Balranald Retirement Hostel

24 Mayall Street, BALRANALD, NSW, 2715

1. Accreditation decisionMar 27, 2023

   Following a site audit conducted on 07 February 2023 to 09 February 2023, the Commission made a decision on 27 March 2023 to re-accredit this service. The period of accreditation of the service will expire on 18 June 2026.

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2. Site AuditMar 27, 2023

   Prepared by M. Nassif

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

   Balranald Retirement Hostel is compliant with most Aged Care Quality Standards. However, it was found non-compliant in Standard 2 regarding ongoing assessment and planning for consumers, particularly new ones, due to incomplete assessments and planning documents.

   Standard 1 Consumer dignity and choiceCompliant

   Consumers are treated with dignity, respect, and cultural safety; staff support consumers' choices and independence.

   • Met 1(3)(a) — Staff valued the identity, culture, and diversity of consumers.
   • Met 1(3)(b) — Consumers felt safe and comfortable with their cultural practices respected.
   • Met 1(3)(c) — Staff supported consumers to make decisions about care and maintain relationships of choice.
   • Met 1(3)(d) — Consumers were supported to take risks for well-being.
   • Met 1(3)(e) — Information was communicated clearly and timely to consumers.
   • Met 1(3)(f) — Privacy of personal information was respected by staff.

   Standard 2 Ongoing assessment and planning with consumersNon-compliant

   The service is non-compliant in ensuring ongoing assessments are completed for all consumers, particularly new ones.

   • Not met 2(3)(a) — Assessments and planning documents were incomplete for some new consumers.
   • Met 2(3)(b) — Advance care plans are included in admission packs and discussed with consumers.
   • Met 2(3)(c) — Consumers were actively involved in assessment and planning processes.
   • Met 2(3)(d) — Care plans are individualised and outcomes communicated effectively to consumers.
   • Met 2(3)(e) — Reviews of care were conducted regularly when circumstances changed.

   Risks: Incomplete assessments for new consumers could lead to inadequate guidance for staff in delivering safe and effective care.

   Recommendations: Complete outstanding assessments and ensure they are reviewed by a medical officer.; Recruit additional Registered Nurses and conduct independent audits.

   Standard 3 Personal care and clinical careCompliant

   Consumers receive safe, effective, and tailored personal and clinical care that supports their health and well-being.

   • Met 3(3)(a) — Care is consistent with consumers' needs and preferences.
   • Met 3(3)(b) — High impact risks are effectively managed.
   • Met 3(3)(c) — End-of-life care maximizes comfort and preserves dignity.
   • Met 3(3)(d) — Deterioration in health is recognized and responded to promptly.
   • Met 3(3)(e) — Information about condition, needs, and preferences is documented and communicated.
   • Met 3(3)(f) — Referrals are timely and appropriate.
   • Met 3(3)(g) — Infection control measures are in place.

   Standard 4 Services and supports for daily livingCompliant

   Services and supports meet consumers' needs, goals, and preferences, promoting independence and well-being.

   • Met 4(3)(a) — Daily services support consumer's independence.
   • Met 4(3)(b) — Services promote emotional and psychological well-being.
   • Met 4(3)(c) — Consumers can participate in community activities and maintain relationships.
   • Met 4(3)(d) — Information about condition, needs, and preferences is communicated effectively.
   • Met 4(3)(e) — Referrals are timely and appropriate.
   • Met 4(3)(f) — Meals are varied and of suitable quality and quantity.
   • Met 4(3)(g) — Equipment is safe, clean, and well maintained.

   Standard 5 Organisation’s service environmentCompliant

   The service environment is welcoming, safe, clean, and enables consumers to move freely.

   • Met 5(3)(a) — Environment supports a sense of belonging and independence.
   • Met 5(3)(b) — Service is safe, clean, well maintained, and enables free movement.
   • Met 5(3)(c) — Furniture and equipment are safe, clean, and suitable.

   Standard 6 Feedback and complaintsCompliant

   Consumers are encouraged to provide feedback and make complaints; the service responds appropriately.

   • Met 6(3)(a) — Feedback and complaint processes are accessible.
   • Met 6(3)(b) — Consumers know about advocacy services and other methods for raising complaints.
   • Met 6(3)(c) — Complaints lead to appropriate actions and open disclosure when necessary.
   • Met 6(3)(d) — Feedback is used to improve care and services.

   Standard 7 Human resourcesCompliant

   The workforce is planned, competent, trained, and supported to deliver safe and quality care.

   • Met 7(3)(a) — Workforce planning ensures delivery of safe and effective care.
   • Met 7(3)(b) — Staff interactions are respectful and caring.
   • Met 7(3)(c) — Staff have the qualifications and knowledge to perform their roles effectively.
   • Met 7(3)(d) — Workforce is recruited, trained, equipped, and supported appropriately.
   • Met 7(3)(e) — Performance of staff is regularly assessed and reviewed.

   Standard 8 Organisational governanceCompliant

   Consumers are engaged in care development; the governing body promotes quality care and effective risk management.

   • Met 8(3)(a) — Consumers engage in care development and evaluation.
   • Met 8(3)(b) — Governing body promotes safe and quality care.
   • Met 8(3)(c) — Effective governance systems are in place for information management, continuous improvement, etc.
   • Met 8(3)(d) — Risk management systems effectively manage high impact risks and prevent incidents.
   • Met 8(3)(e) — Clinical governance framework ensures quality clinical care.

   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.

3. Site audit Performance ReportFeb 9, 2023

   A site audit was conducted with this service on 07 February 2023 to 09 February 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. Accreditation decisionJun 18, 2021

   Following a site audit conducted on 18 May 2021 to 20 May 2021, the Commission made a decision on 18 June 2021 to re-accredit this service. The period of accreditation of the service will expire on 18 June 2023.

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5. Site audit Performance ReportMay 20, 2021

   A site audit was conducted with this service on 18 May 2021 to 20 May 2021. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

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6. Exceptional CircumstancesFeb 18, 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 01 September 2021. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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7. Exceptional CircumstancesJul 20, 2020

   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 March 2021. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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8. AssessmentJun 7, 2017

   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 31 August 2020.

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9. AssessmentJun 18, 2014

   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 31 August 2017.

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No regulatory actions recorded.