Anglicare Brian King Gardens

1 Hilliard Drive, CASTLE HILL, NSW, 2154

1. Accreditation decisionNov 17, 2023

   Following a site audit conducted on 09 October 2023 to 12 October 2023, the Commission made a decision on 17 November 2023 to re-accredit this service. The period of accreditation of the service will expire on 23 December 2026.

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2. Site AuditNov 16, 2023

   Prepared by P. Golledge

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3. Site audit Performance ReportOct 12, 2023

   A site audit was conducted with this service on 09 October 2023 to 12 October 2023. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

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4. Assessment Contact - SiteDec 21, 2022

   Prepared by Katrina Platt

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   AI report insightsAI-extracted · qwen2.5:32b

   The performance report for Anglicare Brian King Gardens highlights non-compliance in Standards 1, 2, 3, and 7 due to issues such as insufficient acknowledgment of consumer identity and diversity, lack of partnership in care planning, delays in identifying deterioration, poor communication about health changes, and staff shortages impacting care provision. Compliance was found in Standards 4, 5, and 6 with improvements noted in areas like services for daily living, the service environment, and feedback management.

   1Non-compliant

   The service is non-compliant with requirement 1(3)(a) as consumers reported a lack of acknowledgment of their identity, life experience and diversity by staff.

   • Not met 1(3)(a) — Consumers described a lack of connection with staff who were sometimes uninterested in learning about their life histories.
   • Met 1(3)(b) — Staff delivered care which made consumers feel safe, comfortable and inclusive of their cultural identity.
   • Met 1(3)(d) — Consumers were supported to take risks to enable them to live the best life they can.

   Recommendations: Improve workplace culture following recruitment of new staff and reduction in agency staff.; Ensure all consumer profiles include preferences, likes, dislikes, key relationships, daily routine and current and future wishes.

   2Non-compliant

   The service is non-compliant with requirement 2(3)(c) as consumers reported not being engaged as partners in the ongoing assessment and planning of care.

   • Met 2(3)(a) — Consumers were involved in consumer care on entry to the service.
   • Met 2(3)(b) — Care plans included advance care planning and end of life planning if the consumer wished.
   • Not met 2(3)(c) — Consumers felt there were no partnerships, with most care needs managed at their own initiation.
   • Met 2(3)(d) — Care and services plans are readily available to consumers and documented effectively.
   • Met 2(3)(e) — Reviews of care and services were conducted regularly for effectiveness, and when circumstances changed or incidents impacted on the needs, goals or preferences of the consumer.

   Recommendations: Ensure ongoing partnership with consumers in assessment and planning.; Involve other organizations and individuals involved in care in the assessment process.

   3Non-compliant

   The service is non-compliant with requirements 3(3)(d) and 3(3)(e) as there were delays in identifying consumer deterioration and poor communication about changes in health.

   • Met 3(3)(a) — Personal care and clinical care was best practice, tailored to needs, and optimized consumer health.
   • Met 3(3)(b) — High-impact or high-prevalence risks were effectively recorded and managed for falls, skin integrity, pressure injuries, and behavior management.
   • Met 3(3)(c) — Needs, goals, and preferences of consumers nearing the end of life were recognized and addressed.
   • Not met 3(3)(d) — Delays occurred in identifying consumer deterioration and medical officer review requests.
   • Not met 3(3)(e) — Communication about changes in health was inconsistent among staff.
   • Met 3(3)(f) — Timely and appropriate referrals were made to allied health professionals, medical specialists, and others.

   Recommendations: Improve recognition and responsiveness to deterioration or changes in a consumer’s mental health, cognitive or physical function.; Enhance communication systems for timely sharing of information about the condition, needs, and preferences of consumers.

   4Compliant

   The service is compliant with all requirements as services and supports for daily living meet consumer needs, goals, and preferences.

   • Met 4(3)(a) — Services and supports met the consumer’s needs, goals, and preferences.
   • Met 4(3)(b) — Emotional, spiritual, and psychological well-being was promoted through various activities.
   • Met 4(3)(c) — Consumers were supported to participate in community activities both inside and outside the service environment.
   • Met 4(3)(d) — Information about consumer conditions, needs, and preferences was communicated within the organization.
   • Met 4(3)(e) — Timely and appropriate referrals were made to other organizations and providers of care and services.
   • Met 4(3)(f) — Meals provided were varied, suitable in quality and quantity.
   • Met 4(3)(g) — Equipment was safe, clean, well-maintained, and suitable for the consumer.

   5Compliant

   The service is compliant with all requirements as the environment is welcoming, safe, clean, and enables consumers to move freely.

   • Met 5(3)(a) — Consumer rooms were decorated for easy identification and facilities like a chapel and café were available.
   • Met 5(3)(b) — The service environment was safe, clean, well-maintained, and comfortable.
   • Met 5(3)(c) — Furniture, fittings, and equipment were clean and well-maintained.

   6Not applicable

   The service is compliant with all requirements as consumers are encouraged to provide feedback and complaints.

   • Met 6(3)(a) — Consumers were encouraged and supported to provide feedback and make complaints.
   • Met 6(3)(c) — Appropriate action was taken in response to complaints, using an open disclosure process.
   • Met 6(3)(d) — Feedback and complaints were reviewed and used to improve the quality of care and services.

   7Non-compliant

   The service is non-compliant with requirement 7(3)(a) as staff shortages impacted consumer care provision.

   • Not met 7(3)(a) — Staff were overworked and had insufficient time to effectively meet consumer needs.
   • Met 7(3)(d) — The workforce was recruited, trained, equipped, and supported to deliver the outcomes required by these standards.
   • Met 7(3)(e) — Regular assessment, monitoring, and review of staff performance were undertaken.

   Recommendations: Recruit key management and suitably qualified care and clinical staff.; Reduce agency staff hours to ensure appropriate staffing levels.

   8Not applicable

   The service is compliant with all requirements as governance systems are effective in managing risks, feedback, and complaints.

   • Met 8(3)(c) — Effective organization-wide governance systems were in place.
   • Met 8(3)(d) — Risk management systems and practices were effective, including managing high-impact or high-prevalence risks.
   • Met 8(3)(e) — A clinical governance framework was in place with antimicrobial stewardship principles applied.

   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.

5. Assessment contact Performance ReportNov 10, 2022

   An assessment contact was conducted with this service on 08 November 2022 to 10 November 2022. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

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6. Accreditation decisionApr 13, 2022

   Following a site audit conducted on 08 March 2022 to 11 March 2022, the Commission made a decision on 13 April 2022 to re-accredit this service. The period of accreditation of the service will expire on 23 December 2023.

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7. Site audit Performance ReportMar 11, 2022

   A site audit was conducted with this service on 08 March 2022 to 11 March 2022. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

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8. Assessment contact Performance ReportFeb 11, 2021

   An assessment contact was conducted with this service on 11 February 2021. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

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9. Assessment contact Performance ReportJul 13, 2020

   An assessment contact was conducted with this service on 13 July 2020. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

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10. AssessmentApr 12, 2019

    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 23 June 2022.

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11. AssessmentJul 10, 2015

    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 September 2018. This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 23 June 2019. The reconsideration decision and audit report is attached.

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12. AssessmentJul 10, 2015

    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 September 2018.

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13. AssessmentJul 13, 2012
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14. AssessmentJul 10, 2009
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No regulatory actions recorded.