Ultimate Care Rosedale
Profile & contact details
|Premises name||Ultimate Care Rosedale|
|Address||255 Rosedale Road Albany Auckland 0632|
|Service types||Geriatric, Medical, Rest home care|
|Certification/licence name||The Ultimate Care Group Limited - Ultimate Care Rosedale|
|Current auditor||Central Region's Technical Advisory Services Limited|
|End date of current certificate/licence||02 February 2024|
|Certification period||36 months|
|Provider name||The Ultimate Care Group Limited|
|Street address||Level 2 111 Johnsonville Road Johnsonville Wellington 6037|
|Post address||PO 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: 02 December 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The use of enablers shall be voluntary and the least restrictive option to meet the needs of the consumer with the intention of promoting or maintaining consumer independence and safety.||Environmental restraint has been created by the use of code locks on two sets of doors in the facility which restricts entry and/or exit for residents, including into and from the areas where they live.||Ensure that residents are able to go through the doors exiting their care unit on the upper floor landing, and out through the side entrance door on the lower level at any time.||PA Moderate||Reporting Complete||06/04/2021|
|All buildings, plant, and equipment comply with legislation.||i) The temperature of refrigerators in residents’ rooms are not monitored. ii) The chemical dispensers are not calibrated to ensure the dispensing units dispense the required amount to meet manufacturer’s specifications.||i) Ensure residents rooms refrigerators temperatures are monitored. ii) Ensure all chemical dispensers are calibrated to dispense the required amount of chemical as per manufacturer’s specifications.||PA Low||Reporting Complete||07/04/2021|
|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) Information relating to residents’ allergies and sensitives is inconsistently documented. ii) The temperature of the two medication rooms is not being monitored.||i) Ensure that all allergies and sensitivities are documented on the medication chart. ii) Ensure that medication room temperatures are recorded to support safe storage of medication.||PA Moderate||Reporting Complete||07/04/2021|
|Professional qualifications are validated, including evidence of registration and scope of practice for service providers.||Staff performance appraisals are not consistently completed in the required timeframes.||Ensure all staff performances are completed in a timely manner.||PA Low||Reporting Complete||07/04/2021|
|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.||Long term care plans are not developed consistently within the required timeframe following admission.||Ensure that long term care plans are developed within the required timeframe following admission.||PA Low||In Progress|
|Professional qualifications shall be validated prior to employment, including evidence of registration and scope of practice for health care and support workers.||Staff performance appraisals are not consistently completed in the required timeframes.||Ensure all staff performance appraisals are completed in a timely manner||PA Moderate||In 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.||Registered nurses are not consistently available 24/7 as required by the ARRC contract.||The provider is to ensure there is 24/7 RN cover||PA Low||In Progress|
|Service providers ensure competent health care and support workers manage medication including: receiving, storage, administration, monitoring, safe disposal, or returning to pharmacy.||Recording of the effectiveness following all PRN medication administration is inconsistent and not in line with UCG policy and best practice.||Ensure the effectiveness is documented for all PRN medication administered.||PA Moderate||In Progress|
|Service providers shall facilitate safe self-administration of medication where appropriate.||Self-administration of medication procedures are not maintained in accordance with UCG policy and best practice.||Ensure that self-administration of medication procedures are maintained as per UCG policy.||PA Moderate||In Progress|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
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.
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.
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.
Audit reportsAudit date: 02 December 2020
Audit type:Certification Audit
- Ultimate Care Rosedale - Dec 2020 (docx, 46.34 KB)
- Ultimate Care Rosedale - Dec 2020 (pdf, 179.63 KB)
Audit type:Partial Provisional Audit; Surveillance Audit
- Ultimate Care Rosedale - Mar 2019 (docx, 41.41 KB)
- Ultimate Care Rosedale - Mar 2019 (pdf, 164.01 KB)
Audit type:Partial Provisional Audit
- Ultimate Care Rosedale - Aug 2018 (docx, 32.45 KB)
- Ultimate Care Rosedale - Aug 2018 (pdf, 126.34 KB)
Audit type:Certification Audit
- Ultimate Care Rosedale - Nov 2016 (docx, 46.15 KB)
- Ultimate Care Rosedale - Nov 2016 (pdf, 180.31 KB)
Audit type:Provisional Audit