CQC report explained · a residential care home
What the CQC found at Tigh Grianan
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were safe, risks were managed, staffing levels were sufficient and medicines were administered, recorded and stored safely.
- Effective?
- Good
- People's needs were assessed before and after moving in. Staff were trained, supported people's food and healthcare needs, and understood the Mental Capacity Act and Deprivation of Liberty Safeguards.
- Caring?
- Good
- Staff treated people with kindness, compassion, dignity and respect. People were supported to make choices, build independence and maintain relationships.
- Responsive?
- Outstanding
- Care plans were highly personalised and people were supported to achieve health, work, education and independence goals. Activities were chosen around people's interests and wishes.
- Well-led?
- Good
- The home had strong leadership, an involved staff team and regular checks on care, medicines, infection control and safety. People and relatives were involved in giving feedback and shaping the service.
What inspectors found, October 2018
Rated Good overall, with Outstanding responsive care and inspectors finding people safe, respected and supported to reach their goals.
This was an announced inspection on 15 June 2018. Two inspectors met all six people living at the home, spoke with four relatives and contacted health and social care professionals. They also reviewed care records, staff files, training, medicines, rotas, policies and quality checks.
The inspectors found people were safe and supported by enough suitably trained staff. Medicines were managed safely. People received kind and respectful care, had choices about daily life and food, and were supported to use health services.
Responsive care was rated Outstanding. Staff knew people well and helped them pursue personal goals, activities, education, work and relationships. The home was rated Good overall, with Good ratings for Safe, Effective, Caring and Well-led. These ratings continued from the previous inspection, while Responsive remained Outstanding.
Personalised goals
The home supported people to work towards goals that mattered to them. Inspectors saw examples involving public transport, using cutlery independently and setting up a cleaning business.
“People's goals about their health and well-being had improved because of the support they received” from the report
Meaningful activities
People were supported to take part in activities, education, work and community life. Staff involved people in choosing and planning events.
“Staff were devoted to ensuring each person found their lives were enriched by their experience of life within the service and their local community.” from the report
Kind and respectful care
Inspectors observed a calm atmosphere and positive interactions. Staff respected privacy, dignity, communication needs and personal choices.
“Staff treated people with compassion, kindness and respect.” from the report
Safe support
Risk assessments, emergency plans, safeguarding procedures and medicine systems were in place. Staff understood people's needs and how to respond when someone was distressed or at risk.
“Medicines were administered, recorded and stored safely. People had their medicines on time and as prescribed and given by competent staff.” from the report
Strong leadership
The manager and staff team had a clear focus on people's quality of life. Regular audits, feedback and checks were used to monitor and improve the service.
“The views of people were at the core of quality monitoring and assurance arrangements.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative to set, review and achieve their own goals?
- 02What experience do staff have of supporting autism, epilepsy and mental health needs?
- 03How would you communicate with my relative if they could not explain that they were distressed or unwell?
- 04What restrictions might be used to keep my relative safe, and how would Mental Capacity Act and Deprivation of Liberty Safeguards requirements be followed?
- 05How are relatives involved in care planning, reviews and decisions about health or end of life care?
This was a planned, announced inspection covering the overall service and all five CQC questions, including the premises and care provided; the previous ratings continued from 2016. This explanation was written from the published report of 16 October 2018 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 Grianan
2 rated inspections over 2 years: the service has held its Good rating throughout.
- October 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- November 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- August 2012
Registered with the Care Quality Commission on 17 August 2012.
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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77 live-in carers within about an hour of Surrey
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 £1,250 a week. 66 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
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.