OSJCT Hartsholme House

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

We looked at 2 quality statements under this domain: Person-centred care and Equity in experiences and outcomes. People’s care plans reflected their physical, mental, emotional and social needs. People and their relatives when appropriate, were regularly involved in planning and making shared decisions about their care and treatment. Staff ensured people were able to access healthcare in a way that suited their preferences by listening to their personal preferences and past experiences.

This service scored 89 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Relatives told us they were involved in reviews about their family members care and treatment. A relative told us, "We have reviewed the care plan and we review their care regularly. They are good at picking the phone up to talk to us.” Another relative told us, "They allow [my family member] to make their own choices. They discuss these with me when appropriate.”

Staff demonstrated they understood the importance of delivering support which was person centred. A staff member told us, “Everything we do is person-centred here. We would rather the resident has their choice rather than taking it away from them. We don’t make our choices theirs.” The registered manager told us they reviewed care plans every month to ensure they contained all relevant information. They stated where possible, people were included in care reviews and relatives, when appropriate, to ensure they were person-centred and accurately reflected people’s choices. People’s history and past wishes had been included in care plans. The registered manager told us when decisions were made, they always ensured people’s past wishes or life choices were taken into consideration. Staff had access to up-to-date electronic records that told them how people wanted to receive their care and support.

We observed people being supported by staff who were engaging and respectful of people’s preferences. There were a variety of activities taking place in different areas of the home so people could choose to be involved or not. We saw an activities rota that was inclusive and clearly showed knowledge of people’s varying abilities to ensure they could take part in whatever way they were able. We saw from reviewing various documents that visiting professionals from the community had helped support people to understand their conditions or other people’s conditions they were living with to encourage understanding. People’s care plans were person-centred and detailed to ensure a good overview of personal preferences.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

People and their relatives told us they received opportunities to share their experience about the service and felt listened and involved in their care decisions. A person had taken part in a Lincolnshire Care Association event to tell others about their experiences as an older person which helped support understanding of inequality and barriers people could face.

The registered manager told us how they ensured people had the same access to health and social care services to achieve positive outcomes for people. Where people found it challenging to attend community services, staff arranged some health appointments to be completed within the home.

The registered manager ensured people experienced positive outcomes in line with their preferences and support needs. There were various visiting professionals who supported people with their healthcare alongside working with staff to achieve good experiences for people. There were good communication systems to monitor and improve care. For example, staff handover meetings, people and relative meetings and regular collaboration with healthcare professionals.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.