CQC report explained · a residential care home
What the CQC found at Tigh Calman
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that staff understood safeguarding, risks were assessed and managed, medicines were administered safely, staffing was sufficient and infection control arrangements were effective.
- Effective?
- Good
- This area was not inspected during this focused visit. The report says the previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. The report describes person-centred support, but does not give a current rating for Caring.
- Responsive?
- Good
- This area was not inspected during this focused visit. The report says the previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found open management, effective quality checks, good partnership working and staff who felt supported. The manager had applied to become registered.
What inspectors found, June 2021
Rated Good; inspectors found safe, person-centred care and strong management, although there was no registered manager in post.
This was an unannounced focused inspection. The inspector visited on 20 May 2021 and reviewed information, records and risk assessments. They spoke with the manager, three care staff, a social worker and two relatives. They could not speak with people who used other forms of communication.
The home was rated Good for Safe and Well-led. Inspectors found trained staff, safe recruitment, enough staff, accurate medicines records and good infection control. Staff understood safeguarding and supported people to manage risks safely.
The report says people were at the centre of their support and were encouraged to be independent. The manager had created an open staff culture and quality checks were being used to improve care. There was no registered manager in post, but an application was in progress.
Only Safe and Well-led were inspected at this visit. The other ratings were carried over from the previous comprehensive inspection, so the overall rating remained Good.
Person-centred support
People were involved in decisions about their care and were supported to become more independent. Staff focused on reducing restrictive practices and helping people achieve their goals.
“People were kept at the centre of their support and all the decisions made about their care.” from the report
Safe staffing and medicines
Staff recruitment checks were completed, staffing was based on people's needs and trained staff administered medicines safely. Medicines records were accurate and audited.
“Medicines administration records were accurate and provided a clear record.” from the report
Good infection control
Inspectors found suitable infection prevention systems. Staff had enough protective equipment and used and disposed of it safely.
“Staff had enough PPE, they used this effectively and disposed of it safely.” from the report
Learning from incidents
The home identified when things went wrong, shared learning with staff and made changes to reduce the risk of problems happening again.
“Lessons were learned, shared amongst the staff team and improvements were put in place to prevent further occurrences.” from the report
Open management
Staff described a supportive team culture where they could raise mistakes, concerns and ideas. Quality checks and staff observations were used to improve care.
“The openness of the manager and staff had led to an honest team culture.” from the report
No registered manager
minorThere was no registered manager in post when inspectors visited. An application had been made, but the report does not confirm when registration would be completed.
“The service did not have a registered manager in place. However, the manager had applied to be a registered manager.” from the report
- 01Has the manager's application to become a registered manager been completed, and who is legally responsible for the home now?
- 02How are risk assessments updated when a person's health or behaviour changes?
- 03How will you support my relative to build independence and take part in community activities?
- 04How are medicines checked, and what happens if a medicines error is found?
- 05How do relatives and people using the service raise concerns and influence how the home is run?
This was a focused inspection of Safe and Well-led only; the other ratings were carried over from the previous comprehensive inspection. This explanation was written from the published report of 5 June 2021 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.
What inspectors found, March 2021
Tigh Calman was inspected but not rated; infection control was mostly reassuring, but testing and temperature checks needed improvement.
This was a targeted inspection on 8 March 2021 during the coronavirus pandemic. Inspectors looked at infection prevention and control measures, and the visit was announced in advance.
Inspectors found good arrangements for visitors, protective equipment, cleaning, waste disposal and managing a possible outbreak. People were given information in ways suited to their communication needs, and contact with relatives was supported.
The home was not given an overall rating. The safe question was inspected but not rated. Inspectors were somewhat assured about COVID-19 testing and temperature checks because these did not fully follow the latest arrangements.
Protective equipment
Staff had enough PPE and understood how to use it safely. The home also had suitable areas for putting PPE on and taking it off.
“Staff had enough supplies of PPE; they knew when and how to use this correctly including space to put it on and take it off.” from the report
Cleanliness
The home was clean and tidy, with scheduled cleaning of frequently touched areas and safe handling of contaminated waste.
“The home was tidy and clean, and a cleaning schedule was in place for frequently touched areas such as light switches.” from the report
Keeping families connected
Visits were managed with safety steps, and the home supported regular contact through visits, phone calls and video recordings.
“Other means of staying in touch with relatives and friends included daily phone calls and video recordings of people's achievements.” from the report
Outbreak planning
The provider had plans for a future COVID-19 outbreak, including keeping staff in set groups.
“The provider had contingency plans in place to manage any potential future outbreak of COVID-19.” from the report
Staff testing timing
needs fixingStaff had regular COVID-19 tests, but these were not carried out before staff started their shifts. The manager said this would be changed using additional rapid testing kits.
“Although staff had regular testing for COVID-19, this was not done before staff started their shift.” from the report
Temperature checks
needs fixingTemperatures were not being checked for visitors, staff or people in line with the latest guidance. The manager said they would act where it was safe to do so.
“The provider did not ensure that visitors, staff's or people's temperatures were checked as per the latest guidance.” from the report
- 01Are staff now tested for COVID-19 before they start each shift?
- 02Are temperatures checked for visitors, staff and people as required by the latest guidance?
- 03How are visits currently managed, including indoor visits and the use of PPE?
- 04How would the home keep people safe if there were a COVID-19 outbreak?
- 05How does the home help people who cannot socially distance to reduce infection risks?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the service or assess the other four questions. This explanation was written from the published report of 23 March 2021 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.
Every inspection of Tigh Calman
2 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- September 2018GoodSafe: GoodWell-led: Good
- August 2017
Registered with the Care Quality Commission on 15 August 2017.
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.
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39 live-in carers within about an hour of Peterborough
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.
Most charge £980 to £1,370 a week. 34 can care for a couple. 11 years' experience on average.
“I honestly feel lucky to have found her and have already booked her for another visit.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.