Southern Cross Care St Francis Residential Aged Care 0382

Assessment contact Performance Report
An assessment contact was conducted with this service on 21 February 2024.
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 28 February 2022 to 02 March 2022, the Commission made a decision on 14 April 2022 to re-accredit this service.

The period of accreditation of the service will expire on 14 April 2025.

Site audit Performance Report

A site audit was conducted with this service on 28 February 2022 to 02 March 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 05 May 2022.

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

Following a site audit the Commission made a decision on 17 October 2019 that this service met all of the Aged Care Quality Standards. The service is re-accredited for two years until 05 November 2021.

Serious risk decision

Following an assessment contact conducted on 25 March 2019, a delegate of the Aged Care Quality and Safety Commissioner made a decision that Southern Cross Care (NSW & ACT) Limited failed to meet one expected outcome in the Accreditation Standards in relation to Southern Cross Care St Francis Residential Aged Care.

On 30 April 2019 a decision was made that failure to meet this expected outcome has placed the safety, health or wellbeing of a 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.

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 05 November 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 05 November 2018.

This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 05 November 2019.  The reconsideration decision and audit report is attached.