CQC report explained · a residential care home
What the CQC found at Bos Y'n Dre
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2019
Rated Good overall; inspectors found safe, caring and responsive care, but the home’s leadership needed improvement.
The inspection took place on 3 February 2019. One inspector spoke with two people and the registered manager, reviewed care and medicines records, and contacted a relative and two healthcare professionals afterwards.
People were described as relaxed and safe. Care was personalised, people were supported to make choices, and the home had a friendly, family atmosphere. The heating system and systems for managing personal money had improved since the previous inspection.
Safe, effective, caring and responsive were rated Good. Well-led was rated Requires Improvement because contact details had not been updated with CQC, the required Provider Information Return was not completed, relatives’ views were not formally gathered, and there was no system to keep up with care sector developments.
People felt safe
People appeared relaxed and comfortable, and feedback from people and professionals was positive about their safety.
“I always leave feeling that each resident is in a very safe and caring environment.” from the report
Personalised care
Care plans were developed with people and described their abilities, preferences, communication needs and interests.
“Care plans reflected people's individual needs and preferences.” from the report
Kind and respectful support
Inspectors found that people were treated with dignity and respect, supported to make choices and encouraged to stay independent.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Improvements since the last inspection
The heating system had been improved, and records for people’s personal money were clear and robust.
“There were clear records of expenditures, receipts were kept and a running total kept of people's available cash.” from the report
Risk records lacked detail
needs fixingSome risks were not clearly defined, and written instructions for reducing risks were sparse. The registered manager agreed to develop the risk assessments further.
“Some risks had not been clearly defined and written guidance on how to support people in order to mitigate risk was sparse.” from the report
Leadership and CQC administration
needs fixingThe home had not updated its contact details with CQC and had not completed the required Provider Information Return. This meant the well-led rating could not be higher than Requires Improvement.
“They were unaware of the need to complete this document.” from the report
Limited formal feedback and learning systems
minorThere was no formal system for gathering relatives’ views and no system for keeping up to date with developments in care practice. The report included a recommendation to seek advice and guidance on this.
“However, there was no formal system in place for gathering their views.” from the report
Care plans lacked personal history
minorAlthough the registered manager knew people well, care plans did not contain enough information about people’s personal histories. The home agreed to develop this with people and their families.
“Although the registered manager knew people well there was a lack of information about people's personal histories in care plans.” from the report
- 01How have you updated people’s risk assessments so that risks and the support needed to reduce them are clearly recorded?
- 02Have you now put in place a formal way to gather and act on relatives’ views?
- 03How do you keep up to date with developments and good practice in the care sector?
- 04Have you updated your CQC contact details and completed the Provider Information Return?
- 05How do care plans now record each person’s personal history and life story?
This was a scheduled inspection covering all five CQC questions, with care, medicines and other records reviewed and views gathered from people, a relative and healthcare professionals. This explanation was written from the published report of 14 February 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, February 2018
Bos Y'n Dre rated Requires Improvement; inspectors found safe, kind and responsive care, but heating and financial records needed improvement.
This was a comprehensive inspection on 20 November 2017. It was announced 72 hours beforehand. The inspector spoke with all four people living there, observed care, checked care and management records, and inspected the building.
The home was rated Good for safe, caring and responsive care. People said they felt safe and well looked after. Inspectors found personalised care records, support for choice and independence, appropriate medicines arrangements, and flexible meals and activities.
The home was rated Requires Improvement for effective care and for being well-led. People's rooms and the bathroom were not heated consistently. Records of people's finances did not include enough detail to be properly checked. These issues led to breaches of Regulations 15 and 17.
People felt safe
People said they felt safe, and inspectors found systems to manage individual risks and protect people from harm.
“Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care.” from the report
Personalised records
Care records were accessible, personalised and regularly updated with people's involvement.
“Care records were organised, and set out in an easy read format so people understood what was being written about them.” from the report
Choice and independence
People were supported to make choices about daily routines, meals, activities and how they spent their time.
“People were supported to have choice and control of their lives and were supported in the least restrictive way possible.” from the report
Kind and respectful care
Inspectors observed a sensitive approach that respected people's privacy, dignity and individuality.
“The registered manager had a good understanding of protecting and respecting people's human rights.” from the report
Inconsistent heating
seriousPeople's rooms and the bathroom did not have a consistent source of heat. Inspectors said this could affect comfort and make bathing unpleasant in cold weather.
“There was no heating in the bathroom at the time of the inspection.” from the report
Financial records
seriousRecords showed transactions and costs but did not show balances. This meant the handling of people's money could not be properly audited.
“The record for each person recorded dates of transactions, reasons for them and the costs. However there was no balance recorded.” from the report
Limited environmental monitoring
needs fixingChecks of the environment had not identified the lack of consistent heating or its possible effect on people's comfort and privacy.
“Lack of monitoring meant the registered manager had not identified the lack of consistent heating and its potential negative impact on people living at Bos Y'n Dre.” from the report
- 01Has consistent heating now been installed or provided in every bedroom and in the bathroom?
- 02How are people's financial records kept now, including balances and supporting evidence for spending?
- 03How often is the building checked for comfort, privacy and other environmental concerns?
- 04Who provides care when the registered manager is absent, given that there were no additional staff members employed?
- 05How are people's choices about activities, meals and daily routines recorded and reviewed?
This was a comprehensive, announced inspection that looked at the building, care provided, people's experiences and how the home was managed. This explanation was written from the published report of 15 February 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Bos Y'n Dre
3 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2019Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2018Requires improvementdown from GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 15 March 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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