AnglicareSA Westbourne Park
activeOverview
Location
Colonel Light Gardens (SA2)
56 Monmouth Road, WESTBOURNE PARK, SA, 5041
Star ratings
Latest — May 2026
Compliance findings
11 recorded
| Date | Type | Requirement | Severity | Finding | Status |
|---|---|---|---|---|---|
| 21 June 2024 | Site Audit | – | – | Human resources | Compliant |
| 21 June 2024 | Site Audit | – | – | Organisational governance | Compliant |
| 21 June 2024 | Site Audit | – | – | Consumer dignity and choice | Compliant |
| 21 June 2024 | Site Audit | – | – | Ongoing assessment and planning with consumers | Compliant |
| 21 June 2024 | Site Audit | – | – | Personal care and clinical care | Compliant |
| 21 June 2024 | Site Audit | – | – | Services and supports for daily living | Compliant |
| 21 June 2024 | Site Audit | – | – | Organisation’s service environment | Compliant |
| 21 June 2024 | Site Audit | – | – | Feedback and complaints | Compliant |
| 12 Dec 2023 | Assessment contact (performance assessment) – site | – | – | Personal care and clinical care | Not applicable |
| 06 Sept 2023 | Assessment Contact - Site | – | – | Human resources | Not applicable |
| 06 Sept 2023 | Assessment Contact - Site | – | – | Personal care and clinical care | Non-compliant |
Accreditation & assessment timeline
14 events · AI report insights nested where analysed
- Accreditation decision
Following a site audit conducted on 14/05/2024 to 16/05/2024, the Commission made a decision on 21/06/2024 to re-accredit this service. The period of accreditation of the service will expire on 13/08/2027
source ↗ - Site Auditsource ↗
- Site audit Performance Report
A site audit was conducted with this service on 14/05/2024 to 16/05/2024. 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 13 November 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 performance report for AnglicareSA Westbourne Park highlights non-compliance with Standard 3 Personal care and clinical care due to ineffective management of high impact or high prevalence risks, particularly behaviors and weight loss. Compliance was found in Standard 7 Human resources regarding workforce planning and deployment. The provider has acknowledged the identified deficits and implemented action plans to address these issues.
Standard 3 Personal care and clinical careNon-compliant
The service was unable to demonstrate effective management of high impact or high prevalence risks associated with consumer care, specifically behaviors, restrictive practices, and weight loss.
- Not met (3)(b) Ensure consumers’ high impact or high prevalence risks are effectively managed, including risks associated with behaviours and weight loss. — The service was unable to demonstrate effective management of high impact or high prevalence risks. For Consumers A and B, staff did not trial non-pharmacological strategies prior to administering psychotropic medications on multiple occasions. For Consumer C, there was no evidence of timely updates in care documentation for weight loss.
Risks: Use of psychotropic medications without first trialling non-pharmalogical strategies.; Ineffective management of consumer behaviors and restrictive practices.; Ongoing weight loss without effective intervention or review.
Recommendations: Update the behavior management organizational policy and procedure to include guidance for staff in developing BSPs.; Distribute and ratify updated restrictive practices procedures and work instructions.; Provide education around behavior management and restrictive practices to all clinical staff.; Develop a BSP review schedule and update BSPs with individualized strategies.; Discuss the use of psychotropic medications with consumer families.; Implement changes in processes for weight reviews, including monthly weights.
Standard 7 Human resourcesCompliant
Consumers were satisfied that there were enough staff and the right mix to deliver care and services. Documentation confirmed call bells are responded to promptly and monitored by management.
- Met (3)(a) The workforce is planned to enable, and the number and mix of members of the workforce deployed enables, the delivery and management of safe and quality care and services. — Consumers confirmed they do not have to wait long for staff assistance. Documentation showed call bells are responded to in a timely manner and monitored by management. Staff had enough support on each shift.
Standard 1, Standard 2, Standard 4, Standard 5, Standard 6, Standard 8Not applicable
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.
- Assessment contact Performance Report
An assessment contact was conducted with this service on 31 July 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 14 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 21 June 2021 to 23 June 2021, the Commission made a decision on 13 August 2021 to re-accredit this service. The period of accreditation of the service will expire on 13 August 2024.
source ↗ - Site audit Performance Report
A site audit was conducted with this service on 21 June 2021 to 23 June 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 27 November 2021. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
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 27 May 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 27 May 2018.
source ↗ - Assessmentsource ↗
Regulatory actions
0 recorded
No regulatory actions recorded.