The Bakery

The Bakery is registered to provide personal care to people living in their own homes. At the time of our inspection, one person was receiving the regulated activity of personal care from the service. The person using the service had a learning disability and/or autistic spectrum disorder and required support with aspects of their daily living.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

This report relates only to the domiciliary care service. A separate report is available for the residential care home operated by The Bakery.

During and following the inspection, we reviewed records and sought feedback from the person's relative and relevant stakeholders to inform our assessment of the quality of care provided by the service. Governance systems were used to monitor the quality of support. Regular audits of support planning and risk management helped identify issues, so that action could be taken to drive improvement.

There was no registered manager at the time of the inspection. A registered manager who was already registered for two of the provider's care homes was applying to become registered manager for the domiciliary care service and was providing oversight of the service pending registration.

The person was at the centre of their support and was involved, alongside their relative, in developing personalised plans to achieve positive outcomes. Systems were in place to support continuous improvement.

Staff understood the person's needs, preferences and important relationships. The person and their relative were involved in decisions about care and support, and support arrangements were reviewed regularly and adapted when needs changed to ensure they remained person-centred.

The person was treated with kindness, dignity and respect. Their privacy, safety and wellbeing were promoted, and their health needs were monitored to ensure support remained effective. Care was delivered in the least restrictive way and in line with legal requirements, with safeguarding processes in place to protect the person from harm.

Medicines were managed safely, and there were enough skilled and appropriately recruited staff to meet the person's needs. Staff worked effectively with the person's relative and health and social care professionals and received training and competency checks to support safe and effective care.

The provider promoted an open culture where the person, their relative and staff could raise feedback and concerns. Concerns were addressed appropriately, supporting learning and continuous improvement within the service.