowIn Progress
An appropriate call system shall be available to summon assistance when required.Staff were unable to summons help for residents in the dining room as there was no call bell in place. Ensure a call bell is placed in the dining room that is a in line with the current call system in place in the facility. PA ModerateIn 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
Information held about health care and support workers shall be accurate, relevant, secure, and confidential. Ethnicity data shall be collected, recorded, and used in accordance with Health Information Standards Organisation (HISO) requirements.Staff records were insecure leaving personal information accessible for non-authorised personnel. Ensure all staff records are maintained in one file and confidentiality is maintained for all staff information. PA LowIn Progress
Alternative essential energy and utility sources shall be available, in the event of the main supplies failing.Supplies for residents and staff were inadequate to sustain everyone for three days in the event of a civil defence emergency occurring. Ensure supplies of food are adequate to sustain all resident’s and staff for three days in the event of a civil defence emergency. PA ModerateIn Progress
Service providers shall ensure there are safe and effective laundry services appropriate to the size and scope of the health and disability service that include: (a) Methods, frequency, and materials used for laundry processes; (b) Laundry processes being monitored for effectiveness; (c) A clear separation between handling and storage of clean and dirty laundry; (d) Access to designated areas for the safe and hygienic storage of laundry equipment and chemicals. This shall be reflected in a writt… (this text has been trimmed due to space limits).Clean linen was being handled and processed in the designated dirty side of the laundry. Ensure there is clear separation between handling and processing of clean and dirty laundry. 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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