Calvary Henley Manor

active
ResidentialCalvary Aged Care LimitedSite ARCH-03992Service calvary aged care limited::calvary henley manor::doonside::2767

Overview

Care typeResidential
Operational places55
RegionDoonside - Woodcroft (SA2)

Location

Doonside - Woodcroft (SA2)

84 Earle Street, DOONSIDE, NSW, 2767

Star ratings

Latest — May 2026

May 2023 — 4Aug 2023 — 4Dec 2023 — 4Feb 2024 — 4May 2024 — 4Jul 2024 — 3Nov 2024 — 4Jan 2025 — 4May 2025 — 4Overall
Compliance
Quality measures5
Residents' experience5
Staffing4
Ratings over time (13 periods)
PeriodOverallComplianceQualityExperienceStaffing
May 2026554
Feb 20265
Oct 2025
Aug 2025
May 202545432
Jan 202545532
Nov 202445433
Jul 202435332
May 202445432
Feb 202445532
Dec 202345533
Aug 202345533
May 202345534

Compliance findings

8 recorded

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

Accreditation & assessment timeline

12 events

  1. Accreditation decision

    Following a site audit conducted on 05 December 2022 to 07 December 2022, the Commission made a decision on 19 January 2023 to re-accredit this service. The period of accreditation of the service will expire on 19 January 2026.

    source ↗
  2. Site Audit

    Prepared by K. Spurrell

    source ↗
  3. Site audit Performance Report

    A site audit was conducted with this service on 05 December 2022 to 07 December 2022. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

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

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

    source ↗
  6. Assessment contact Performance Report

    An assessment contact was conducted with this service on 11 December 2020. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

    source ↗
  7. 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 26 May 2022.

    source ↗
  8. 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 26 May 2019.

    source ↗
  9. Serious risk decision

    On 9 February 2018 a delegate of the CEO of the Australian Aged Care Quality Agency made a decision that Doonside Aged Care Centre Pty Ltd failed to meet one of more expected outcomes in the Accreditation Standards in relation to Henley Manor 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.

    source ↗
  10. Assessment

    Decision to revoke accreditation Following a review audit conducted on 25 January 2018 to 5 February 2018, a delegate of the CEO of the Australian Aged Care Quality Agency made a decision on 3 April 2018 to revoke accreditation of this service. The period of accreditation of the service will expire on 26 May 2018. The approved provider of the service, Doonside Aged Care Centre Pty Ltd meets 8 of the 44 expected outcomes of the Accreditation Standards. The Review Audit Report is attached.

    source ↗
  11. 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 20 November 2018.

    source ↗
  12. Assessment
    source ↗

Regulatory actions

0 recorded

No regulatory actions recorded.