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Inspection Summary


Overall summary & rating

Good

Updated 16 October 2018

Tigh Grianan is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Tigh Grianan specialises in providing supports to people with learning disabilities such as Autism whilst living with other complex needs such as epilepsy and mental health issues. These conditions made daily tasks an increased challenge.

At the time of our inspection there were six people living at Tigh Grianan. Most of the people living at the home were unable to engage in a full discussion. We were able to briefly speak with them at the home and observe how they interacted with staff.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

At our last inspection we rated the service outstanding in Responsive and good in all other domains. At this inspection we found that evidence continued to support the rating of outstanding in Responsive and good overall.

People were at the heart of the service and their influence was seen throughout the home. The provider's philosophy was understood and shared across the staff team. People's right to lead a fulfilling life was enshrined in the ethos of the home. People and relatives felt valued by the staff team. They felt that staff often go ‘the extra mile’ for them, when providing care and support in response to people’s needs and life goals. As a result, they felt cared for and that they mattered.

The registered manager had a positive approach to support people to achieve their goals. They ensured that risks were taken into account whilst upholding people’s rights to make choices to enhance their lives and seek new activities. People had access to activities that were important and relevant to them, both inside and outside their home. They were protected from social isolation because of the support and opportunities offered by staff. People’s preferences, likes and dislikes had been taken into consideration and support was provided in accordance with people’s wishes.

Care plans were person centred with the involvement of people’s relatives and health and social care professionals. Care staff respected people's individuality and encouraged them to live the lives they wanted. People's progress towards life goals was monitored and celebrated.

People and those important to them were encouraged to voice their concerns or complaints about the home and there were different ways for their voices to be heard. Suggestions, concerns and complaints were used as an opportunity to learn and improve the home. Planned improvements were focused on improving people's quality of life.

People and their relatives were involved in making decisions about their end of life care. Staff were trained to understand and support people’s needs to have a comfortable, dignified and pain free death. Care plans documented people’s wishes.

There were systems and processes in place to protect people from harm. People had their medicines administered safely. Staff had a good understanding about the signs of abuse and were aware of what to do if they suspected abuse was taking place. Robust systems were in place to protect people from unsuitable staff. There were arrangements in place to prevent and control infection and to keep people safe from harm.

People were happy and felt safe, their confidence and ability to be as independent as possible had grown since being at Tigh Grianan. Risks were managed effectively and people felt confident meeting new challenges with the support of the staff. There were s

Inspection areas

Safe

Good

Updated 16 October 2018

The service remains good.

Effective

Good

Updated 16 October 2018

The service remains good.

Caring

Good

Updated 16 October 2018

The service remains good.

Responsive

Outstanding

Updated 16 October 2018

The service remains outstanding.

Well-led

Good

Updated 16 October 2018

The service remains good.