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    Re-accreditation of accredited and previously accredited services

    This section outlines the re-accreditation process for accredited or previously accredited services, including how to apply, the decision process, and possible outcomes.

    Accredited services include residential aged care services and flexible care services through which short-term restorative care is provided in a residential care setting. 

    Previously accredited services are services that were, but are no longer, an accredited service.  For example:

    • a service where accreditation expired as the service was closed for a period of time due to renovations or rebuild
    • following a revocation of accreditation a service was sold to a new approved provider and that provider is applying for re-accreditation of a previously accredited service.

    If your service is not accredited or has not previously been accredited
    see our Accreditation – Commencing Services page.

    Information on this page:

    Accreditation is supported by compliance monitoring of re-accredited services through assessment contacts and review audits. 

    Applying for re-accreditation

    An approved provider of an accredited service or previously accredited service can apply to the Quality Agency for re-accreditation.

    The Quality Agency will give an approved provider of an accredited service a reminder notice before the end of the period of accreditation of the service.

    The reminder notice will include a date by which the approved provider needs to make the application for re-accreditation.

    An application for re-accreditation of an accredited or previously accredited service must be in the form approved by the Quality Agency and must include:

    • the provider’s self-assessment on the service’s performance against the standards (See self-assessment for residential aged care pages for more details)
    • consent for the assessment team to access the service to undertake the audit (the provider can withdraw this consent at any time)
    • a commitment to undertaking continuous improvement in relation to the relevant service
    • the application fee.

    Re-accreditation application form

    The application for re-accreditation form as approved by the Quality Agency is below.

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    Exclusion of specific dates for unannounced visits

    Approved providers are able to request specific dates be excluded for unannounced activities (excluded dates) in residential aged care. Although the Quality Agency does not guarantee visits will not occur on those days, the Quality Agency will consider these dates in scheduling activities such as unannounced site audits.

    The Quality Agency has released a Regulatory Bulletin outlining the Quality Agency’s policy regarding approved provider requests to exclude specific dates for unannounced activities.

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    Conducting a site audit

    The Quality Agency will appoint an assessment team to conduct a site audit of a service following an application for re-accreditation.

    The assessment team will request access to the service and will give the person in charge at the service a letter confirming the visit and their credentials.

    While on site, the team collects information to assess the service’s performance against the Accreditation Standards. Information is drawn from three potential sources of evidence:

    • Interviews: the team interviews care recipients, representatives, staff, management, allied health personnel, volunteers, suppliers and contractors.
    • Observation: the team observes staff practices and interactions with care recipients, as well as the general living or physical environment.
    • Document and record review: the team reviews documents to assess what the services says they do, what the service actually does and the results it achieves. Documentation can be paper based or electronic.

    The assessment team must sample sufficient relevant information from all three sources to support their assessment.  This is referred to as our audit methodology.

    Further information on the site audit, including requirements for notifying care recipients and their representatives is available at:

    • Unannounced re-accreditation audits: Information for approved providers of services applying for re-accreditation from 1 July 2018 and where accreditation expires on or after 1 January 2019.
    • Announced re-accreditation audits: for approved providers already advised of the date of their re-accreditation site audit.

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    The decision process

    The Quality Agency will decide whether to accredit or not accredit the service within 28 days of receiving the site audit report from the assessment team unless an alternative date was agreed to by the Quality Agency and the approved provider. In making a decision, the Quality Agency must take into account:

    • the site audit report
    • the approved provider’s response to the site audit report/report of major findings
    • any relevant information given to the Quality Agency or the assessment team by a care recipient or former care recipient or by their representative
    • any relevant information about the approved provider of the service given to the Quality Agency by the Department of Health
    • whether the Quality Agency is satisfied that the approved provider of the service will undertake continuous improvement in relation to the service, measured against the relevant Standards if the service is re-accredited
    • any other relevant matter.

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    Decision to re-accredit a service

    If the Quality Agency decides to re-accredit a service, the approved provider is notified of the decision and:

      • the reasons for the decision
      • the period of further accreditation for the service
      • any areas in which improvements in relation to the service must be made to ensure compliance with the standards and the timetable for making improvements
      • the arrangements for assessment contacts
      • circumstances where a review audit may be conducted
      • how to apply for re-accreditation.

    A Certificate of Accreditation for the service is also provided, usually within a month of the decision.

    An approved provider is able to apply for reconsideration of a decision regarding the period of re-accreditation. An application for reconsideration of the decision must be submitted to the Quality Agency within 14 calendar days of the approved provider being notified of the decision. 

    See Reconsideration and review for details on the application process.

    The decision and the report is published on the Quality Agency’s website. See find a report on a service

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    Decision not to re-accredit a service

    If the Quality Agency decides not to re-accredit a service, the approved provider is notified of the decision and:

      • the reasons for the decision
      • any areas in which improvements in relation to the service must be made to ensure compliance with the standards
      • the arrangements for assessment contacts.

    An approved provider is able to apply for reconsideration of a decision not to re-accredit a service.

    An application for reconsideration of the decision not to re-accredit must be submitted to the Quality Agency within 14 calendar days of the approved provider being notified of the decision. 

    See Reconsideration and review  for details on the application process.

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    Monitoring re-accredited services

    The Quality Agency monitors the compliance of accredited services through assessment contacts and if required, review audits.

    An unannounced assessment contact is also conducted prior to the expiry of the initial twelve month accreditation period.

    More information is available in the Assessment Contacts section.

    For further information

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