Archived: Ty Gwyn Residential Care Home

Updated 1 August 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:

This inspection was completed by one inspector.

Service and service type:

This is a care home without nursing, supporting older people with learning disabilities and/or autistic spectrum disorder.

The service did not have a manager registered with the Care Quality Commission. A registered manager is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced.

What we did:

Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report.

We reviewed the information we held about the service. We also contacted health and social care commissioners who place and monitor the care of people using care services, the local authority safeguarding team and Healthwatch England, the national consumer champion in health and social care to identify if they had any information which may support our inspection.

During the inspection we spoke with five people who used the service, and one relative. We also spoke with one member of care staff, an activities co-ordinator, the deputy manager and the manager. We looked at two people’s care records and two staff files. We also looked at other information related to the running of and the quality of the service. This included quality assurance audits, training information, staffing rotas, and arrangements for managing complaints.

Updated 1 August 2019

About the service:

Ty Gwyn Residential Care Home is a residential care home that was providing personal care to eight older people with learning disabilities at the time of the inspection.

The service had been developed and designed in line with the values that underpin the Registering the

Right Support and other best practice guidance, with the exception that the home accommodated more

than six people. 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 and the staff within

this service were exceptional in ensuring this was the case for people living at this home.

People’s experience of using this service:

The provider had failed to ensure financial stability and at the time of inspection, the home was under administration and was up for sale.

Improvements were required to ensure people had all their healthcare needs met, for example, their dental care.

Improvements were required to staff training to ensure they were effectively trained in all areas of care.

People regularly commented about the kind and caring nature of staff, and felt they were well treated.

Staffing arrangements were good and people were enabled to pursue activities they enjoyed.

Staff understood people’s risk assessments and had measures in place to reduce those risks.

Appropriate arrangements were in place to manage people’s medicines.

People were supported to give consent to their care and appropriate systems were in place to support the principles of the Mental Capacity Act.

People were encouraged to be independent and staff respected people’s privacy.

People’s care plans had personalised information about people’s care needs and had good guidance to staff about how to meet people’s needs.

There was not a registered manager in place however the appointed manager was in the process of applying to become registered.

The manager supported an open and inclusive culture and encouraged staff to work together as a team.

We have made a recommendation for the provider to arrange regular dental appointments for all people who require it.

Rating at last inspection:

Good (published 11 October 2016)

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk