CQC report explained · a residential care home
What the CQC found at Tigh Sogan
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Outstanding
- Staff understood people's individual needs and used consistent positive behaviour support to reduce risks. Recruitment, staffing, premises, infection control and medicines were all found to be safe.
- Effective?
- Good
- People had thorough assessments, suitable care plans, trained staff and support with health, food, exercise and access to healthcare. Mental capacity assessments and applications for restrictions on liberty were handled appropriately.
- Caring?
- Good
- Staff were caring, attentive and respectful. They adapted communication, supported privacy and dignity, and helped people develop independence.
- Responsive?
- Outstanding
- Care plans reflected people's emotional needs, preferences and interests. People had individual activity programmes, more choice and control, and support to build relationships and avoid isolation.
- Well-led?
- Good
- Leadership was visible and capable, and staff worked well as a team. Regular checks, audits, meetings and feedback systems were used to monitor and improve the home.
What inspectors found, April 2018
Tigh Sogan was rated Outstanding overall; inspectors found highly individualised, safe care, with only minor guidance improvements needed for some medicines.
The inspection was unannounced and took place on 12 February 2018. One inspector visited the home, spoke with people, relatives and staff, observed care, and checked care records, staff files, medicines records and other documents. Feedback was also requested from professionals.
The home supports up to six young men with learning disabilities and/or autism and complex needs. Inspectors found that staff understood people very well and used individual plans to reduce distress and behaviours that could put people or others at risk.
People had personalised activities, support to build relationships and help to develop independence. Inspectors found kind and respectful care, enough staff, safe medicines systems, suitable premises and good leadership.
The overall rating improved from Good at the previous inspection in October 2015 to Outstanding. Safe and Responsive were rated Outstanding. Effective, Caring and Well-led remained Good.
Positive behaviour support
Staff identified triggers and used consistent, personalised approaches to reduce distress and behaviours that could cause harm. Inspectors found this helped people live more meaningful lives.
“The provider had excellent systems in place to support people in relation to behaviours which challenged the service.” from the report
Meaningful activities
People were supported to develop interests, attend college, exercise, take part in hobbies and build practical skills. Activities were based on each person's preferences and goals.
“People had individualised activity programmes in place which met their particular interests and needs very well.” from the report
Personalised care
Care plans included people's history, communication needs, preferences, aspirations and emotional needs. Staff used this information to increase choice and control.
“People's care plans reflected their physical, mental, emotional and social needs, their personal history, individual preferences, interests and aspirations.” from the report
Caring relationships
Staff knew people well, treated them with dignity and adapted how they communicated. They supported people promptly and gave them time to interact meaningfully.
“We observed staff were caring and attentive towards people.” from the report
Strong oversight
The home had visible leadership, regular audits and several ways to gather views from people, relatives and staff. Staff said they were supported and worked well together.
“The provider had systems in place to ensure good governance of the service.” from the report
Medicines guidance
minorMedicines were administered safely and records showed no omissions. However, inspectors said the written guidance for staff about some medicines given only when needed could be improved.
“although the guidance for staff to refer to could be improved.” from the report
- 01How do you identify my relative's triggers and update their positive behaviour support plan?
- 02What medicines might be given only when needed, and what written guidance do staff now use?
- 03How will my relative be involved in choosing activities, meals and daily routines?
- 04If my relative cannot make a particular decision, how will you involve them, their family and others in a best-interests decision?
- 05How does the locked front door affect my relative, and what legal authorisation is in place?
This was an unannounced inspection of the whole service covering all five CQC questions and the overall rating. This explanation was written from the published report of 27 April 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 Sogan
2 rated inspections over 2 years: the service has improved, from Good to Outstanding.
- April 2018Outstandingcurrent ratingup from GoodSafe: OutstandingEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2015
Registered with the Care Quality Commission on 26 February 2015.
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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At least 100 live-in carers within about an hour of Croydon
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 £1,230 a week. 77 can care for a couple. 11 years' experience on average.
“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
“Terry has been of invaluable help to our family while working as a part-time live-in carer for our mother for approximately 6 months”
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.