Lark Ellen Aged Care 2816 (Closed)

Decision not to re-accredit

Following a site audit conducted on 30 November 2021 to 02 December 2021, the Commission made a decision on 08 February 2022 not to re-accredit this service.

The period of accreditation of the service will expire on 16 March 2022.

Site audit Performance Report

A site audit was conducted with this service on 30 November 2021 to 02 December 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 18 March 2022.

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

Accreditation decision

Following a site audit conducted on 29 March 2021 to 31 March 2021, the Commission made a decision on 07 May 2021 to re-accredit this service.

The period of accreditation of the service will expire on 18 September 2021.

Site audit Performance Report

A site audit was conducted with this service on 29 March 2021 to 31 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 02 December 2020 to 04 December 2020, the Commission made a decision on 18 December 2020 to re-accredit this service.

The period of accreditation of the service will expire on 18 June 2021.

Site audit Performance Report

A site audit was conducted with this service on 02 December 2020 to 04 December 2020.

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

Decision to revoke accreditation

Following a review audit conducted on 22 June 2020 to 25 June 2020, the Commission made a decision on 17 August 2020 to revoke accreditation of this service.

The period of accreditation of the service will expire on 16 January 2021.

Review audit Performance Report

A review audit was conducted with this service on 22 June 2020 to 25 June 2020.

The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the review 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 16 January 2021.

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

Non-compliance update

Following an assessment contact conducted on 29-31 January 2020, the Commission made a decision that the approved provider of the service is non-compliant with 22 requirements of the Aged Care Quality Standards.

Following a site audit the Commission made a decision on 01 October 2019 that this service met one of the eight Aged Care Quality Standards. The service is re-accredited for 9 months until 16 July 2020.

Serious risk decision

Following a re-accreditation site audit conducted on 14-16 August 2019 a delegate of the Aged Care Quality and Safety Commissioner made a finding that Apex Software Pty Limited failed to meet seven Aged Care Quality Standards (Quality Standards) in relation to Lark Ellen Aged Care.

On 13 November 2019 a decision was made that failure to meet two Quality Standards 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.

 

Compliance monitoring update

An assessment contact was conducted by the Aged Care Quality and Safety Commission (Commission) on 30 - 31 January 2019 at Lark Ellen Aged Care 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 31 of the 44 expected outcomes of the Accreditation Standards. We decided to vary this home’s accreditation period. This home is now accredited until 16 October 2019.

Serious risk decision

Following a review audit conducted on 18 September to 25 September 2018, a decision was made that Apex Software Pty Limited failed to meet 13 expected outcomes in the Accreditation Standards in relation to Lark Ellen Aged Care.

On 2 November 2018 a decision was made that the failure to meet one 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 two years until 08 July 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 08 July 2018.