Tigh Sogan is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement.

Tigh Sogan does not provide nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service supports up to six young male adults with learning disabilities and/ or autism, all of whom had complex needs. There were six people using the service at the time of our inspection.

When we last visited the home on 20 October 2015 the service was meeting the regulations we looked at and was rated Good overall. At this inspection we found the service had improved significantly and was Outstanding overall.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any

citizen.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider had excellent systems in place to support people in relation to behaviours which challenged the service. The registered manager and staff closely assessed people’s needs in relation to behaviours and implemented consistent ways of working tailored to each person. People experienced a reduction in behaviours which challenged and this helped improve their quality of life. Staff received training in relation to positive behaviour support and understood people’s needs well.

Care plans were carefully designed so people's emotional needs, individual preferences and interests were well catered for. Each person was supported to live a meaningful life despite difficulties they experienced in their day to day lives and previous difficulties in engaging in activities. People had individualised activity programmes in place which met their particular interests and needs very well. Staff supported people to increase choice and control in their lives through their excellent understanding of people's needs and preferences. People were at reduced risk of social isolation as the provider actively encouraged socialising and building relationships.

Systems were in place to reduce the risk of abuse. Staff received regular training in safeguarding and staff understood their role and responsibilities in relation to this. The provider identified, assessed and managed risks relating to people’s care as well as to the premises. The premises were well maintained and clean with sufficient space for people. People were free to choose where they spent their time in the service. Good infection control processes were in place.

The provider carried out recruitment checks to determine whether staff were suitable to work with people. People and staff were involved in the recruitment process. There were sufficient numbers of staff deployed to support people with each person receiving individual support throughout the day. Processes were in place to manage people’s medicines safely.

People were supported by staff who were well supported with induction, training, supervision and annual appraisal to help them understand their role and responsibilities.

People received coordinated care when moving between services such as hospital admissions and when newly admitted to the care home. People were supported in relation to their day to day health and to access healthcare services they required. People received their choice of food and the provider encouraged healthy eating. People were encouraged to exercise and main

This inspection took place on 20 October 2015 and was unannounced.

Tigh Sogan is a residential home which provides care and accommodation for up to six adults with learning disabilities, autism and who may display behaviours that challenge others.

The home was registered in February 2015 and this was their first inspection by the Care Quality Commission (CQC). There was a registered manager in post, who was present on the day of the inspection visit. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People told us they felt safe in their homes because of the staff support they received; it was tailored according to their needs and abilities.

People and their relatives were fully involved in planning their care which was seen to be person centred and individualised. Care plans included information about people’s abilities, likes, interests and background and provided staff with sufficient information to enable them to provide care effectively.

Family members told us they felt confident in the fact their relatives were developing more independent living skills; and they were well supported.

Risk assessments considered individual needs, strengths and areas where support was required. Support arrangements were in place to help people manage these as safely as possible. The service encouraged and empowered people to develop independent living skills, promoted positive risk taking and did not restrict people’s interests but encouraged them to try new things.

Recruitment processes were robust and only suitably vetted staff were employed. Staff told us they received essential training but also training specific to the needs of people they were supporting. We saw that health and social care professionals were regularly involved where needed and staff followed their advice and recommendations. Staff had undertaken relevant training on the Mental Capacity Act 2005 so that they understood the issues faced by people who may find it to make informed choices about their care.

The service had systems in place to safely support people who may behave in a way that put themselves or others at risk of being physically harmed. People exhibiting behaviour that challenged the service were carefully supported by staff who were trained and competent is using detailed positive behaviour support plans.

The service worked in collaboration with other agencies and health and social care professionals, ensuring care was effective and any specialist input was obtained where necessary. Relatives said they were pleased with the support the home provided and felt confident they would listen to their views and respond appropriately when they had any issues or concerns.

Staff supported people to fulfil individual passions. The service worked with people to arrange and support them to try new things. Activities and opportunities were varied and regular. Staff supported people to achieve personal goals such as developing more skills and confidence building.

Staff provided encouragement and support that enabled people give their views and make their wishes known. Staff were able to interpret and understand non-verbal communication and cues that indicated people’s wishes and aspirations. People’s preferences, interests, and diverse needs were recorded and care and support was provided in accordance with their wishes. The provider had quality assurance processes in place that identified any shortfalls and drove improvement in the service. There was evidence that learning from incidents / investigations took place and appropriate changes were implemented.