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OSJCT Athelstan House
Nursing Care
27 June 2025
The Orders Of St. John Care Trust
80 beds
How this home compares nearby
Of 25 care homes for older people within 10 miles, 1 is rated higher by CQC, 20 are the same and 4 are lower.
5 of these nearby homes have been inspected more recently than this one.
Based on CQC ratings, updated 22 October 2026. How we compare homes | See the nearby homes
Rating history
- Sept 2015
- Aug 2017
- Jun 2018
- Aug 2019
- Nov 2020
- Oct 2022
- Aug 2025
Improved from Requires Improvement to Good in 2025. CQC has rated this home 7 times since 2015.
Source: CQC inspection reports. Contains CQC data licensed under the Open Government Licence v3.0.
Costs and who runs this home
Run by The Orders Of St. John Care Trust, which runs 61 care homes in England: 4 rated Outstanding, 48 Good, 5 Requires Improvement and 4 not yet rated.
Average care home fees in the South West: £1,170 a week for residential care and £1,472 for nursing care (2024-25 averages). Self-funders usually pay more. See our care home costs guide.
- NHS-funded Nursing Care pays £267.68 a week to the home towards registered nursing care for eligible residents (2026/27). A quoted fee may already exclude it.
- This home lists dementia care, which usually costs more than standard residential care. See dementia care home costs. NHS Continuing Healthcare may apply where someone's needs are primarily health needs.
- How to pay for a care home explains the council means test, what counts as capital and the funding you can ask to be assessed for.
About OSJCT Athelstan House
OSJCT Athelstan House is a nursing care home in Wiltshire, run by the OSJCT group. It provides nursing and personal care for older adults, younger adults and people living with dementia. The findings below set out what CQC inspectors observed during their most recent visit.
OSJCT Athelstan House is a residential care home in the OSJCT group, providing accommodation, nursing and personal care for up to 80 people, including older adults, younger adults and people living with dementia. The CQC rated the home Good overall, finding staff delivered person-centred care with time to interact warmly, plan activities and support people’s independence. This followed up an earlier breach concerning person-centred care, which inspectors found had been resolved.
Inspectors found medicines were managed safely, staff were recruited properly and trained, and there were enough staff to meet needs. The home was clean and well maintained, care plans were detailed, and management was stable, experienced and well regarded by staff, relatives and professionals. Some relatives reported weekend admission delays, which had prompted extra staffing at reception.
Source: CQC assessment, 6 August 2025
Specialist Care
Fees and availability
We have not verified a current weekly fee for this home. Ask for a written quote based on the room and care needed, including any extra charges.
Check current vacancies, the admission assessment and visiting arrangements directly with the home.
Care and inspection details
Checked against the CQC register on 21 September 2026. This is a check of published information, not a visit to the home.
- Registered service
- Care home service with nursing
- Registered capacity
- 80 places — this is not a vacancy count
- Registration checked
- Registered · SN16 0FB
Registered care categories
Caring for adults over 65 yrs; Caring for adults under 65 yrs; Dementia.
These describe the registration. The home must assess whether it can meet the individual person's needs and whether a place is available.
CQC ratings in more detail
Overall rating shown by CQC: .
Assessment published 6 August 2025. Assessment date recorded: 27 June 2025.
Read CQC's assessment overview
The following is CQC's published account of its assessment, published 6 August 2025. References to “we” mean CQC. It describes findings at that time.
Date of assessment: 16 to 17 July 2025. OSJCT Athelstan House is a residential care home providing regulated activities accommodation for persons who require nursing or personal care and treatment of disease, disorder or injury to up to 80 people. The service supports people with dementia and older and younger adults. At the time of this assessment there were 72 people using the service. This assessment was carried out to follow up on a breach of regulation for person-centred care. At this assessment we found people were receiving care that was person-centred, so the service is no longer in breach of regulations.
Since the last inspection we found care delivery had improved. We observed staff interacting with people in a person-centred way. Staff knew people’s needs and had time to interact with people in a relaxed manner. Activities for people had been planned and were provided in various areas around the service. During our assessment we observed local clergy visiting to provide people with communion. People were seen to be involved in light domestic tasks which they wanted to do, and we saw people enjoying the garden.
People had their medicines as prescribed. Systems were effective in making sure medicines were ordered, stored and administered safely. People had access to healthcare professionals when needed. Feedback from healthcare professionals about staff, management and care provided was positive.
Staff had been recruited safely. Pre-employment checks had been completed, and staff were provided with a good induction when starting work. Staff received refresher training as needed and had support from managers through processes such as supervision and staff meetings. We observed there were enough staff available to safely meet people’s needs.
The home was clean. We observed staff working safely, following infection prevention and control guidelines. Premises and equipment were regularly serviced and checked for safety by external contractors. In addition, a team of maintenance staff was employed to help carry out health and safety checks.
Risks to people’s safety were identified and assessed. People’s individual care plans gave staff comprehensive information on how to provide safe and effective support. Any monitoring people needed had been recorded in daily care records. There was a ‘resident of the day’ process which helped senior staff regularly review care plans.
There was a stable management team at the service who were all very experienced working in this type of service. Feedback about them from people, relatives, staff and professionals was very positive. Management was approachable, inclusive and actively supported staff to develop their knowledge and skills.
Governance systems were very effective in identifying areas to improve. There was a service improvement plan which monitored actions for improvement and timescales for completion. The provider had regular checks to monitor management actions. A regional manager visited the service regularly to carry out various checks on quality and safety.
- Safe
- Effective
- Caring
- Responsive
- Well-led
Contains Care Quality Commission information under the Open Government Licence v3.0. Ratings and registration details can change after the date checked.
5 Questions to Ask on Your Visit
When visiting OSJCT Athelstan House, consider asking...
- 1.What specific dementia training do staff receive and how recently?
- 2.How do you support a resident who becomes distressed or confused?
- 3.How does the home keep a record of a resident's life history and personal preferences?
- 4.How do you involve families as dementia progresses and communication becomes harder?
- 5.What happens when a resident's dementia reaches an advanced stage?
5 Things to Look For on Your Visit
When you visit OSJCT Athelstan House, look out for...
- 1.Is the environment calm, uncluttered and easy to navigate?
- 2.Do staff speak to residents with patience and dignity, even if they repeat themselves?
- 3.Are there memory cues around the home -- photos, familiar objects, clear signage?
- 4.Do residents seem settled and safe, or agitated and unsupervised?
- 5.Is there meaningful activity happening, or are residents just sitting quietly with nothing to do?
Could the NHS fund OSJCT Athelstan House's fees?
The average nursing home costs £1,535 per week. That's £79,820 a year. NHS Continuing Healthcare could cover all of it. No means test, no contribution from you.
Location
Priory Way, Burton Hill, Malmesbury, Wiltshire, SN16 0FB

OSJCT Athelstan House
CQC overall rating
Assessment date: 27 June 2025
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