Baptistcare Gracewood
activeOverview
Location
Manning - Waterford (SA2)
20 Roebuck Drive, SALTER POINT, WA, 6152
Star ratings
Latest — May 2026
Compliance findings
12 recorded
| Date | Type | Requirement | Severity | Finding | Status |
|---|---|---|---|---|---|
| 17 Dec 2024 | Site Audit | – | – | Consumer dignity and choice | Compliant |
| 17 Dec 2024 | Site Audit | – | – | Ongoing assessment and planning with consumers Not | Compliant |
| 17 Dec 2024 | Site Audit | – | – | Personal care and clinical care Not | Compliant |
| 17 Dec 2024 | Site Audit | – | – | Services and supports for daily living | Compliant |
| 17 Dec 2024 | Site Audit | – | – | Organisation’s service environment | Compliant |
| 17 Dec 2024 | Site Audit | – | – | Feedback and complaints | Compliant |
| 17 Dec 2024 | Site Audit | – | – | Human resources | Compliant |
| 17 Dec 2024 | Site Audit | – | – | Organisational governance | Compliant |
| 29 May 2024 | Assessment contact (performance assessment) – site | – | – | Organisation’s service environment Not | Compliant |
| 31 Aug 2023 | Assessment Contact - Site | – | – | Personal care and clinical care | Not applicable |
| 31 Aug 2023 | Assessment Contact - Site | – | – | Organisation’s service environment | Non-compliant |
| 31 Aug 2023 | Assessment Contact - Site | – | – | Organisational governance | Not applicable |
Accreditation & assessment timeline
14 events · AI report insights nested where analysed
- Accreditation decision
Following a site audit conducted on 12/11/2024 to 14/11/2024, the Commission made a decision on 19/12/2024 to re-accredit this service. The period of accreditation of the service will expire on 17/03/2028.
source ↗ - Site Auditsource ↗
- Site audit Performance Report
A site audit was conducted with this service on 12/11/2024 to 14/11/2024. 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 02 May 2024. 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 report assesses Baptistcare Gracewood against the Aged Care Quality Standards. Standard 3 Personal care and clinical care, and Standard 8 Organisational governance were found to be compliant in some requirements but not all have been assessed. Standard 5 Organisation’s service environment was non-compliant due to issues with the memory support unit's safety, cleanliness, and maintenance.
Standard 3 Personal care and clinical careCompliant
The service demonstrated effective management of high-impact or high-prevalence risks associated with the care of each consumer.
- Met (3)(b) Effective management of high impact or high prevalence risks associated with the care of each consumer. — Two consumers and one representative were satisfied clinical risks were being effectively managed, including in relation to risks associated with swallowing, pain and pressure injuries. Staff provided examples of how they identify consumers’ high-impact or high-prevalence risks and relevant policies and procedures to support them.
Standard 5 Organisation’s service environmentNon-compliant
The service was unable to demonstrate the memory support unit was safe, clean and well maintained.
- Not met (3)(b) The service environment: is safe, clean, well maintained and comfortable; and enables consumers to move freely, both indoors and outdoors. — Paint was peeling or scuffed. A gap of approximately 30cm along three corridors exposed electrical and plumbing fittings. Carpet was soiled with a malodour near two consumers’ rooms with long threads posing a trip hazard.
Risks: Trip hazards posed by the floor coverings, malodour and soiling potentially impacting on consumer comfort and safety.
Recommendations: Review monitoring processes to ensure the service environment is safe, clean and well maintained.; Ensure staff have skills and knowledge to report maintenance tasks posing risks to consumers’ health and well-being.; Prioritize and address deficits identified in the Assessment Team’s report.
Standard 8 Organisational governanceCompliant
The service demonstrated effective risk management systems and practices, including managing high-impact or high-prevalence risks associated with care of consumers.
- Met (3)(d) Effective risk management systems and practices, including but not limited to the following: managing high impact or high prevalence risks associated with the care of consumers; identifying and responding to abuse and neglect of consumers; supporting consumers to live the best life they can managing and preventing incidents, including the use of an incident management system. — Validated risk screening tools are used. High-impact or high-prevalence risks were identified for sampled consumers. SIRS register showed effective incident responding and reporting.
Standard 3 Personal care and clinical careNot applicable as not all requirements have been assessed
Standard 8 Organisational governanceNot applicable as not all requirements have been assessed
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 27 July 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 10 January 2022 to 12 January 2022, the Commission made a decision on 17 March 2022 to re-accredit this service. The period of accreditation of the service will expire on 17 March 2025.
source ↗ - Site audit Performance Report
A site audit was conducted with this service on 10 January 2022 to 12 January 2022. 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 22 May 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.
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 22 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 22 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 22 May 2018.
source ↗ - Assessmentsource ↗
Regulatory actions
0 recorded
No regulatory actions recorded.