Bupa Sunshine 4313 (Closed)

Accreditation decision

Following a site audit conducted on 02 December 2020 to 03 December 2020, the Commission made a decision on 25 January 2021 to re-accredit this service.

The period of accreditation of the service will expire on 25 January 2024.

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 09 July 2021.

The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

Site audit Performance Report

A site audit was conducted with this service on 02 December 2020 to 03 December 2020.

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 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 9 January 2021.

The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

Compliance update

Following an assessment contact conducted on 17 December 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 19 September 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.

Compliance monitoring update

An assessment contact was conducted by the Aged Care Quality and Safety Commission (Commission) on 25 June 2019 at Bupa Sunshine to monitor the service’s progress in meeting the Accreditation Standards. The Commission found the service complies with all Accreditation Standards.

Following an audit we decided that this service met 36 of the 44 expected outcomes of the Accreditation Standards and would be accredited for one year until 09 July 2020.

Serious risk decision

Following site audit conducted on 19 - 20 March 2019, a delegate of the Aged Care Quality and Safety Commissioner made a decision that Bupa Aged Care Australia Pty Ltd failed to meet eight expected outcomes in the Accreditation Standards in relation to Bupa Sunshine.

On 18 April 2019 a decision was made that failure to meet two of these expected outcomes has placed the safety, health or wellbeing of consumers 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.

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 and would be accredited for three years until 09 October 2018.

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 09 October 2018.

This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 09 July 2019.  The reconsideration decision and audit report is attached.