Calvary Brighton-Le-Sands

active
ResidentialCalvary Aged Care LimitedSite ARCH-04010Service calvary aged care limited::calvary brighton-le-sands::brighton le sands::2216

Overview

Care typeResidential
Operational places85
RegionMonterey - Brighton-le-Sands - Kyeemagh (SA2)

Location

Monterey - Brighton-le-Sands - Kyeemagh (SA2)

2 Reading Road, BRIGHTON LE SANDS, NSW, 2216

Star ratings

Latest — May 2026

May 2023 — 3Aug 2023 — 3Dec 2023 — 3Feb 2024 — 3May 2024 — 3Jul 2024 — 3Nov 2024 — 3Jan 2025 — 4May 2025 — 4Overall
Compliance
Quality measures3
Residents' experience
Staffing3
Ratings over time (13 periods)
PeriodOverallComplianceQualityExperienceStaffing
May 202633
Feb 2026
Oct 2025
Aug 2025
May 202545432
Jan 202545432
Nov 202434432
Jul 202434332
May 202434432
Feb 202434532
Dec 202334532
Aug 202334532
May 202334531

Compliance findings

8 recorded

DateTypeRequirementSeverityFindingStatus
20 Mar 2023Site AuditConsumer dignity and choiceCompliant
20 Mar 2023Site AuditOngoing assessment and planning with consumersCompliant
20 Mar 2023Site AuditPersonal care and clinical careCompliant
20 Mar 2023Site AuditServices and supports for daily livingCompliant
20 Mar 2023Site AuditOrganisation’s service environmentCompliant
20 Mar 2023Site AuditFeedback and complaintsCompliant
20 Mar 2023Site AuditHuman resourcesCompliant
20 Mar 2023Site AuditOrganisational governanceCompliant

Accreditation & assessment timeline

14 events

  1. Accreditation decision

    Following a site audit conducted on 11 January 2023 to 13 January 2023, the Commission made a decision on 20 March 2023 to re-accredit this service. The period of accreditation of the service will expire on 20 March 2026.

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  2. Site Audit

    Prepared by M Dubovinsky

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  3. Site audit Performance Report

    A site audit was conducted with this service on 11 January 2023 to 13 January 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. 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 22 June 2023. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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

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  6. Assessment contact Performance Report

    An assessment contact was conducted with this service on 04 December 2020. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

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  7. Assessment contact Performance Report

    An assessment contact was conducted with this service on 25 October 2021. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

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  8. Assessment

    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 22 June 2022.

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  9. 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 one year until 22 June 2019.

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  10. Serious risk decision

    On 8 December 2017 a delegate of the CEO of the Australian Aged Care Quality Agency made a decision that Jenny-Lynn Aged Care Centre Pty Ltd failed to meet one of more expected outcomes in the Accreditation Standards in relation to Jenny-Lyn Nursing Home and that this failure has placed, or may place, the safety, health or wellbeing of a care recipient of the service at serious risk. The Department of Health has been notified of the risk. The Quality Agency will continue to monitor the performance of the service including through unannounced visits.

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  11. Assessment

    Following an audit we decided that this home met 32 of the 44 expected outcomes of the Accreditation Standards. We decided to vary this home’s accreditation period. This home is now accredited until 22 June 2018.

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  12. 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 10 August 2018.

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  13. Assessment
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  14. Assessment
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Regulatory actions

0 recorded

No regulatory actions recorded.