St Vincent's Care Services Eltham - Willandra Lodge

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ResidentialSt Vincent's Care Services LtdSite ARCH-04419Service st vincent's care services ltd::st vincent's care services eltham - willandra lodge::eltham::3095

Overview

Care typeResidential
Operational places64
RegionEltham (SA2)

Location

Eltham (SA2)

43 Diamond Street, ELTHAM, VIC, 3095

Star ratings

Latest — May 2026

May 2023 — 3Aug 2023 — 3Dec 2023 — 4Feb 2024 — 4May 2024 — 3Jul 2024 — 4Nov 2024 — 3Jan 2025 — 4May 2025 — 4Aug 2025 — 4Oct 2025 — 4Feb 2026 — 4May 2026 — 44Overall
Compliance5
Quality measures1
Residents' experience3
Staffing4
Compared nationally2 services rated 111 services rated 22491 services rated 331,588 services rated 44128 services rated 55

Rated higher than 22% of 2,210 rated services nationally.

Ratings over time (13 periods)
PeriodOverallComplianceQualityExperienceStaffing
May 202645134
Feb 202645234
Oct 202545333
Aug 202545333
May 202545533
Jan 202545433
Nov 202435233
Jul 202445433
May 202435332
Feb 202445432
Dec 202345532
Aug 202335332
May 202335332

Compliance findings

8 recorded

DateTypeRequirementSeverityFindingStatus
12 Sept 2023Accreditation decisionConsumer dignity and choiceCompliant
12 Sept 2023Accreditation decisionOngoing assessment and planning with consumersCompliant
12 Sept 2023Accreditation decisionPersonal care and clinical careCompliant
12 Sept 2023Accreditation decisionServices and supports for daily livingCompliant
12 Sept 2023Accreditation decisionOrganisation’s service environmentCompliant
12 Sept 2023Accreditation decisionFeedback and complaintsCompliant
12 Sept 2023Accreditation decisionHuman resourcesCompliant
12 Sept 2023Accreditation decisionOrganisational governanceCompliant

Accreditation & assessment timeline

12 events

  1. Accreditation decision

    Prepared by J. Howard

    Following a site audit conducted on 02 August 2023 to 04 August 2023, the Commission made a decision on 12 September 2023 to re-accredit this service. The period of accreditation of the service will expire on 29 December 2026.

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  2. Site audit Performance Report

    A site audit was conducted with this service on 02 August 2023 to 04 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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  3. Accreditation decision

    Following a site audit conducted on 24 November 2020 to 25 November 2020, the Commission made a decision on 23 December 2020 to re-accredit this service. The period of accreditation of the service will expire on 29 December 2023.

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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 until 29 June 2021.

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  5. Site audit Performance Report

    A site audit was conducted with this service on 24 November 2020 to 25 November 2020. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

    source ↗
  6. Exceptional Circumstances

    During the COVID-19 pandemic, the Aged Care Quality and Safety Commission has temporarily modified our Regulatory Program, including 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 29 December 2020. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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  7. Compliance monitoring update

    An assessment contact was conducted by the Aged Care Quality and Safety Commission (Commission) on 09 July 2019 at St Vincent's Care Services Eltham - Willandra Lodge to monitor the service’s progress in meeting the Accreditation Standards. The Commission found the service complies with all Accreditation Standards.

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  8. Assessment

    Following an audit we decided that this home met 39 of the 44 expected outcomes of the Accreditation Standards and would be accredited for one year until 29 June 2020.

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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 06 September 2018. This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 29 June 2019. The reconsideration decision and audit report is attached.

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  10. 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 06 September 2018.

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  11. Assessment
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  12. Assessment
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Regulatory actions

0 recorded

No regulatory actions recorded.