We carried out a review of the data available to us about Tigh Cranntail 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 Tigh Cranntail, you can give feedback on this service.
Tigh Cranntail is a residential care home which can accommodate up to nine people living with learning disabilities or autistic spectrum disorder. At the time of our inspection there were nine people living at the service.
People’s experience of using this service and what we found
People were protected against abuse and avoidable harm. People had detailed and person-centred risk assessments and support plans. Environmental risks were assessed and managed safely. People received their medicines in a safe way and in line with best practice. People were supported by sufficient number of experienced staff. People lived in a service which promoted good infection prevention processes. Incidents and accidents were reported to the management and lessons from them were learnt.
The registered manager had oversight and scrutiny of the service. Staff, external professionals and relatives were satisfied and complimentary about the leadership within the service. People and staff told us the registered manager was approachable and had an 'open door' to hear their concerns. The registered manager had worked closely with Local Authority to ensure required actions and assurances were given, and improvements to the service were made.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive ways possible; the policies and systems in the service supported this practice.
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 able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People received right support and model of care and setting maximised people’s choice, control and independence. Care was person-centred and promoted people’s dignity, privacy and human rights. Ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was good (published 9 July 2019).
Why we inspected
The inspection was prompted in part due to concerns received about another service ran by the provider and the concerns raised by the Local Authority, which included poor governance and oversight and inappropriate use of restraint. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Tigh Cranntail is a residential care home which can accommodate up to nine people living with learning disabilities or autistic spectrum disorder. At the time of our inspection there were nine people living at the service. The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
The registered manager and compliance manager had a range of audits which, along with the area manager, checked all aspects of the care provided. However, we found that medication audits had failed to check signatures in relation to medicines.
Risks associated with people’s care needs had been assessed and planned for. Support planning was comprehensive and covered all aspects of people’s care and support and also their activities and aspirations.
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.
Positive behavioural support plans were comprehensive and thought through by staff who knew people well. There were comprehensive risk assessments and a full communication profile. Reviews were planned and the information was kept current and relevant to each person living at the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People received caring and compassionate support from staff who had the appropriate skills and knowledge to carry out their role. We found that staff were passionate about the work they did and people using the service were at the forefront of everything they planned. This included staff thinking of innovative ways that people could achieve outcomes despite challenges.
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.
People’s rights to make their own decisions was respected. People were supported to access healthcare services when needed. People had enough to eat and drink and staff encouraged healthy eating.
People received personalised support based on their assessed needs and preferences. Staff knew how to support people in a way that they preferred. People knew how to complain.
The service was managed by a registered manager who had a very clear vision about the quality of care they wanted to provide.
Rating at last inspection: This service was registered with us on 25/07/2017 and this was the services first inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk