20 May 2021
During an inspection looking at part of the service
Tigh Calman is a care home providing accommodation and personal care for up to six people in an adapted two storey building. It provides a service to younger adults and people living with autism and a learning disability. At the time of our inspection there were six people using the service.
Peoples experience of using this service:
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.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were kept at the centre of their support and all the decisions made about their care. Staff and managers had a passion for promoting people’s independence. There was a focus on supporting people to live their lives free from restrictive practices. People were supported to celebrate their achievements and achieve good outcomes.
People were supported to be independent in a safe way. Trained and competent staff managed and administered people’s prescribed medicines. We observed staff wore their personal protective equipment (PPE) correctly and systems were in place that promoted good infection prevention and control. Lessons' were learned when things went wrong, and learning was shared across the staff team.
Staff knew how to keep people safe and communication strategies were in place for people to be able to raise any safeguarding concerns. Staff were safely recruited and there was a robust process to ensure there was always enough staff. The manager told us how unplanned staff absences were covered.
The service did not have a registered manager in place. However, the manager had applied to be a registered manager. They were supported by the provider's health and safety, compliance and management teams. They knew their responsibilities and had developed a positive, open and honest staff team culture. Quality assurance processes and governance systems were effective in driving improvements.
The manager worked well with others to provide people with joined up care and support. The staff team promoted the provider’s equality and diversity policies and treated people equally well. The manager and staff team supported people to have a say in how the service was run.
Why we inspected:
The inspection was prompted in part due to concerns received about risks to people’s safety and the management of the service. A decision was made for us to inspect and examine those risks.
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.
This focussed inspection looked at the Safe and Well-led domains. The overall rating for the service has remained Good. This is based on the findings at this inspection.
Rating at last inspection
The last rating for this service was Good (published 11 September 2018). At our focused inspection in December 2020 we looked at infection prevention and control procedures only, but we did not provide a rating.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
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.