Caroline Chisholm Nursing Home Lane Cove Unannounced Audit Leads to Appointment of an Independent Adviser

The Aged Care Quality and Safety Commission (the Commission) is the national regulator of Australian Government-funded aged care services.

Caroline Chisholm is an aged care facility located on Burns Bay Road near Cope Street Lane Cove West.

The Commission conducted a comprehensive unannounced site audit at Caroline Chisholm Nursing Home in Lane Cove between 2 and 4 March 2021 as part of the service’s application for re-accreditation.   They were last audited in 2017 when they met 44 of the 44 expected outcomes of the Accreditation Standards.  This led to accreditation for three years until 25 December 2020.

Non-Compliance 2021

Ms Janet Anderson PSM, Aged Care Quality and Safety Commissioner, provided the following information to ITC.

“Following the site audit, the Commission identified non-compliance against 28 of the 42 requirements of the eight Aged Care Quality Standards and determined that there is an immediate and severe risk to the health, safety or well-being of care recipients at the facility. 

The Commission then issued a Notice of Requirement to Agree to Certain Matters (NTA) to the approved provider, Fresh Fields Aged Care (NSW) – No 1 Pty Ltd, on 18 March 2021.

Under the terms of the notice, the approved provider is required to agree to undertake certain actions to address the risks to residents.

These actions include the appointment of an independent adviser, at the expense of the approved provider, to assist the service to address the areas of non-compliance.

The approved provider appointed an adviser on 25 March 2021.  The approved provider is also required to provide staff training to strengthen their knowledge and skills in relevant areas.

Other requirements relate to the provider having weekly teleconferences with Commission staff and submitting detailed written reports of progress being made in returning the service to compliance with the Aged Care Quality Standards.

You can read the Aged Care Quality Standards here.

The details of the notice are available on the myagedcare website here.

Evidence of instances of non-compliance will be provided in the performance report from the site audit.  Once the decision is finalised on whether the service will be re-accredited and procedural fairness processes are complete, the Commission will publish the performance report on its website here.”

How to Report Aged Care Issues

If anyone has a concern about an aged care service, they should contact the Commission via the website at or by calling 1800 951 822 (free call).

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