Bupa Mt Sheridan 5721

Accreditation decision

Following a site audit conducted on 01 November 2022 to 03 November 2022, the Commission made a decision on 29 November 2022 to re-accredit this service.

The period of accreditation of the service will expire on 13 April 2026.

Site audit Performance Report

A site audit was conducted with this service on 01 November 2022 to 03 November 2022.

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

Accreditation decision

Following a site audit conducted on 23 February 2021 to 25 February 2021, the Commission made a decision on 13 April 2021 to re-accredit this service.

The period of accreditation of the service will expire on 13 April 2023.

Site audit Performance Report

A site audit was conducted with this service on 23 February 2021 to 25 February 2021.

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

Exceptional Circumstances

During the COVID-19 pandemic, the Aged Care Quality and Safety Commission has temporarily modified our Regulatory Program, including the suspension of site audits to determine whether to accredit, not to re-accredit or vary the periods of accreditation for a service. 

In order to give effect to continuity of accreditation the Department of Health has, under Section 42.5 of the Aged Care Act 1997, made a decision to grant ‘exceptional circumstances’ to this service until 17 June 2021.

Assessment contact Performance Report

An assessment contact was conducted with this service on 22 July 2020.

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

Non-compliance update

Following an assessment contact conducted on 2-5 March 2020, the Commission made a decision that the approved provider of the service is non-compliant with six requirements of the Aged Care Quality Standards.

Compliance update

Following an assessment contact conducted on 12 November 2019, the Commission made a decision that improvements have been made to the service to ensure that the Aged Care Quality Standards are complied with.

Non-compliance update

Following an assessment contact conducted on 08 October 2019, the Commission made a decision that the approved provider of the service is non-compliant with 1 requirements of the Aged Care Quality Standards.

Serious risk decision

Following an assessment contact conducted on 7-8 August 2019, a delegate of the Aged Care Quality and Safety Commissioner made a finding that Bupa Aged Care Australia Pty Ltd failed to meet one Aged Care Quality Standard (Quality Standards) in relation to Bupa Mt Sheridan.

On 26 September 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 the evidence at a point in time.

The Aged Care Quality and Safety Commission will continue to monitor the performance of the service including through unannounced visits.

Following an audit we decided that this home met 44 of the 44 expected outcomes of the Accreditation Standards. This home remains accredited until 17 December 2020.

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 17 December 2020.

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 17 December 2017.