Applecross Shore Care Community

30 Carron Road, APPLECROSS, WA, 6153

1. Assessment contact (performance assessment) – siteApr 24, 2024

   Prepared by M Glenn

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2. Assessment contact Performance ReportMar 20, 2024

   An assessment contact was conducted with this service on 20 March 2024. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

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3. Accreditation decisionSep 21, 2023

   Following a site audit conducted on 01 August 2023 to 03 August 2023, the Commission made a decision on 21 September 2023 to re-accredit this service. The period of accreditation of the service will expire on 21 September 2026.

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4. Site AuditSep 21, 2023

   Prepared by T Wilson

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   AI report insightsAI-extracted · qwen2.5:32b

   The service is compliant with most standards, demonstrating effective care and support for residents. However, there are areas for improvement in embedding the dignity of risk policy and ensuring consistent documentation of risk management strategies.

   Standard 1 Consumer dignity and choiceCompliant

   The service treats consumers with respect, supports their choices, and ensures privacy.

   • Met Requirement 1(3)(a) — Consumers confirmed staff treat them with dignity and respect.
   • Met Requirement 1(3)(b) — Staff deliver care in line with cultural preferences.
   • Met Requirement 1(3)(c) — Consumers are given choices about their care and relationships.
   • Met Requirement 1(3)(d) — The service supports consumers to take risks.
   • Met Requirement 1(3)(e) — Information is provided in a clear and understandable way.
   • Met Requirement 1(3)(f) — Privacy and confidentiality are maintained.

   Standard 2 Ongoing assessment and planning with consumersCompliant

   Assessment and planning processes are effective and involve consumer input.

   • Met Requirement 2(3)(a) — Validated risk assessment tools inform care plans.
   • Met Requirement 2(3)(b) — Advance care planning and end-of-life wishes are discussed.
   • Met Requirement 2(3)(c) — Consumers participate in assessment and care planning.
   • Met Requirement 2(3)(d) — Care plans are documented and available to consumers.
   • Met Requirement 2(3)(e) — Care plans are reviewed regularly.

   Standard 3 Personal care and clinical careCompliant

   Personal and clinical care is safe, effective, and tailored to individual needs.

   • Met Requirement 3(3)(a) — Care plans document individual strategies.
   • Met Requirement 3(3)(b) — High impact risks are managed effectively.
   • Met Requirement 3(3)(c) — Palliative care services support end-of-life wishes.
   • Met Requirement 3(3)(d) — Changes in condition are responded to promptly.
   • Met Requirement 3(3)(e) — Information is documented and communicated effectively.
   • Met Requirement 3(3)(f) — Referrals are made appropriately.
   • Met Requirement 3(3)(g) — Infection control practices are in place.

   Standard 4 Services and supports for daily livingCompliant

   Services support consumers' independence, well-being, and quality of life.

   • Met Requirement 4(3)(a) — Consumers are supported to remain independent.
   • Met Requirement 4(3)(b) — Emotional and spiritual needs are met.
   • Met Requirement 4(3)(c) — Consumers participate in community activities.
   • Met Requirement 4(3)(d) — Information is communicated effectively.
   • Met Requirement 4(3)(e) — Referrals are made appropriately.
   • Met Requirement 4(3)(f) — Meals are varied and of suitable quality.
   • Met Requirement 4(3)(g) — Equipment is safe and well maintained.

   Standard 5 Organisation’s service environmentCompliant

   The environment is welcoming, clean, and promotes independence.

   • Met Requirement 5(3)(a) — Signage helps consumers orient themselves.
   • Met Requirement 5(3)(b) — The service is clean and safe for movement.
   • Met Requirement 5(3)(c) — Furniture and equipment are maintained.

   Standard 6 Feedback and complaintsCompliant

   Consumers can provide feedback and make complaints effectively.

   • Met Requirement 6(3)(a) — Feedback and complaint mechanisms are accessible.
   • Met Requirement 6(3)(b) — Consumers know about advocates and other methods for raising complaints.
   • Met Requirement 6(3)(c) — Complaints are resolved satisfactorily.
   • Met Requirement 6(3)(d) — Feedback is used to improve care and services.

   Standard 7 Human resourcesCompliant

   The workforce is planned, trained, and supported effectively.

   • Met Requirement 7(3)(a) — Staffing levels are adequate.
   • Met Requirement 7(3)(b) — Interactions with consumers are respectful.
   • Met Requirement 7(3)(c) — Staff have appropriate qualifications and training.
   • Met Requirement 7(3)(d) — Recruitment and training processes are in place.
   • Met Requirement 7(3)(e) — Performance is regularly assessed.

   Standard 8 Organisational governanceNon-compliant

   Governance systems are effective except for risk management practices.

   • Met Requirement 8(3)(a) — Consumers provide input on care and services.
   • Met Requirement 8(3)(b) — A culture of safe and quality care is promoted.
   • Met Requirement 8(3)(c) — Governance systems support continuous improvement.
   • Not met Requirement 8(3)(d) — Strategies to manage risks are not always documented.
   • Met Requirement 8(3)(e) — Clinical governance systems are effective.

   Risks: Mitigating strategies for consumers' chosen risks are not consistently recorded.

   Recommendations: Embed the new dignity of risk policy into everyday practice.; Ensure all consumers choosing to take a risk have mitigating strategies in place.

   Generated by qwen2.5:32b on 12 June 2026 from the published Performance Report. AI output — may contain errors; verify against the source document and the official findings above.

5. Site audit Performance ReportAug 3, 2023

   A site audit was conducted with this service on 01 August 2023 to 03 August 2023. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

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6. Exceptional CircumstancesApr 28, 2023

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

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7. Accreditation decisionMay 10, 2022

   Following an application for re-accreditation, the Commission made a decision on 10 May 2022 to re-accredit this recommencing service. The period of accreditation of the service will expire on 10 May 2023.

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8. AssessmentDec 21, 2016

   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 27 March 2020.

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9. AssessmentJan 8, 2014

   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 27 March 2017.

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10. AssessmentJan 12, 2011
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No regulatory actions recorded.