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OSJCT Hartsholme House

Overall: Outstanding read more about inspection ratings

Ashby Avenue, Lincoln, Lincolnshire, LN6 0ED (01522) 683583

Provided and run by:
The Orders Of St. John Care Trust

Report from 24 September 2024 assessment

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Well-led

Outstanding

Updated 1 November 2024

We looked at 1 quality statements under this domain: Governance, management and sustainability. There were clear and effective governance and management systems. Information was used effectively to monitor and improve the quality of care.

This service scored 96 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Shared direction and culture

Score: 4

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Capable, compassionate and inclusive leaders

Score: 4

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Freedom to speak up

Score: 4

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Workforce equality, diversity and inclusion

Score: 4

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Governance, management and sustainability

Score: 3

Staff demonstrated a good understanding of their roles, responsibilities and accountability. Staff had access to electronic records and understood their role in relation to completing records. Staff told us they felt valued and enjoyed coming to work. A staff member told us, “You go to work and it doesn't feel like you're going to work. You’re supporting people to live as best life as they can, and you know you're making a difference. It’s perfect, I love my job.”

The registered manager had robust systems and processes that continually assessed and monitored safety and quality. Daily, weekly and monthly audits and checks were completed by the management team. The operations manager attended site regularly to carry out their own audits where any actions were highlighted or put on a service improvement plan when required. Quality assurance processes enabled people, relatives, staff and professionals to share their experiences of the service including meetings and surveys. Actions taken from these meetings showed improvements had been made to the quality of the service. The provider had a contingency plan that provided information and guidance to staff if the service was impacted. The registered manager and provider understood their regulatory responsibilities and had submitted statutory notifications as required.

Partnerships and communities

Score: 4

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Learning, improvement and innovation

Score: 4

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.