Bos Y'n Dre

Updated 14 February 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was carried out by one adult social care inspector.

Service and service type: Bos Y’N Dre is a care home. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service had a manager registered with CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: We gave the service notice of the inspection site visit because it is small and people are often out during the day. We needed to be sure someone would be available to support the inspection.

What we did: Before the inspection we reviewed information we held about the service including previous reports.

During the inspection we spoke with the registered manager and two people about the care they received. We reviewed people’s care records, Medicine Administration Records and other records relating to the running of the service. Following the inspection visit we contacted a relative and two external healthcare professionals for their views of the service.

Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. The provider did not complete the required Provider Information Return. We took this into account in making our judgements in this report.

Updated 14 February 2019

About the service: Bos Y’n Dre is a residential care home that was providing personal care to four people with a learning disability at the time of the inspection.

People’s experience of using this service: Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions effective and well-led to at least good. At this inspection we found the heating system had been improved and systems to manage people’s personal monies were robust.

The service was based in the registered managers home and there was an inclusive and family orientated atmosphere. People were clearly relaxed in their environment and moved around the premises independently. A shared lounge contained people’s possessions and various puzzles, books etc. so people could choose to pick them up at any time.

Everyone we spoke with was positive in their feedback. Comments included; “I am always totally impressed with the care that each resident receives”, “[Relative] has grown into a lovely man since being at the service. He is much more chatty and loves to laugh now which goes to prove how much love and care has been shown him” and “I feel safe, yes, very.”

The providers and registered manager had built trusting relationships with people and knew them well. There were no staff employed at the service other than the registered manager. The providers had originally started and ran the service and were still available to support if necessary. They visited regularly and were an important part of the service, spending time with people and taking part in trips out.

The registered manager had completed training and refreshed it regularly in line with best practice or when circumstances changed. They had no system for keeping up with developments in the care sector and we have made a recommendation about this in the report. The contact details for the service had changed and this had not been updated with the Care Quality Commission (CQC). Because of this oversight we had not received a completed PIR.

Care was planned to meet people’s needs and preferences. The registered manager supported people to be involved in the development of care plans and any reviews. Over time they had developed techniques to encourage people to be more involved and ‘own’ their care plans. They contained positive information about people’s skills and talents. There were descriptions of when people needed support and what they could do independently. People were supported to have maximum choice and control of their lives and the registered manager supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Rating at last inspection: At the last inspection the service was rated Requires Improvement (Published 15 February 2018).

Why we inspected: This was a scheduled inspection which was planned according to the previous rating.

Follow up: We will continue to monitor the service until we return to visit in line with our re-inspection programme. If any concerning information is received we may inspect sooner.