Western District Health Service
activeRegistration
ACQSC Provider Register (Aged Care Act 2024)
Category 1 - Home and community services
Category 2 - Assistive technology and home modifications
Category 3 - Advisory and support services
Category 4 - Personal care and care support in the home or community (including respite)
Category 5 - Nursing and transition care
Category 6 - Residential care (including respite)
Services
5 recorded
Grange Residential Care Services
19 Gray Street, HAMILTON, VIC, 3300
Penshurst Nursing Home
146 COBB STREET, PENSHURST, VIC, 3289
The Birches
Foster Street, HAMILTON, VIC, 3300
Valley View Nursing Home
71 McLeod Street, COLERAINE, VIC, 3315
Western District Health Service
20 Foster Street, HAMILTON, VIC, 3300
Service locations
5 mapped
Compliance findings
34 recorded
| Date | Service | Type | Requirement | Severity | Finding | Status |
|---|---|---|---|---|---|---|
| 14 May 2025 | The Birches | Accreditation decision | – | – | Organisational governance | Compliant |
| 14 May 2025 | The Birches | Accreditation decision | – | – | Human resources | Compliant |
| 14 May 2025 | The Birches | Accreditation decision | – | – | Feedback and complaints | Compliant |
| 14 May 2025 | The Birches | Accreditation decision | – | – | Organisation’s service environment | Compliant |
| 14 May 2025 | The Birches | Accreditation decision | – | – | Services and supports for daily living | Compliant |
| 14 May 2025 | The Birches | Accreditation decision | – | – | Personal care and clinical care | Compliant |
| 14 May 2025 | The Birches | Accreditation decision | – | – | Ongoing assessment and planning with consumers | Compliant |
| 14 May 2025 | The Birches | Accreditation decision | – | – | Consumer dignity and choice | Compliant |
| 17 Nov 2023 | The Birches | Assessment contact (performance assessment) – site | – | – | Human resources | Not applicable |
| 17 Nov 2023 | The Birches | Assessment contact (performance assessment) – site | – | – | Personal care and clinical care | Not applicable |
| 16 June 2023 | Penshurst Nursing Home | Accreditation decision | – | – | Consumer dignity and choice | Compliant |
| 16 June 2023 | Penshurst Nursing Home | Accreditation decision | – | – | Organisational governance | Compliant |
| 16 June 2023 | Penshurst Nursing Home | Accreditation decision | – | – | Human resources | Compliant |
| 16 June 2023 | Penshurst Nursing Home | Accreditation decision | – | – | Feedback and complaints | Compliant |
| 16 June 2023 | Penshurst Nursing Home | Accreditation decision | – | – | Organisation’s service environment | Compliant |
| 16 June 2023 | Penshurst Nursing Home | Accreditation decision | – | – | Services and supports for daily living | Compliant |
| 16 June 2023 | Penshurst Nursing Home | Accreditation decision | – | – | Personal care and clinical care | Compliant |
| 16 June 2023 | Penshurst Nursing Home | Accreditation decision | – | – | Ongoing assessment and planning with consumers | Compliant |
| 08 June 2023 | Grange Residential Care Services | Accreditation decision | – | – | Organisational governance | Compliant |
| 08 June 2023 | Grange Residential Care Services | Accreditation decision | – | – | Human resources | Compliant |
| 08 June 2023 | Grange Residential Care Services | Accreditation decision | – | – | Feedback and complaints | Compliant |
| 08 June 2023 | Grange Residential Care Services | Accreditation decision | – | – | Organisation’s service environment | Compliant |
| 08 June 2023 | Grange Residential Care Services | Accreditation decision | – | – | Services and supports for daily living | Compliant |
| 08 June 2023 | Grange Residential Care Services | Accreditation decision | – | – | Personal care and clinical care | Compliant |
| 08 June 2023 | Grange Residential Care Services | Accreditation decision | – | – | Ongoing assessment and planning with consumers | Compliant |
| 08 June 2023 | Grange Residential Care Services | Accreditation decision | – | – | Consumer dignity and choice | Compliant |
| 11 Jan 2023 | Valley View Nursing Home | Accreditation decision | – | – | Organisational governance | Compliant |
| 11 Jan 2023 | Valley View Nursing Home | Accreditation decision | – | – | Human resources | Compliant |
| 11 Jan 2023 | Valley View Nursing Home | Accreditation decision | – | – | Feedback and complaints | Compliant |
| 11 Jan 2023 | Valley View Nursing Home | Accreditation decision | – | – | Organisation’s service environment | Compliant |
| 11 Jan 2023 | Valley View Nursing Home | Accreditation decision | – | – | Services and supports for daily living | Compliant |
| 11 Jan 2023 | Valley View Nursing Home | Accreditation decision | – | – | Personal care and clinical care | Compliant |
| 11 Jan 2023 | Valley View Nursing Home | Accreditation decision | – | – | Ongoing assessment and planning with consumers | Compliant |
| 11 Jan 2023 | Valley View Nursing Home | Accreditation decision | – | – | Consumer dignity and choice | Compliant |
Accreditation & assessment timeline
42 events
- Accreditation decision
Following a site audit conducted on 08/04/2025 to 10/04/2025, the Commission made a decision on 14/05/2025 to re-accredit this service. The period of accreditation of the service will expire on 07/06/2028.
source ↗ - Site audit Performance Report
A site audit was conducted with this service on 08/04/2025 to 10/04/2025. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.
source ↗ - Assessment contact (performance assessment) – sitesource ↗
- Assessment contact Performance Report
An assessment contact was conducted with this service on 10 October 2023 to 10 October 2023. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.
source ↗ - Accreditation decision
Following a site audit conducted on 09 May 2023 to 12 May 2023, the Commission made a decision on 16 June 2023 to re-accredit this service. The period of accreditation of the service will expire on 16 June 2026.
source ↗ - Accreditation decision
Following a site audit conducted on 08 May 2023 to 10 May 2023, the Commission made a decision on 08 June 2023 to re-accredit this service. The period of accreditation of the service will expire on 08 June 2026.
source ↗ - Site audit Performance Report
A site audit was conducted with this service on 09 May 2023 to 12 May 2023. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.
source ↗ - Site audit Performance Report
A site audit was conducted with this service on 08 May 2023 to 10 May 2023. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.
source ↗ - 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 September 2023. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - 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 September 2023. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - Accreditation decision
Following a site audit conducted on 22 November 2022 to 25 November 2022, the Commission made a decision on 11 January 2023 to re-accredit this service. The period of accreditation of the service will expire on 11 January 2026.
source ↗ - Site audit Performance Report
A site audit was conducted with this service on 22 November 2022 to 25 November 2022. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.
source ↗ - 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 06 March 2023. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - 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 01 March 2023. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - 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 01 March 2023. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - Accreditation decision
Following a site audit conducted on 03 May 2022 to 06 May 2022, the Commission made a decision on 07 June 2022 to re-accredit this service. The period of accreditation of the service will expire on 07 June 2025.
source ↗ - Site audit Performance Report
A site audit was conducted with this service on 03 May 2022 to 06 May 2022. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.
source ↗ - 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 06 September 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - 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 30 September 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - 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 06 March 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - 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 March 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - 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 06 September 2021. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - Compliance monitoring update
An assessment contact was conducted by the Aged Care Quality and Safety Commission (Commission) on 13 August 2019 at The Birches to monitor the service’s progress in meeting the Accreditation Standards. The Commission found the service complies with all Accreditation Standards.
source ↗ - Assessment
Following an audit we decided that this service met 44 of the 44 expected outcomes of the Accreditation Standards and would be accredited for three years until 30 August 2022.
source ↗ - Serious risk decision
Following a Site Audit conducted on 7 to 8 May 2019, a delegate of the Aged Care Quality and Safety Commissioner made a decision that Western District Health Service failed to meet five expected outcomes in the Accreditation Standards in relation to The Birches. On 11 June 2019 a decision was made that failure to meet one of these expected outcomes 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.
source ↗ - Assessment
Following an audit we decided that this service met 38 of the 44 expected outcomes of the Accreditation Standards and would be accredited for two years until 30 August 2021.
source ↗ - Assessment
Following an audit we decided that this service met 44 of the 44 expected outcomes of the Accreditation Standards and would be accredited for three years until 01 September 2022.
source ↗ - Assessment
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 06 March 2021.
source ↗ - Assessment
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 30 October 2018. This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 30 August 2019. The reconsideration decision and audit report is attached.
source ↗ - Assessment
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 30 October 2018.
source ↗ - Assessment
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 November 2018. This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 01 September 2019. The reconsideration decision and audit report is attached.
source ↗ - Assessment
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 November 2018.
source ↗ - Assessment
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 30 October 2018.
source ↗ - Assessment
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 30 October 2018. This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 30 August 2019. The reconsideration decision and audit report is attached.
source ↗ - Assessment
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 06 March 2018.
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Regulatory actions
0 recorded
No regulatory actions recorded.