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CQC report explained · a residential care home

What the CQC found at Tigh Allene

Goodpublished 12 March 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, suitable recruitment checks, risk assessments and safeguarding arrangements. Medicines, fire safety and the home environment were checked and found to be appropriately managed.
Effective?
Good
Staff were trained, supervised and supported. People's needs, dietary requirements, healthcare support and legal arrangements for decisions and restrictions were recorded.
Caring?
Good
Staff understood people's individual needs and treated them with dignity and respect. People were supported to make choices, communicate and maintain their independence.
Responsive?
Good
Care plans were detailed, regularly reviewed and based on people's wishes, history and interests. The home supported activities, communication and social contact, and had a complaints process.
Well-led?
Outstanding
Inspectors found exceptionally strong leadership, continuous improvement and well-embedded checks on quality. People, families, staff and other professionals were involved in improving the service.
The latest report, explained

What inspectors found, March 2019

Tigh Allene was rated Good overall, with Outstanding leadership and no serious risks or concerns found.

Inspectors visited on 7 and 8 January 2019. The inspection was announced. They spoke with family members, staff, managers and a health and social care professional. They also observed care and checked care records, staff files and other information.

The home supports up to five people with learning disabilities. Inspectors found enough trained staff, safe medicines arrangements, suitable risk assessments and a clean, adapted home. People were treated with dignity, supported to make choices and helped to stay involved in activities and the local community.

All four other areas were rated Good: Safe, Effective, Caring and Responsive. Well-led was rated Outstanding, improving from Good at the previous inspection. The overall rating remained Good.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff to meet people's needs. Medicines were stored and administered safely, with work under way to reduce psychotropic medicines where possible.

    “There were sufficient numbers of staff on duty to support people and keep them safe.” from the report
  • Respect and choice

    Staff supported people to make choices and to do things for themselves where possible. Inspectors observed staff protecting people's privacy and dignity.

    “Staff demonstrated a good understanding of people's individual needs and treated people with dignity and respect.” from the report
  • Personalised support

    Care records reflected people's histories, preferences, communication needs and goals. Activities were chosen and reviewed with the person.

    “Support plans were written in a sensitive and thoughtful way that reflected people's life history, and likes and dislikes in great detail.” from the report
  • Strong leadership

    The home had detailed improvement plans, regular quality checks and research into better ways to support people. Staff and families spoke positively about management.

    “Governance was extremely well embedded in the running of the service.” from the report
  • Community involvement

    People were supported to avoid social isolation and to take part in local activities and ordinary community life.

    “The service had excellent links with the local community.” from the report
What inspectors were concerned about
  • End of life plans were not completed

    minor

    End of life support plans had been sent to families, but none had been completed or returned when inspectors visited. Ask how the home now makes sure these wishes are recorded.

    “At the time of our inspection visit, none had been completed or returned by family members.” from the report
Questions to ask them, based on this report
  1. 01How will you support my relative's particular communication needs and help them make choices?
  2. 02How do you review psychotropic medicines, and what reduction plan would apply to my relative if appropriate?
  3. 03How will you involve my relative and our family in writing and reviewing their care plan?
  4. 04How do you make sure end of life wishes are completed, recorded and kept up to date?
  5. 05Which activities and community opportunities would match my relative's interests and goals?

This was an announced inspection covering all five CQC questions, including observations, discussions and checks of care and staff records. This explanation was written from the published report of 12 March 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.

The story over the years

Every inspection of Tigh Allene

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. March 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Tigh Allene →

  2. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. March 2013

    Registered with the Care Quality Commission on 16 March 2013.

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.

Next steps

Weigh the report against the rest

Care at home

9 live-in carers within about an hour of Lincolnshire

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

8 can care for a couple. 10 years' experience on average.

“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
Julie V., about Martin G.
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
Scot H., about Magdalena B.
See live-in carers near LincolnshireProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.