ACH Group Residential Care - Highercombe
activeOverview
Location
Hope Valley - Modbury (SA2)
Sirius Avenue, HOPE VALLEY, SA, 5090
Star ratings
Latest — May 2026
Compliance findings
18 recorded
| Date | Type | Requirement | Severity | Finding | Status |
|---|---|---|---|---|---|
| 24 June 2024 | Site Audit | – | – | Consumer dignity and choice | Compliant |
| 24 June 2024 | Site Audit | – | – | Ongoing assessment and planning with consumers | Compliant |
| 24 June 2024 | Site Audit | – | – | Personal care and clinical care | Compliant |
| 24 June 2024 | Site Audit | – | – | Services and supports for daily living | Compliant |
| 24 June 2024 | Site Audit | – | – | Organisation’s service environment | Compliant |
| 24 June 2024 | Site Audit | – | – | Feedback and complaints | Compliant |
| 24 June 2024 | Site Audit | – | – | Human resources | Compliant |
| 24 June 2024 | Site Audit | – | – | Organisational governance | Compliant |
| 18 May 2023 | Assessment Contact - Site | – | – | Personal care and clinical care | Not applicable |
| 18 May 2023 | Assessment Contact - Site | – | – | Services and supports for daily living | Not applicable |
| 18 May 2023 | Assessment Contact - Site | – | – | Feedback and complaints | Not applicable |
| 18 May 2023 | Assessment Contact - Site | – | – | Organisational governance | Not applicable |
| 03 Nov 2022 | Assessment Contact - Site | – | – | Consumer dignity and choice | Not applicable |
| 03 Nov 2022 | Assessment Contact - Site | – | – | Personal care and clinical care | Non-compliant |
| 03 Nov 2022 | Assessment Contact - Site | – | – | Services and supports for daily living | Non-compliant |
| 03 Nov 2022 | Assessment Contact - Site | – | – | Feedback and complaints | Non-compliant |
| 03 Nov 2022 | Assessment Contact - Site | – | – | Human resources | Not applicable |
| 03 Nov 2022 | Assessment Contact - Site | – | – | Organisational governance | Non-compliant |
Accreditation & assessment timeline
19 events · AI report insights nested where analysed
- Accreditation decision
Following a site audit conducted on 15/05/2024 to 17/05/2024, the Commission made a decision on 24/06/2024 to re-accredit this service. The period of accreditation of the service will expire on 23/08/2027
source ↗ - Site Auditsource ↗
- Site audit Performance Report
A site audit was conducted with this service on 15 May 2024 to 17 May 2024. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.
source ↗ - Assessment Contact - Sitesource ↗
- Assessment contact Performance Report
An assessment contact was conducted with this service on 26 April 2023. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.
source ↗ - Assessment Contact - Sitesource ↗
AI report insightsAI-extracted · qwen2.5:32b
The service is compliant with Standards 1 (Consumer dignity and choice), 7 (Human resources), and part of Standard 6 (Feedback and complaints). However, it is non-compliant with Standards 3 (Personal care and clinical care), 4 (Services and supports for daily living), 6 (partially - Feedback and complaints), and 8 (Organisational governance). Key areas needing improvement include chemical restraint management, food quality and variety, complaint handling processes, and organisational governance systems.
Standard 1 Consumer dignity and choiceCompliant
The requirement to support consumers to take risks was initially found non-compliant but actions were taken, including risk assessments and staff training, leading to a compliant finding.
- Met (3)(d) — The service supports consumers to take risks with mitigation strategies in place. Documentation shows activities of interest and associated risk management.
Standard 3 Personal care and clinical careNon-compliant
Non-compliant due to issues with chemical restraint, lack of Behaviour support plans, and insufficient documentation on non-pharmacological interventions.
- Not met (3)(a) — Seven consumers were prescribed psychotropic medication without review to determine if it was chemical restraint. Documentation lacked evidence of non-pharmacological interventions.
- Met (3)(g) — Effective infection control measures, including hand hygiene and PPE use, were observed.
Recommendations: Ensure staff have the skills and knowledge to identify chemical restraint.; Implement tailored non-pharmacological strategies prior to administration of psychotropic medication.; Ensure Behaviour support plans are in place as per regulatory requirements.
Standard 4 Services and supports for daily livingNon-compliant
Non-compliant due to dissatisfaction with food quality, quantity, and lack of variety. Feedback mechanisms were not effectively capturing consumer concerns.
- Not met (3)(f) — Consumers expressed dissatisfaction with the taste, portion sizes, and variety of meals.
Recommendations: Ensure meals are of sufficient quality and variety.; Involve consumers in planning and evaluation of menus.; Seek regular feedback from consumers regarding food satisfaction.
Standard 6 Feedback and complaintsNon-compliant
Non-compliant due to ineffective complaint handling processes, lack of documentation on complaints, and delays in resolving issues. However, compliant with reviewing feedback for service improvement.
- Not met (3)(c) — Complaints were not documented or investigated appropriately.
- Met (3)(d) — Feedback and complaints are reviewed to improve care and services.
Recommendations: Ensure all complaints are recorded on the complaints register.; Respond more promptly to complaints.; Improve documentation of feedback from Resident council meetings and focus groups.
Standard 7 Human resourcesCompliant
Compliant due to improvements in staffing levels, workforce planning, and addressing staff shortages.
- Met (3)(a) — Staffing numbers are sufficient for safe and quality care delivery.
Standard 8 Organisational governanceNon-compliant
Non-compliant due to ineffective governance systems, particularly in regulatory compliance and feedback handling.
- Not met (3)(c) — Ineffective monitoring of restrictive practices and delayed complaint resolution.
Recommendations: Review the organisation’s governance systems in relation to regulatory compliance.; Ensure all feedback is documented and followed up promptly.
Standard 2 Quality of care
Standard 5 Health, safety and wellbeing
Generated by qwen2.5:32b on 11 June 2026 from the published Performance Report. AI output — may contain errors; verify against the source document and the official findings above.
- Assessment contact Performance Report
An assessment contact was conducted with this service on 06 September 2022. 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 15 December 2021 to 17 December 2021, the Commission made a decision on 23 February 2022 to re-accredit this service. The period of accreditation of the service will expire on 23 August 2024.
source ↗ - Site audit Performance Report
A site audit was conducted with this service on 15 December 2021 to 17 December 2021. 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 April 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
source ↗ - Assessment contact Performance Report
An assessment contact was conducted with this service on 04 August 2021. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.
source ↗ - Assessment contact Performance Report
An assessment contact was conducted with this service on 12 April 2021. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.
source ↗ - Compliance update
Following an assessment contact conducted on 02 March 2020, the Commission made a decision that improvements have been made to the service to ensure that the Aged Care Quality Standards are complied with.
source ↗ - Non-compliance update
Following an assessment contact conducted on 01 October 2019, the Commission made a decision that the approved provider of the service is non-compliant with 1 requirement of the Aged Care Quality Standards.
source ↗ - Non-compliance update
Following an assessment contact conducted on 29 August 2019, the Commission made a decision that the approved provider of the service is non-compliant with 5 requirements of the Aged Care Quality Standards.
source ↗ - Non-compliance update
Following an assessment contact conducted on 01 July 2019, the Commission made a decision that the approved provider of the service is non-compliant with 3 requirements of the Aged Care Quality Standards.
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 five years until 01 October 2021.
source ↗ - Assessmentsource ↗
- Assessmentsource ↗
Regulatory actions
0 recorded
No regulatory actions recorded.