Archived: The Old Bakery

Updated 9 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This announced comprehensive inspection took place on 8 October 2018. An inspector visited the service. We gave the registered manager 48 hours’ notice we would be carrying out the inspection. This was because we needed to ensure people would be in and that the registered manager was available.

Prior to the inspection we reviewed information we held on our systems about the service. This included previous inspection reports, any notifications received and the Provider Information Record (PIR). The PIR is a form that asks the provider to give some key information about the home, what the home does well and improvements they plan to make. We also looked at statutory notifications sent in by the service. A statutory notification contains information about significant events, which the provider is required to send to us by law.

We met all three people who lived at The Old Bakery, we looked at two people's care records and their medicine records. Only one person could verbally communicate with us, so we observed interactions between staff and people throughout the day. This helped us to understand people's experiences.

We met with the provider, registered manager and with four care staff. We looked at three staff records, which included training, supervision and appraisals. We looked at quality monitoring information such as health and safety checks, cleaning schedules and audits. We looked at staff rotas and five staff files, which included recruitment records for new staff. We also looked at quality monitoring systems the provider used such as health and safety audits, daily, weekly and monthly checklists, and at equipment and servicing records. We sought feedback from commissioners, and health and social care professionals who regularly visited the home and received a response from two of them.

Updated 9 November 2018

The Old Bakery is registered to provide accommodation with personal care for up to four people with learning disabilities. Three people lived at the service when we visited. The Old Bakery is a two storey older building in Crediton, within walking distance of the town centre.

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.

Rating at last inspection

At our last inspection on 6 March 2016, we rated the service as Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated Good.

People were supported by caring and compassionate staff. They supported and involved people to express their views, and acted on them. People were treated with dignity and respect and care was organised around people's individual needs. Staff supported people to be as independent as possible, and upheld their rights to privacy, dignity and a family life.

People were protected because staff knew how to recognise signs of potential abuse and how to report suspected abuse. People's risks were assessed and actions taken to reduce them as much as possible.

People received care and support at a time convenient for them because staffing levels were sufficient. Staff had been safely recruited to meet people's needs.

People received effective care from skilled and experienced staff, who had regular training and supervision.

People received personalised care from staff who knew what mattered to them. They were encouraged to socialise and pursue their interests and hobbies. There was a complaints process, although no complaints had been received.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to lead a healthy lifestyle and have access to healthcare services. Staff recognised any deterioration in people's health, sought professional advice appropriately and followed it. People received their medicines on time and in a safe way.

The service was well led by the provider and registered manager. The culture was open and promoted person centred values. People, relatives and staff views were sought and taken into account in how the service was run. The provider had systems in place to monitor the quality of care provided. They made continuous changes and improvements in response to their findings.

Further information is in the detailed findings below.