CQC report explained · a residential care home
What the CQC found at OSJCT Hartsholme House
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, July 2018
Rated Outstanding; inspectors found kind, safe care with especially strong activities, family involvement and leadership.
Inspectors made an unannounced visit on 10 May 2018. They spoke with people living at the home, relatives and staff. They observed care and checked care records, staffing, medicines, training, safety checks and quality audits.
The home was rated Good for Safe, Effective and Caring. People were protected from abuse, supported by enough staff and given their medicines safely. Staff were trained and kind, and people received support with food, drink, health needs and independence.
The home was rated Outstanding for Responsive and Well-led, giving an overall Outstanding rating. Inspectors found highly personalised care, varied activities, strong family and community links, and a management team focused on listening and improving. Some mental capacity records were not fully completed, but the manager agreed to address this.
Personalised care
Staff had detailed knowledge of people's histories, needs and preferences. They used this to support choice, independence and meaningful activities.
“Staff provided care in a truly patient centred way and staff had an excellent and in-depth knowledge of the people they cared for.” from the report
Activities and family life
Activities were shaped around individual interests, and families were encouraged to take part in events and shared meals. The home also supported links with local groups and the wider community.
“A wide range of social activities were provided for people and their families.” from the report
Kind and respectful staff
People and relatives described staff as kind, friendly and caring. Inspectors saw staff respond patiently and protect people's dignity during personal care.
“People had excellent relationships with staff who were kind, caring and committed to ensuring they received the care they chose, with their likes and dislikes respected.” from the report
Strong leadership
The management team was visible, listened to people and staff, and encouraged everyone to suggest improvements. Quality checks and learning from incidents were used to improve the service.
“There was a strong commitment to continuous improvement of the quality of care and improving the experience of people using the service.” from the report
Incomplete mental capacity records
needs fixingRecords did not always show the assessments and decisions made about sensor mats, medicines and personal care when these caused distress. The manager said this would be reviewed and corrected.
“mental capacity assessments and decision making in relation to decisions about the use of sensor mats, medicines administration, and the provision of personal care when this caused the person distress, were not always documented.” from the report
As-required medicines guidance
minorInstructions for some medicines given only when needed were in place but did not contain as much detail as they could have.
“however, these would have benefited from some additional detail.” from the report
Recording minor concerns
minorThe home dealt with minor concerns quickly, but the manager did not keep one central record of these concerns.
“The manager did not keep a central record of low level concerns; however we saw evidence in people's records that they had been identified and dealt with.” from the report
- 01How do you now record mental capacity assessments and best-interest decisions, especially for sensor mats, medicines and personal care?
- 02What extra information is now included in instructions for medicines given only when needed?
- 03How are minor concerns and 'niggles' recorded and reviewed?
- 04How will you involve our relative and family in care plan reviews and activities?
- 05How do you use falls, incidents and other quality checks to make changes to care?
This was an unannounced inspection covering all five areas of Safe, Effective, Caring, Responsive and Well-led, including the accommodation and care provided. This explanation was written from the published report of 10 July 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of OSJCT Hartsholme House
2 rated inspections over 2 years: the service has improved, from Good to Outstanding.
- July 2018Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- February 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 16 November 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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9 live-in carers within about an hour of Lincolnshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.