The Bakery

Updated 27 January 2022

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.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 20 January 2022 and was announced. We gave the service 24 hours notice of the inspection.

Updated 27 January 2022

About the service

The Bakery is a residential care home providing personal care and a respite service. It is an adapted building with five bedrooms. The provider also provides a domiciliary care service supporting people in their own homes. We inspected both the residential services as well as the domiciliary care service. The service supported seven people in total; five of which received regulated activity. One person was a full-time resident and the other people received domiciliary support in their own home and also visited the service in a respite capacity. At any one time, only five people use the house and on the day of the inspection, four people were being supported.

Not everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes.

People’s experience of using this service and what we found

Risks to people’s health and wellbeing were assessed and managed in a person-centred way. People received their medicines as prescribed and were protected by safe infection control practice. People were protected from the risk of abuse and care plans detailed how to manage behaviours that challenge in a positive way that protected people's dignity and rights. Lessons were learnt when things went wrong

People were supported to maintain a balanced diet whilst their independence was promoted. Staff had relevant training, skills and experience to be able to support people. Staff worked with other health and social care professionals to achieve good outcomes for people's health and wellbeing. The environment was adapted to meet people's needs.

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

People were respected as individuals and treated with dignity and respect. People were supported to be as independent as possible both at home and in the community. People had meaningful relationships with staff. People were able to be involved in the recruitment of staff who supported them.

Care records were person-centred, and people and their relatives were involved in their care. People's support plans included information about their wishes and incorporated information about empowering people to be independent. People were supported to live full and active lives which included continuing hobbies and accessing education opportunities. Staff identified people's information and communication needs and provided this support, so people had a voice. Complaints and concerns were appropriately followed-up by the management team.

Staff understood the management’s vision for the service and people were at the centre of the service. Staff had a clear understanding of their roles and responsibilities. The registered manager understood the importance of quality monitoring and how to use this information to drive improvement. People using the service, their relatives and staff were regularly contacted to provide feedback on the service provided. The registered manager was committed to continuous improvement within the service. The management team was transparent, open and collaborative with external agencies.

The outcomes for people using the service reflected the principles and values of Registering the Right Support and other best practice guidance by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 18/01/2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date of registration.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.