Calvary The Brelsford

active
ResidentialCalvary Aged Care LimitedSite ARCH-04012Service calvary aged care limited::calvary the brelsford::coffs harbour::2450

Overview

Care typeResidential
Operational places105
RegionCoffs Harbour - South (SA2)

Location

Coffs Harbour - South (SA2)

45 Victoria Street, COFFS HARBOUR, NSW, 2450

Star ratings

Latest — May 2026

May 2023 — 3Aug 2023 — 3Dec 2023 — 3Feb 2024 — 4May 2024 — 4Jul 2024 — 3Nov 2024 — 4Jan 2025 — 4May 2025 — 4Overall
Compliance
Quality measures4
Residents' experience4
Staffing1
Ratings over time (13 periods)
PeriodOverallComplianceQualityExperienceStaffing
May 2026441
Feb 20264
Oct 2025
Aug 2025
May 202544542
Jan 202544542
Nov 202444442
Jul 202434342
May 202444542
Feb 202444542
Dec 202333442
Aug 202333441
May 202333441

Compliance findings

8 recorded

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

Accreditation & assessment timeline

14 events

  1. Accreditation decision

    Following a site audit conducted on 30 November 2022 to 02 December 2022, the Commission made a decision on 23 December 2022 to re-accredit this service. The period of accreditation of the service will expire on 23 December 2025.

    source ↗
  2. Site audit Performance Report

    A site audit was conducted with this service on 30 November 2022 to 02 December 2022. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

    source ↗
  3. Site Audit

    Prepared by Denise McDonald

    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 07 April 2023. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

    source ↗
  5. Assessment contact Performance Report

    An assessment contact was conducted with this service on 15 February 2022. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

    source ↗
  6. Accreditation decision

    Following a site audit conducted on 23 February 2021 to 25 February 2021, the Commission made a decision on 07 April 2021 to re-accredit this service. The period of accreditation of the service will expire on 07 October 2022.

    source ↗
  7. Site audit Performance Report

    A site audit was conducted with this service on 23 February 2021 to 25 February 2021. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

    source ↗
  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 May 2021.

    source ↗
  9. Assessment contact Performance Report

    An assessment contact was conducted with this service on 02 July 2020 to 03 July 2020. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

    source ↗
  10. Assessment

    Following a site audit the Commission made a decision on 12 November 2019 that this service met two of the eight Aged Care Quality Standards. The service is re-accredited for one year until 17 November 2020.

    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 17 November 2018. This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 17 November 2019. The reconsideration decision and audit report is attached.

    source ↗
  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 November 2018.

    source ↗
  13. Assessment
    source ↗
  14. Assessment
    source ↗

Regulatory actions

0 recorded

No regulatory actions recorded.