Arcare Kanwal

2 Pearce Road, KANWAL, NSW, 2259

1. Accreditation decisionMar 13, 2025

   Following a site audit conducted on 04/02/2025 to 06/02/2025, the Commission made a decision on 13/03/2025 to re-accredit this service. The period of accreditation of the service will expire on 25/05/2028.

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2. Site AuditMar 13, 2025

   Prepared by J Durston

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3. Site audit Performance ReportFeb 6, 2025

   A site audit was conducted with this service on 04/02/2025 to 06/02/2025. 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 (performance assessment) – siteMay 15, 2024

   Prepared by Katrina Platt

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5. Assessment contact Performance ReportApr 23, 2024

   An assessment contact was conducted with this service on 23 April 2024. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

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6. Assessment contact (performance assessment) – siteDec 7, 2023

   Prepared by Therese Solomon

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7. Assessment contact Performance ReportNov 9, 2023

   An assessment contact was conducted with this service on 08 November 2023 to 09 November 2023. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

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8. Accreditation decisionNov 25, 2022

   Following a site audit conducted on 14 September 2022 to 16 September 2022, the Commission made a decision on 25 November 2022 to re-accredit this service. The period of accreditation of the service will expire on 25 May 2025.

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9. Site AuditNov 25, 2022

   Prepared by James Howard

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

   The performance report for Arcare Kanwal highlights non-compliance with Standards 1 (Consumer dignity and choice), 2 (Ongoing assessment and planning with consumers), 3 (Personal care and clinical care), and 7 (Human resources). The service demonstrated compliance in Standards 4, 5, 6, and 8. Areas for improvement include ensuring each consumer is treated with dignity and respect, addressing current needs through ongoing assessments, providing safe and effective personal and clinical care, and planning the workforce to enable quality care delivery.

   Standard 1 Consumer dignity and choiceNon-compliant

   The service did not demonstrate that each consumer was treated with dignity and respect, with their identity, culture and diversity valued.

   • Not met Requirement 1(3)(a) — The Assessment Team observed a consumer in another consumer’s room wearing only underwear. Staff walked the consumer back to their room through communal areas while they were still undressed. Interactions with consumers were undignified and disrespectful, including staff intentionally placing call bells out of reach.
   • Met Requirement 1(3)(b) — Consumers from culturally diverse backgrounds confirmed that their cultures were respected and valued by the service.

   Risks: Consumers felt undignified and disrespected, with some staff intentionally placing call bells out of reach to prevent consumers from pressing them.

   Recommendations: The Approved Provider is taking action to address issues identified in the site audit report. Management acknowledged the issues and sent communication reinforcing respect and privacy for consumers.

   Standard 2 Ongoing assessment and planning with consumersNon-compliant

   The service could not demonstrate that assessment and planning identified and addressed the consumer’s current needs, goals, and preferences.

   • Not met Requirement 2(3)(b) — A consumer indicated their care needs were not being met, including a request for an air mattress to reduce the development of pressure sores and additional assistance with social activities.

   Risks: Consumers' current needs, goals, and preferences were not consistently addressed in assessment and planning processes.

   Recommendations: The Approved Provider is taking action to address issues identified by conducting case conferences with consumers and their representatives.

   Standard 3 Personal care and clinical careNon-compliant

   The service did not demonstrate that each consumer received safe and effective personal and clinical care tailored to their needs.

   • Not met Requirement 3(3)(a) — Consumers expressed concerns about wound care, unmet clinical care needs, and insufficient staffing levels affecting their quality of life.

   Risks: Unmet personal and clinical care needs affected consumers' health and well-being.

   Recommendations: The Approved Provider is taking action to address issues by conducting case conferences with consumers and arranging necessary referrals and equipment.

   Standard 4 Services and supports for daily livingCompliant

   Consumers were satisfied they received services that met their needs, goals, and preferences.

   Standard 5 Organisation’s service environmentCompliant

   The service environment was clean, safe, well-maintained, and comfortable for consumers.

   Standard 6 Feedback and complaintsCompliant

   Consumers were encouraged to provide feedback and make complaints, with appropriate actions taken in response.

   Standard 7 Human resourcesNon-compliant

   The service could not demonstrate that the workforce was planned to enable safe and quality care delivery.

   • Not met Requirement 7(3)(a) — Consumers, representatives, and staff provided feedback about insufficient staffing levels affecting call bell response times and care delivery.

   Risks: Insufficient staffing impacted the quality of care delivered to consumers.

   Recommendations: The Approved Provider is taking action by planning ongoing recruitment meetings with HR and providing mentoring and coaching for staff.

   Standard 8 Organisational governanceCompliant

   Consumers were engaged in the development, delivery, and evaluation of care services.

   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.

10. Exceptional CircumstancesOct 28, 2022

    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 25 May 2023 The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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11. Site audit Performance ReportSep 16, 2022

    A site audit was conducted with this service on 14 September 2022 to 16 September 2022. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

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12. Exceptional CircumstancesApr 29, 2022

    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 25 November 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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13. Exceptional CircumstancesOct 27, 2021

    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 25 May 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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14. AssessmentAug 22, 2018

    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 25 November 2021.

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15. AssessmentSep 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 25 November 2018.

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16. AssessmentSep 19, 2013
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17. AssessmentOct 19, 2012
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No regulatory actions recorded.