We carried out a review of the data available to us about The Old Bakery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Old Bakery, you can give feedback on this service.
About the service
The Old Bakery is a residential care home providing care and support to up to four people. The service provides support to people with a learning disability. At the time of our inspection there were three people using the service.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support: Model of care and setting maximises people’s choice, control and Independence; Right care: Care is person-centred and promotes people’s dignity, privacy and human rights; Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
People’s equality, diversity and human rights were respected. The service’s vision and values centred around the people they supported. The organisation’s statement of purpose and service user guide documented a philosophy of maximising people’s life choices, encouraging independence and people having a sense of worth and value. Our inspection found that the organisation’s philosophy was embedded in The Old Bakery. For example, people were constantly encouraged to lead rich and meaningful lives.
The service provided safe care to people. Measures to manage risk were as least restrictive as possible to protect people’s freedom. People’s rights were protected because the service followed the appropriate legal processes. Medicines were safely managed on people’s behalf.
Care files were personalised to reflect people’s personal preferences. Their views and suggestions were taken into account to improve the service. People were supported to maintain a balanced diet. Health and social care professionals were regularly involved in people’s care to ensure they received the care and treatment which was right for them.
Staff relationships with people were caring and supportive. Staff provided care that was kind and compassionate. We observed a staff member painting a person’s nails. Interactions were positive and the person was relaxed and happy. They greeted us with a big smile. They commented, "I like living here, the staff are nice. We are going out this afternoon."
There were sufficient staff to meet people’s needs. People were supported by a core team of staff. Staff confirmed that people’s needs were met promptly, and they felt there were sufficient staffing numbers. We observed this during our visit when people needed support or wanted to participate in particular activities. For example, staff spent time with people engaging in a range of activities both within the home and local community.
There were effective staff recruitment and selection processes in place. People received effective care and support from staff who were well trained and competent.
Staff spoke positively about communication and how the registered manager worked well with them and encouraged their professional development.
A number of methods were used to assess the quality and safety of the service people received. The service made continuous improvements in response to their findings.
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 31 October 2019 and this is their first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
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.
We found the following examples of good practice.
Staff were aware of the correct personal protective equipment (PPE) they needed to wear to keep people and themselves safe.
Staff were observed wearing PPE throughout the building and throughout the inspection.
Staff had training and support to understand the fundamentals of infection control and Covid 19. There was a contingency plan for if the service had an outbreak.
All visitors were only allowed into the home once they had declared their health status, provided their contact details and had their temperature checked. The conservatory was the designated visiting area because this was a large space which allowed for social distancing and could be easily aired and cleaned. Most people’s relative had chosen not to visit or to have outside visits to date.
Staff supported people to maintain contact with relatives using video calls and phone calls. Staff also worked hard to be inventive in ways they could ensure people were still able to enjoy the activities they preferred which may have been restricted due to lockdown.
The service had regular testing and had a good take up of staff and people receiving their first corona virus vaccine. They were working with a learning disability nurse specialist for one person who had anxieties about needles.
The home was clean and there were cleaning schedules to show that high touch points were being cleaned on a regular basis to help keep people safe.