AdventCare Yarra Ranges

5 Woods Point Road, WARBURTON, VIC, 3799

1. Assessment Contact - DeskJul 13, 2023

   Prepared by S Byers

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2. Assessment contact Performance ReportJun 22, 2023

   An assessment contact was conducted with this service on 22 June 2023. 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 decisionNov 30, 2022

   Following a site audit conducted on 25 October 2022 to 28 October 2022, the Commission made a decision on 30 November 2022 to re-accredit this service. The period of accreditation of the service will expire on 08 February 2026.

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4. Site AuditNov 30, 2022

   Prepared by D McDonald

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

   AdventCare Yarra Ranges was found to be compliant with most of the Aged Care Quality Standards. The service demonstrated strong performance in areas such as consumer dignity and choice, ongoing assessment and planning, personal care and clinical care, services for daily living, environment, feedback and complaints, and organizational governance. However, there were deficiencies noted in human resources, specifically regarding regular assessments of staff performance.

   Standard 1 Consumer dignity and choiceCompliant

   Consumers reported being treated with respect and their cultural backgrounds valued. Staff provided care that respected consumers' choices, independence, privacy, and risk-taking.

   • Met Requirement 1(3)(a) — Consumers said staff treated them with dignity and respect.
   • Met Requirement 1(3)(b) — Staff provided culturally safe care and respected consumers' cultural backgrounds.
   • Met Requirement 1(3)(c) — Consumers were given choices about their care and staff supported them to maintain independence.
   • Met Requirement 1(3)(d) — Staff supported consumers in taking risks as part of living the best life they can.
   • Met Requirement 1(3)(e) — Information was provided to consumers in a way that enabled them to make choices.
   • Met Requirement 1(3)(f) — Consumers' privacy was respected and personal information kept confidential.

   Standard 2 Ongoing assessment and planning with consumersCompliant

   Assessment and care planning processes were comprehensive, ongoing, and involved the consumer. Care plans reflected current needs, goals, and preferences.

   • Met Requirement 2(3)(a) — Assessment and care planning processes were comprehensive.
   • Met Requirement 2(3)(b) — Advance care planning was revisited if consumers or representatives were not comfortable discussing it initially.
   • Met Requirement 2(3)(c) — Consumers and representatives were involved in assessment and planning processes.
   • Met Requirement 2(3)(d) — Care plans were effectively communicated to consumers and documented.
   • Met Requirement 2(3)(e) — Care was reviewed regularly for effectiveness.

   Standard 3 Personal care and clinical careCompliant

   Consumers received safe and effective personal and clinical care tailored to their needs. Risks were managed effectively, and end-of-life care was provided with dignity.

   • Met Requirement 3(3)(a) — Consumers received safe and effective personal and clinical care tailored to their needs.
   • Met Requirement 3(3)(b) — High impact or high prevalence risks were effectively managed.
   • Met Requirement 3(3)(c) — End-of-life care maximized comfort and preserved dignity.
   • Met Requirement 3(3)(d) — Deterioration or changes in condition were recognized and responded to promptly.
   • Met Requirement 3(3)(e) — Information about the consumer’s condition was documented and communicated effectively.
   • Met Requirement 3(3)(f) — Referrals were timely and appropriate.
   • Met Requirement 3(3)(g) — Infection-related risks were minimized through best practices.

   Standard 4 Services and supports for daily livingCompliant

   Consumers received services that met their needs, goals, and preferences. Emotional, spiritual, and psychological well-being was promoted.

   • Met Requirement 4(3)(a) — Services supported consumers' independence and quality of life.
   • Met Requirement 4(3)(b) — Emotional, spiritual, and psychological well-being was promoted.
   • Met Requirement 4(3)(c) — Consumers were supported to participate in community activities and maintain relationships.
   • Met Requirement 4(3)(d) — Information about the consumer’s condition was effectively communicated.
   • Met Requirement 4(3)(e) — Referrals were timely and appropriate.
   • Met Requirement 4(3)(f) — Meals provided were varied and of suitable quality and quantity.
   • Met Requirement 4(3)(g) — Equipment was safe, clean, and well-maintained.

   Standard 5 Organisation’s service environmentCompliant

   The service environment was welcoming, safe, clean, and enabled consumers to move freely.

   • Met Requirement 5(3)(a) — Environment was welcoming and easy to understand.
   • Met Requirement 5(3)(b) — Service environment was safe, clean, well-maintained, and enabled free movement.
   • Met Requirement 5(3)(c) — Furniture, fittings, and equipment were safe, clean, and suitable.

   Standard 6 Feedback and complaintsCompliant

   Consumers felt supported to provide feedback or make complaints. Complaints were reviewed and used for continuous improvement.

   • Met Requirement 6(3)(a) — Feedback and complaint mechanisms were accessible.
   • Met Requirement 6(3)(b) — Consumers had access to advocates and language services.
   • Met Requirement 6(3)(c) — Appropriate action was taken in response to complaints.
   • Met Requirement 6(3)(d) — Feedback and complaints were reviewed for continuous improvement.

   Standard 7 Human resourcesNon-compliant

   The workforce was planned to deliver safe care. Staff interactions were respectful, but regular performance assessments were not conducted.

   • Met Requirement 7(3)(a) — Workforce planning supported the delivery of safe and quality care.
   • Met Requirement 7(3)(b) — Staff interactions were kind and respectful.
   • Met Requirement 7(3)(c) — Workforce was competent with relevant qualifications.
   • Met Requirement 7(3)(d) — Staff were trained and supported to deliver required outcomes.
   • Not met Requirement 7(3)(e) — Regular performance assessments of each member of the workforce were not conducted.

   Recommendations: Introduce a formal appraisal system to regularly assess and evaluate staff performance.

   Standard 8 Organisational governanceCompliant

   Consumers were engaged in care planning processes. The governing body promoted safe, inclusive, and quality care.

   • Met Requirement 8(3)(a) — Consumers were engaged in the development of care plans.
   • Met Requirement 8(3)(b) — The governing body promoted a culture of safe and quality care.
   • Met Requirement 8(3)(c) — Effective governance systems were in place for information management, continuous improvement, financial governance, workforce governance, regulatory compliance, feedback, and complaints.
   • Met Requirement 8(3)(d) — Risk management systems were effective.
   • Met Requirement 8(3)(e) — Clinical governance frameworks were implemented.

   Generated by qwen2.5:32b on 11 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 ReportOct 28, 2022

   A site audit was conducted with this service on 25 October 2022 to 28 October 2022. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

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6. Accreditation decisionDec 21, 2021

   Following a site audit conducted on 30 April 2019 to 01 May 2019, the Commission made a decision 02 June 2019 to re-accredit this service. The decision on the service’s accreditation period was varied following reconsideration on own initiative on 21 December 2021. The period of accreditation of the service will expire on 08 February 2023.

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7. AssessmentMay 1, 2019

   Following an audit we decided that this service met 44 of the 44 expected outcomes of the Accreditation Standards and would be accredited for three years until 08 August 2022.

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8. AssessmentMay 18, 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 08 August 2019.

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9. AssessmentMay 8, 2013
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10. AssessmentMay 27, 2010
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No regulatory actions recorded.