Fairhaven 7130

Accreditation decision

Following a site audit conducted on 22 March 2023 to 24 March 2023, the Commission made a decision on 28 April 2023 to re-accredit this service.

The period of accreditation of the service will expire on 18 June 2026.

Site audit Performance Report

A site audit was conducted with this service on 22 March 2023 to 24 March 2023.

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

Assessment contact Performance Report

An assessment contact was conducted with this service on 06 April 2022.

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 02 March 2021 to 03 March 2021, the Commission made a decision on 18 June 2021 to re-accredit this service.

The period of accreditation of the service will expire on 18 June 2023.

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 01 November 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 March 2021 to 03 March 2021.

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 25 February 2020 to 27 February 2020, the Commission made a decision on 02 April 2020 to re-accredit this service.

The period of accreditation of the service will expire on 01 May 2021.

The Performance Report is attached.

Compliance update

Following an assessment contact conducted on 13 January 2020, 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 04 November 2019, the Commission made a decision that the approved provider of the service is non-compliant with 5 requirements of the Aged Care Quality Standards.

Serious risk decision

Following an Assessment Contact conducted on 12 September 2019, a delegate of the Aged Care Quality and Safety Commissioner made a finding that Free Reformed Retirement Village Association Inc failed to meet four Aged Care Quality Standards (Quality Standards) in relation to Fairhaven Hostel.

On 17 October 2019 a decision was made that failure to meet five Quality Standards has placed the safety, health or well-being of aged care 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.

Non-compliance update

Following an assessment contact conducted on 12 September 2019, the Commission made a decision that the approved provider of the service is non-compliant with 6 requirements of the Aged Care Quality Standards.

Non-compliance update

Following an assessment contact conducted on 29 August 2019, the Commission made a decision that the approved provider of the service is non-compliant with 3 requirements of the Aged Care Quality Standards.

Serious risk decision

On 15 March 2018 a delegate of the CEO of the Australian Aged Care Quality Agency made a decision that Free Reformed Retirement Village Association Inc. failed to meet two expected outcomes in the Accreditation Standards in relation to Fairhaven Hostel and that this failure has placed the safety, health or wellbeing of a care recipient of the service at serious risk.

An assessment contact was conducted by the Quality Agency on 25 May 2018 at Fairhaven Hostel to monitor the service’s progress. The Quality Agency found the service complies with all Accreditation Standards.

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 42 of the 44 expected outcomes of the Accreditation Standards and would be accredited for two years until 01 May 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 01 May 2018