Notices of Non-compliance, Notices to Agree and Sanctions in Brightwater Madeley

Service Provider: Brightwater Care Group Limited

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Non-Compliance Notices

Details
Status Status Current
Date notice sent Date notice sent 14/08/2020
Reason(s) for notice Reason(s) for notice A notice of non-compliance was issued to the approved provider for failure to comply with the following Aged Care Quality Standards set out in Schedule 2 of the Quality of Care Principles 2014.

Standard 1 – Consumer dignity and choice
Based on the following requirements:
(3) (a), (3) (b)

Standard 2 – Ongoing assessment and planning with consumers
Based on the following requirements:
(3) (a), (3) (e)

Standard 3 – Personal care and clinical care
Based on the following requirements:
(3) (a) (i), (ii), (iii), (3) (b), (3) (d)

Standard 4 – Services and supports for daily living
Based on the following requirements:
(3) (a), (3) (b)

Standard 7 – Human resources
Based on the following requirements:
(3) (a), (3) (b), (3) (c)

Standard 8 – Organisational governance
Based on the following requirements:
(3) (a), (3) (b), (3) (c) (i), (ii), (iii), (iv), (v), (vi), (3) (d) (i), (ii), (iii)
Outcome Outcome
Details
Status Status Archived
Date notice sent Date notice sent 26/09/2018
Reason(s) for notice Reason(s) for notice

A notice of non-compliance was issued to the approved provider for the following reasons:
Failure to comply with the requirements of Part 4.3 of the Aged Care Act 1997. Specifically:

- In relation to keeping and retaining records relating to the service in accordance with paragraph 63-1(1)(a); and

- In relation to conducting, in a proper manner, appraisals under section 25-3, or reappraisals under section 27-5, of the care needs of care recipients provided with care through the Service in accordance with paragraph 63-1(1)(h).
Outcome Outcome

The Approved Provider has remedied the non-compliance.

Details
Status Status Archived
Date notice sent Date notice sent 14/03/2019
Reason(s) for notice Reason(s) for notice

A notice of non-compliance was issued to the approved provider for failure to meet the following Accreditation Standards set out in Schedule 2 of the Quality of Care Principles 2014.

Accreditation Standard 1: Management systems, staffing and organisational development

1.6 Human resource management
Outcome Outcome The Approved Provider has remedied the non-compliance.

Sanctions and Notices to Agree

Details
Status Status Current
Sanction or Notice to Agree applied Sanction or Notice to Agree applied The approved provider is not eligible to receive Commonwealth subsidies for any new care recipients at the service for a period of six (6) months.
 
Other requirements:
  • appoint, at its expense, an eligible adviser to assist it to comply with its responsibilities: in relation to care and series, governance and business operations. This appointment must be made by 5:00pm on 10 February 2021; and the adviser must be appointed for a period of at least six (6) months ceasing on 4 August 2021.
  • provide, at its expense, training for its officers, employees and agents as specified below and to demonstrate that it has provided that training.
This training should include, but not be limited to:
  • safe and effective clinical care and personal care including ongoing assessment and care planning, management of high impact or high prevalence risks, falls management, continence management and behavior management.
 
The Provider must provide a written training plan to the Commission by 17 February 2021 and written evidence of successful completion of the specified training by 4 August 2021.
 
  • participate in weekly teleconferences with the Commission and ensure a weekly written report is prepared and provided to enable the Commission to monitor the provider’s progress towards returning to compliance.
 
 
Sanction or Notice to Agree date Sanction or Notice to Agree date 04/02/2021
Expiry date Expiry date 04/08/2021
Reason(s) for sanction or notice to agree Reason(s) for sanction or notice to agree The Aged Care Quality and Safety Commission identified that there is an immediate and severe risk to the safety, health or well-being of care recipients to whom the approved provider is providing care.
 
Failures of relevance to the decision to impose the sanction are:
StandardBased on the following requirements:
Standard 1 – Consumer dignity and choice(3) (a)
 
Standard 2 – Ongoing assessment and planning with consumers(3) (a)
(3) (e)
 
Standard 3 – Personal care and clinical care(3) (a) (i), (ii), (iii)
(3) (b)
(3) (d)
 
Standard 7 – Human resources(3) (a)
 

 
Current status of service Current status of service
The Aged Care Quality and Safety Commission are continuing to monitor the services return to compliance.
An advisor was appointed by the approved provider on:9 February 2021
Residents and relatives were notified on:10 February 2021
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