Calvary Millward

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ResidentialCalvary Aged Care LimitedSite ARCH-04028Service calvary aged care limited::calvary millward::doncaster east::3109

Overview

Care typeResidential
Operational places163
RegionDoncaster East - South (SA2)

Location

Doncaster East - South (SA2)

31 Blackburn Road, DONCASTER EAST, VIC, 3109

Star ratings

Latest — May 2026

May 2023 — 3Aug 2023 — 3Dec 2023 — 3Feb 2024 — 3May 2024 — 3Jul 2024 — 3Nov 2024 — 3Jan 2025 — 3May 2025 — 3Overall
Compliance
Quality measures2
Residents' experience3
Staffing4
Ratings over time (13 periods)
PeriodOverallComplianceQualityExperienceStaffing
May 2026234
Feb 20263
Oct 2025
Aug 2025
May 202535122
Jan 202535222
Nov 202434132
Jul 202434132
May 202434332
Feb 202434331
Dec 202334231
Aug 202334331
May 202334331

Compliance findings

8 recorded

DateTypeRequirementSeverityFindingStatus
23 Apr 2024Site AuditConsumer dignity and choiceCompliant
23 Apr 2024Site AuditOngoing assessment and planning with consumersCompliant
23 Apr 2024Site AuditPersonal care and clinical careCompliant
23 Apr 2024Site AuditServices and supports for daily livingCompliant
23 Apr 2024Site AuditOrganisation’s service environmentCompliant
23 Apr 2024Site AuditFeedback and complaintsCompliant
23 Apr 2024Site AuditHuman resourcesCompliant
23 Apr 2024Site AuditOrganisational governanceCompliant

Accreditation & assessment timeline

13 events

  1. Accreditation decision

    Following a site audit conducted on 12 March 2024 to 15 March 2024, the Commission made a decision on 23 April 2024 to re-accredit this service. The period of accreditation of the service will expire on 30 June 2027.

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  2. Site Audit

    Prepared by P. Wallner

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  3. Site audit Performance Report

    A site audit was conducted with this service on 12 March 2024 to 15 March 2024. 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 Report

    An assessment contact was conducted with this service on 01 December 2021. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

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  5. Accreditation decision

    Following a site audit conducted on 12 May 2021 to 14 May 2021, the Commission made a decision on 30 June 2021 to re-accredit this service. The period of accreditation of the service will expire on 30 June 2024.

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  6. Site audit Performance Report

    A site audit was conducted with this service on 12 May 2021 to 14 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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  7. 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 17 September 2021. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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  8. 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 17 March 2021.

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  9. Compliance update

    Following an assessment contact conducted on 24 June 2020, the Commission made a decision that improvements have been made to the service to ensure that the Aged Care Quality Standards are complied with.

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  10. Non-compliance update

    Following an assessment contact conducted on 16 December 2019, the Commission made a decision on 6 January 2020 that the approved provider of the service is non-compliant with one requirement of the Quality Standards.

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  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 17 September 2020.

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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 17 September 2017.

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  13. Assessment
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Regulatory actions

0 recorded

No regulatory actions recorded.