Bupa Woodend 4184

Assessment contact Performance Report

An assessment contact was conducted with this service on 22 August 2023.

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

Accreditation decision

Following a site audit conducted on 10 October 2022 to 13 October 2022, the Commission made a decision on 15 November 2022 to re-accredit this service.

The period of accreditation of the service will expire on 15 November 2025.

Site audit Performance Report

A site audit was conducted with this service on 10 October 2022 to 13 October 2022.

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 06 March 2023.

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

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 06 September 2022.

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

Assessment contact Performance Report

An assessment contact was conducted with this service on 12 May 2021.

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

Assessment contact Performance Report

An assessment contact was conducted with this service on 14 January 2021.

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

Accreditation decision

Following a site audit conducted on 10 to 12 December 2019, the Commission made a decision on 8 January 2020 to re-accredit this service.

The period of accreditation of the service will expire on 6 March 2022.

The Performance Report is attached.

Compliance monitoring update

An assessment contact was conducted by the Aged Care Quality and Safety Commission (Commission) on 20 February 2019 at Bupa Woodend 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 home met 41 of the 44 expected outcomes of the Accreditation Standards and would be accredited for one year until 06 March 2020.

Serious risk decision

Following a review audit conducted on 10 September 2018 to 19 September 2018, a delegate of the CEO of the Quality Agency made a decision that Bupa Aged Care Australia Pty Ltd failed to meet seven expected outcomes in the Accreditation Standards in relation to Bupa Woodend.

On 11 October 2018 a decision was made that the failure to meet three of these expected outcomes has placed the safety, health or wellbeing of care recipients 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 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 06 July 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 06 July 2018.

This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 06 March 2019.  The reconsideration decision and audit report is attached.