Regis Dandenong North 3652

Accreditation decision
Following a site audit conducted on 29/10/2024 to 31/10/2024, the Commission made a decision on 05/12/2024 to re-accredit this service.
The period of accreditation of the service will expire on 31/03/2028.

Site audit Performance Report
A site audit was conducted with this service on 29 October 2024 to 31 October 2024.
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 21 February 2022 to 24 February 2022, the Commission made a decision on 31 March 2022 to re-accredit this service.

The period of accreditation of the service will expire on 31 March 2025.

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 04 October 2022.

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 21 February 2022 to 24 February 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 until 04 April 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 01 July 2021.

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

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 04 October 2021.

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

Accreditation decision

Following a site audit conducted on 8 January 2019  to 9 January 2019, a delegate of the Aged Care Quality and Safety Commissioner made a decision on 24 February 2019 to re-accredit this service for a period of two years. The period of accreditation of the service will expire on 4 April 2021.

The approved provider of the service meets 44 of the 44 expected outcomes of the Accreditation Standards.

The Site Audit Report is attached.

Following an audit we decided that this home met 42 of the 44 expected outcomes of the Accreditation Standards. This home remains accredited until 04 April 2019.

Serious risk decision

Following a review audit conducted on 24 September 2018 to 4 October 2018, a delegate of the CEO of the Quality Agency made a decision that Regis Aged Care Pty Ltd failed to meet two expected outcomes in the Accreditation Standards in relation to Regis Dandenong North.

On 7 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.

A site audit was conducted on 8 January 2019 to 9 January 2019 at Regis Dandenong North to monitor the service’s progress.  The Aged Care Quality and Safety Commission 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.

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 02 April 2019.