We carried out a review of the data available to us about Bosun Care Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bosun Care Ltd, you can give feedback on this service.
Bosun Care Ltd is a supported living service providing personal care to people who may live in single or shared occupancy households with their own tenancy agreements. This registered location supports people living in several households of different sizes (single and multiple occupancies). Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection the service was supporting two people with their personal care.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was not able to fully demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. Right support: Model of care and setting maximises people’s choice, control and Independence; Right care: Care is person-centred and promotes people’s dignity, privacy and human rights; Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives
Through discussion with the managers and staff and reviewing people’s care records we were not fully assured that managers had kept themselves informed of current developments and guidance when supporting people with a learning disability or autism. This meant the provider may not be able to effectively monitor the quality of care being provided to ensure people received support which promoted positive outcomes for them.
We found no immediate negative impact on people as the service was only providing personal care to a small number of people with a learning disability or autism. Managers were able to demonstrate and provide examples of how they had promoted people’s independence and maximise people’s choices and control of their life. However we have recommended the provider considers current guidance on supporting people with a learning disability or autism and take action to update their practices accordingly. This will ensure that there will be a consistent and more effective approach in supporting people with learning disabilities or autism if the service expands.
People received compassionate care from staff who were passionate about supporting people with complex needs. Relatives spoke positively about the management and staff of the service. The provider valued feedback from people and their relatives and took action to address any concerns. A health care professional stated they found the service responsive and effective.
People were supported effectively to transition into the service. Staff worked with other agencies and people’s families to fully understand people’s support requirements.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff felt supported and trained in their role. The registered manager had supported and mentored the deputy manager to manage the service in their absence.
Systems were in place to manage and review incidents, safeguarding and complaints. Quality monitoring arrangements were in place to monitor staff practices and training.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with in December 2016 and this is the first inspection.
Why we inspected
This service had not been inspected since their registration in December 2016 as they were not supporting people anyone who received personal care. We continued to monitor the service during this period. This inspection was triggered as the commission had received intelligence that Bosun Care Ltd had started to support people with personal care. This inspection was carried out to gain assurances about the quality of care and systems used to support people who receive personal care.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.