Bethesda Aged Care Plus Centre 5144

Accreditation decision

Following a site audit conducted on 09 August 2022 to 11 August 2022, the Commission made a decision on 19 September 2022 to re-accredit this service.

The period of accreditation of the service will expire on 11 November 2025.

Site audit Performance Report

A site audit was conducted with this service on 09 August 2022 to 11 August 2022.

The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

Compliance monitoring update

An assessment contact was conducted by the Aged Care Quality and Safety Commission (Commission) on 28 November 2019 at Bethesda Aged Care Plus Centre to monitor the service’s progress in meeting the Accreditation Standards. The Commission found the service complies with all Accreditation Standards.

Following a site audit the Commission made a decision on 04 October 2019 that this service met seven of the eight Aged Care Quality Standards. The service is re-accredited for three years until 11 November 2022.

Serious risk decision

Following a re-accreditation audit conducted on 20-22 August 2019 a delegate of the Aged Care Quality and Safety Commission made a finding that The Salvation Army (Queensland) Property Trust failed to meet one Aged Care Quality Standard (Quality Standard) in relation ot Bethesda Aged Care Plus Centre.

On 8 November 2019, a decision was made that failure to meet one Quality Standard has placed the safety, health or well-being of an aged care consumer of the service at serious risk. The Department of Health has been notified of the risk.

Serious risk is not an ongoing state; it is a statutory decision based on evidence at a point in time.

 

Following an audit we decided that this home met 44 of the 44 expected outcomes of the Accreditation Standards and would be accredited for three years until 11 December 2018.

This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 11 November 2019.  The reconsideration decision and audit report is attached.