Brightwater Oxford Gardens

Accreditation decision

Following a site audit conducted on 02 August 2022 to 04 August 2022, the Commission made a decision on 06 September 2022 to re-accredit this service.

The decision on the service’s accreditation period was varied following reconsideration on own initiative on 14 July 2025.

The period of accreditation of the service will expire on 06 March 2026.

Assessment contact Performance Report

An assessment contact was conducted with this service on 21 June 2023.

The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

Accreditation decision

Following a site audit conducted on 02 August 2022 to 04 August 2022, the Commission made a decision on 06 September 2022 to re-accredit this service.

The period of accreditation of the service will expire on 06 September 2025.

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 09 March 2023.

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

Site audit Performance Report

A site audit was conducted with this service on 02 August 2022 to 04 August 2022.

The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

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 09 September 2022.

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

Assessment contact Performance Report

An assessment contact was conducted with this service on 30 November 2021.

The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

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 09 March 2022.

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

Assessment contact Performance Report

An assessment contact was conducted with this service on 14 May 2021.

The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the assessment contact.

Compliance monitoring update

An assessment contact was conducted by the Aged Care Quality and Safety Commission (Commission) on 5 December 2019 at Brightwater Oxford Gardens to monitor the service’s progress in meeting the Aged Care Quality Standards. The Commission found the service complies with all Aged Care Quality Standards.

Following an audit we decided that this service met 38 of the 44 expected outcomes of the Accreditation Standards and would be accredited for two years until 09 September 2021.

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 09 November 2018.

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 09 November 2018.

This decision has been reconsidered and as a result the period of accreditation for this home will now expire on 09 September 2019.  The reconsideration decision and audit report is attached.