Amaroo Village McMahon Caring Centre
activeOverview
Location
Gosnells (SA2)
74 Lissiman Street, GOSNELLS, WA, 6110
Star ratings
Latest — May 2026
Compliance findings
12 recorded
| Date | Type | Requirement | Severity | Finding | Status |
|---|---|---|---|---|---|
| 15 Dec 2023 | Assessment contact (performance assessment) – site | – | – | Organisational governance | Not Applicable |
| 15 Dec 2023 | Assessment contact (performance assessment) – site | – | – | Consumer dignity and choice | Not Applicable |
| 15 Dec 2023 | Assessment contact (performance assessment) – site | – | – | Ongoing assessment and planning with consumers | Not Applicable |
| 16 Aug 2023 | Site Audit | – | – | Services and supports for daily living | Compliant |
| 16 Aug 2023 | Site Audit | – | – | Organisation’s service environment | Compliant |
| 16 Aug 2023 | Site Audit | – | – | Feedback and complaints | Compliant |
| 16 Aug 2023 | Site Audit | – | – | Consumer dignity and choice | Non-compliant |
| 16 Aug 2023 | Site Audit | – | – | Organisational governance | Non-compliant |
| 16 Aug 2023 | Site Audit | – | – | Human resources | Compliant |
| 16 Aug 2023 | Site Audit | – | – | Ongoing assessment and planning with consumers | Non-compliant |
| 16 Aug 2023 | Site Audit | – | – | Personal care and clinical care | Compliant |
| 13 Apr 2023 | Assessment Contact - Site | – | – | Personal care and clinical care | Not applicable |
Accreditation & assessment timeline
22 events · AI report insights nested where analysed
- Accreditation decision
Following a site audit conducted on 20 June 2023 to 22 June 2023, the Commission made a decision on 10 September 2023 to re-accredit this service. The decision on the service’s accreditation period was varied following reconsideration on own initiative on 29 July 2025. The period of accreditation of the service will expire 10 March 2026.
source ↗ - Assessment contact Performance Report
An assessment contact was conducted with this service on 21/11/2024 to 21/11/2024. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.
source ↗ - Assessment contact (performance assessment) – sitesource ↗
- Assessment contact Performance Report
An assessment contact was conducted with this service on 05 December 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 20 June 2023 to 22 June 2023, the Commission made a decision on 16 August 2023 to re-accredit this service. The period of accreditation of the service will expire on 10 September 2025.
source ↗ - Site Auditsource ↗
AI report insightsAI-extracted · qwen2.5:32b
The performance report for Amaroo Village McMahon Caring Centre highlights compliance across most standards, with notable non-compliance in Standards 1 (Consumer dignity and choice), 2 (Ongoing assessment and planning with consumers), and 8 (Organisational governance). The primary areas of concern involve ineffective risk management systems and processes that do not adequately support consumers to take risks safely or plan ongoing care effectively. Recommendations include reviewing policies, procedures, and training related to these standards.
Standard 1 Consumer dignity and choiceNon-compliant
The service is non-compliant due to issues with supporting consumers to take risks safely, as evidenced by inconsistent risk assessments for four specific consumers.
- Met (3)(a) — Care files reflected consumer histories, preferences and culture, and staff demonstrated an understanding of individual consumers' backgrounds.
- Met (3)(b) — Provision of care and services was found to be culturally safe with consideration for cultural needs.
- Met (3)(c) — Consumers felt supported in exercising choice and independence, and staff engaged consumers in making informed choices about their care.
- Not met (3)(d) — Risk assessments for four specific consumers were inconsistent or incomplete, lacking comprehensive strategies to support safe activities.
- Met (3)(e) — Information was provided in a timely manner and in a format that allowed consumers to make informed choices.
- Met (3)(f) — Processes were in place to ensure privacy and confidentiality of personal information.
Risks: Inconsistent risk assessments for four specific consumers, lacking comprehensive strategies to support safe activities.
Recommendations: Review processes, policies, and procedures relating to supporting consumers to exercise choice and independence and take risks.
Standard 2 Ongoing assessment and planning with consumersNon-compliant
The service is non-compliant due to inadequate risk assessments for four specific consumers, which did not consider all relevant factors or develop comprehensive management strategies.
- Not met (3)(a) — Risk assessments for Consumers A, B, C and D were inadequate, lacking consideration of medical conditions and other contributing factors.
- Met (3)(b) — Care files included consumers' preferences and current care needs, including end-of-life wishes.
- Met (3)(c) — Consumers and representatives were involved in assessments and planning of care on entry and ongoing basis.
- Met (3)(d) — Outcomes of assessment and planning were effectively communicated to consumers and documented in care plans.
- Met (3)(e) — Care and services were reviewed regularly for effectiveness, with updates made when circumstances changed or incidents impacted needs.
Risks: Inadequate risk assessments for Consumers A, B, C and D, lacking consideration of medical conditions and other contributing factors.
Recommendations: Ensure risks to consumers' health and well-being are identified and appropriate management strategies developed in consultation with consumers.
Standard 3 Personal care and clinical careCompliant
The service is compliant, providing safe and effective personal and clinical care that is tailored to individual needs.
- Met (3)(a) — Consumers receive safe and effective personal and clinical care that supports their health and well-being.
- Met (3)(b) — High impact or high prevalence risks are identified through assessment processes with documented management strategies.
- Met (3)(c) — Needs, goals and preferences of consumers nearing the end of life were recognized and addressed.
- Met (3)(d) — Deterioration or change in a consumer's condition is recognized and responded to promptly.
- Met (3)(e) — Information about the consumer’s condition, needs and preferences is documented and communicated within the organization.
- Met (3)(f) — Timely and appropriate referrals to individuals, other organizations and providers of care are made.
- Met (3)(g) — Standard precautions are used to prevent infections and practices promote appropriate antibiotic use.
Standard 4 Services and supports for daily livingCompliant
The service is compliant, providing safe and effective services that meet consumers' needs and support their independence.
- Met (3)(a) — Services and supports for daily living are tailored to individual consumer needs, goals and preferences.
- Met (3)(b) — Consumers' emotional, spiritual and psychological well-being is supported through various programs and activities.
- Met (3)(c) — Services support community engagement, social relationships, and personal interests of consumers.
- Met (3)(d) — Information about the consumer’s condition, needs and preferences is communicated within the organization.
- Met (3)(e) — Timely referrals to other organizations and providers of care are made as needed.
- Met (3)(f) — Meals provided are varied, suitable in quality and quantity, and prepared according to a seasonal menu approved by a Dietitian.
- Met (3)(g) — Equipment is safe, clean, well-maintained, and consumers feel safe when using it.
Standard 5 Organisation’s service environmentCompliant
The service is compliant, providing a welcoming, safe, and clean environment that supports consumer independence and interaction.
- Met (3)(a) — Service environment is homelike, easy to navigate, personalized for consumers, and promotes a sense of belonging.
- Met (3)(b) — The service environment is safe, clean, well-maintained, and enables free movement both indoors and outdoors.
- Met (3)(c) — Furniture, fittings, and equipment are observed to be clean, safe, and well maintained.
Standard 6 Feedback and complaintsCompliant
The service is compliant, encouraging feedback and supporting consumers in making complaints.
- Met (3)(a) — Consumers are encouraged to provide feedback through various methods including meeting forums.
- Met (3)(b) — Information about internal and external complaint mechanisms is provided on entry and ongoing.
- Met (3)(c) — Appropriate action is taken in response to complaints, including use of open disclosure.
- Met (3)(d) — Feedback and complaints are reviewed and used for continuous improvement.
Standard 7 Human resourcesCompliant
The service is compliant, with a competent workforce that is planned, trained, equipped, and supported to deliver quality care.
- Met (3)(a) — Workforce planning ensures delivery of safe and quality care with sufficient staffing levels.
- Met (3)(b) — Staff interactions are kind, caring, and respectful to each consumer’s identity, culture, and diversity.
- Met (3)(c) — The workforce is competent with qualifications and knowledge to perform their roles effectively.
- Met (3)(d) — Staff are recruited, trained, equipped, and supported to deliver required outcomes.
- Met (3)(e) — Regular assessment, monitoring, and review of staff performance is undertaken.
Standard 8 Organisational governanceNon-compliant
The service is non-compliant due to ineffective risk management systems in supporting consumers to live the best life they can.
- Met (3)(a) — Consumers are engaged in development, delivery, and evaluation of care through various methods.
- Met (3)(b) — The governing body promotes a culture of safe, inclusive, and quality care with accountability for delivery.
- Met (3)(c) — Effective governance systems are in place for information management, continuous improvement, financial governance, workforce governance, regulatory compliance, feedback, and complaints.
- Not met (3)(d) — Risk assessments were not effective in identifying and mitigating risks related to activities consumers choose to undertake.
- Met (3)(e) — Clinical governance framework, including antimicrobial stewardship and open disclosure, is compliant.
Risks: Ineffective risk management systems in supporting consumers to live the best life they can with risks not identified or mitigated.
Recommendations: Review the organization’s risk management processes in relation to supporting consumers to live the best life they can.
Generated by qwen2.5:32b on 12 June 2026 from the published Performance Report. AI output — may contain errors; verify against the source document and the official findings above.
- Site audit Performance Report
A site audit was conducted with this service on 20 June 2023 to 22 June 2023. 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 15 March 2023. 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 05 July 2022 to 06 July 2022. 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 16 December 2021. 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 06 July 2021 to 08 July 2021, the Commission made a decision on 10 September 2021 to re-accredit this service. The period of accreditation of the service will expire on 10 September 2023.
source ↗ - Site audit Performance Report
A site audit was conducted with this service on 06 July 2021 to 08 July 2021. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.
source ↗ - Assessment contact Performance Report
An assessment contact was conducted with this service on 12 January 2021 to 13 January 2021. 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 25 August 2020 to 27 August 2020, the Commission made a decision on 19 October 2020 to re-accredit this service. The period of accreditation of the service will expire on 23 November 2021.
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 23 May 2021.
source ↗ - Site audit Performance Report
A site audit was conducted with this service on 25 August 2020 to 27 August 2020. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.
source ↗ - Assessment contact Performance Report
An assessment contact was conducted with this service on 10 July 2020. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.
source ↗ - Non-compliance update
Following an assessment contact conducted on 16 March 2020, the Commission made a decision that the approved provider of the service is non-compliant with four 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 three years until 23 November 2020.
source ↗ - Assessment
Following an audit we decided that this home met 43 of the 44 expected outcomes of the Accreditation Standards and would be accredited for three years until 23 November 2017.
source ↗ - Assessmentsource ↗
Regulatory actions
0 recorded
No regulatory actions recorded.