Calvary Mt Carmel Retirement Community

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ResidentialCalvary Aged Care LimitedSite ARCH-04006Service calvary aged care limited::calvary mt carmel retirement community::maitland::2320

Overview

Care typeResidential
Operational places41
RegionMaitland (SA2)

Location

Maitland (SA2)

9 Dwyer Street, MAITLAND, NSW, 2320

Star ratings

Latest — May 2026

May 2023 — 3Aug 2023 — 3Dec 2023 — 4Feb 2024 — 4May 2024 — 4Jul 2024 — 4Nov 2024 — 4Jan 2025 — 4May 2025 — 3Overall
Compliance
Quality measures2
Residents' experience
Staffing3
Ratings over time (13 periods)
PeriodOverallComplianceQualityExperienceStaffing
May 202623
Feb 2026
Oct 2025
Aug 2025
May 202535142
Jan 202545343
Nov 202445343
Jul 202445243
May 202445243
Feb 202445343
Dec 202345343
Aug 202335232
May 202335231

Compliance findings

8 recorded

DateTypeRequirementSeverityFindingStatus
25 Nov 2022Site AuditConsumer dignity and choiceCompliant
25 Nov 2022Site AuditOngoing assessment and planning with consumersCompliant
25 Nov 2022Site AuditPersonal care and clinical careCompliant
25 Nov 2022Site AuditServices and supports for daily livingCompliant
25 Nov 2022Site AuditOrganisation’s service environmentCompliant
25 Nov 2022Site AuditFeedback and complaintsCompliant
25 Nov 2022Site AuditHuman resourcesCompliant
25 Nov 2022Site AuditOrganisational governanceCompliant

Accreditation & assessment timeline

10 events

  1. Accreditation decision

    Following a site audit conducted on 26 September 2022 to 28 September 2022, the Commission made a decision on 25 November 2022 to re-accredit this service. The period of accreditation of the service will expire on 25 November 2025.

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  2. Site Audit

    Prepared by James Howard

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  3. Site audit Performance Report

    A site audit was conducted with this service on 26 September 2022 to 28 September 2022. 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 18 March 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 18 September 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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  6. 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 18 March 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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

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  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 three years until 18 March 2021.

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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 three years until 18 March 2018.

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  10. Assessment
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Regulatory actions

0 recorded

No regulatory actions recorded.