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Pembroke Lodge 0646

Provider name
The Sisters of Our Lady of China Health Care Pty Ltd
RACS ID
0646

Pembroke Lodge

Assessment contact Performance Report

An assessment contact was conducted with this service on 11 May 2023.

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

Audit Report
pembroke_lodge0646-8.docx  (DOCX  1.2 MB)

Pembroke Lodge

Accreditation decision

Following a site audit conducted on 21 November 2022 to 23 November 2022, the Commission made a decision on 18 January 2023 to re-accredit this service.

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

Pembroke Lodge

Site audit Performance Report

A site audit was conducted with this service on 21 November 2022 to 23 November 2022.

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

Audit Report
pembroke_lodge0646-7.docx  (DOCX  1.23 MB)

Pembroke Lodge

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 26 February 2023.

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

Pembroke Lodge

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 26 August 2022.

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

Pembroke Lodge

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 26 February 2022.

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

Pembroke Lodge

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 26 August 2021.

Audit Report
PembrokeLodge0646-6.doc  (DOC  235.01 KB)
CER Report
PembrokeLodge0646-6-cer.pdf  (PDF  320.68 KB)
CER Accessible Report
PembrokeLodge0646-6-cera.doc  (DOC  98.82 KB)

Pembroke Lodge

Following an audit we decided that this home met 44 of the 44 expected outcomes of the Accreditation Standards. This home remains accredited until 26 August 2018.

Audit Report
PembrokeLodge0646-5.docx  (DOCX  108.16 KB)

Pembroke Lodge

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 26 August 2018.

Audit Report
PembrokeLodge4.pdf  (PDF  566.35 KB)

Pembroke Lodge

Audit Report