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CQC report explained · a residential care home

What the CQC found at The Bakery

Goodpublished 29 January 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, including PPE, testing, cleaning, outbreak planning and visiting arrangements. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, January 2022

Inspected but not rated; inspectors found good COVID-19 infection control and visiting arrangements.

This was a targeted inspection on 20 January 2022. Inspectors checked infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures were affecting the home. The inspection was announced 24 hours beforehand.

Inspectors found that visitors were given clear instructions, staff used personal protective equipment correctly, and regular COVID-19 testing was in place for staff and residents. The home had plans for managing an infection outbreak.

The home was clean, with daily cleaning and extra cleaning of frequently touched surfaces. Infection control audits were carried out and actions were followed up when needed.

The home was inspected but not rated. This report does not provide an overall rating or ratings for the other areas of care.

What inspectors praised
  • Clear visiting arrangements

    Visitors received clear information about preventing the spread of COVID-19. Instructions were displayed and explained when visitors arrived.

    “Information and instructions for visitors were clearly displayed and explained in person on entry to the home.” from the report
  • Good use of PPE

    Inspectors saw staff using the required protective equipment correctly when supporting residents.

    “We observed staff wearing the required PPE correctly whilst supporting people at the home.” from the report
  • Cleaning and outbreak planning

    The home carried out regular cleaning, including extra cleaning of frequently touched surfaces. It also had plans for preventing and managing an infection outbreak.

    “The service was clean, staff carried out daily and additional tasks, such as cleaning of any regular touchpoint surfaces.” from the report
  • Testing arrangements

    Regular COVID-19 testing was in place for staff and residents, and inspectors were assured that infection outbreaks could be managed.

    “A regular programme of testing for COVID-19 was in place for staff and people who lived in the service.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are COVID-19 testing and infection control arrangements being carried out now?
  2. 02How are visitors currently given information about preventing the spread of infections?
  3. 03How often are frequently touched surfaces cleaned, and how are cleaning checks recorded?
  4. 04What is the current plan if there is an infection outbreak at the home?
  5. 05How are staffing pressures managed if staff are absent because of COVID-19?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess or rate the other areas of care. This explanation was written from the published report of 27 January 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, January 2020

Rated Good; inspectors found safe, kind and personalised care across all five areas they assessed.

This was the home’s first inspection since it registered. The inspection took place on 8 and 9 January 2020. One inspector visited the home and office, spoke with people, relatives and staff, observed care, and checked care, medicine, staff and management records.

The home supported seven people in total across its residential respite and home care services. Inspectors found people were protected from abuse and avoidable harm. Medicines were given as prescribed, staffing was safe, and the premises were clean and maintained.

People were supported by trained staff who understood their needs. They were involved in decisions about their care, treated with dignity, and supported to be independent. Care plans were personalised, communication needs were understood, and people took part in activities and community life.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The report says this meant people’s outcomes were consistently good, their needs were met through good organisation, and the service was managed in a consistent and person-centred way.

What inspectors praised
  • Personalised risk support

    Risks were assessed in a way that supported people’s dignity, choice and independence. Care records included positive ways to support behaviour and everyday activities such as cooking.

    “Care records included information on positive risk-taking to maximise people's control and independence.” from the report
  • Skilled staff

    Staff completed induction, training and competency checks. Inspectors found they understood people’s complex needs and felt able to support them safely.

    “All staff completed a comprehensive induction, which included supervised work, training and competency assessments.” from the report
  • Kind and respectful care

    People had warm relationships with staff and were treated as individuals. Staff supported privacy, dignity and independence rather than focusing only on tasks.

    “We saw people had meaningful relationships with staff.” from the report
  • Active lives and independence

    People were supported to pursue hobbies, work, education, social activities and personal ambitions. They were also supported to keep in touch with family and friends.

    “People were supported to live full and active lives.” from the report
  • Open management

    Managers used audits, spot checks and staff competency assessments to identify improvements. People, relatives and staff were able to give feedback through meetings and surveys.

    “The provider understood the importance of quality monitoring and how to use this information to drive improvement.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you support someone who needed end-of-life care, given that no one was receiving this care at the inspection?
  2. 02How would you identify and respond to any new medicines errors after the changes described in the report?
  3. 03How would you support my relative’s particular communication needs, including any best-yes methods or assistive technology?
  4. 04How often would my relative and family be involved in reviewing the care plan?
  5. 05How would my relative be involved in choosing or interviewing the staff who support them?

This was the first comprehensive inspection of both the residential care home and the domiciliary care service, covering all five key questions; four people’s care and medicine records and three staff files were reviewed. This explanation was written from the published report of 29 January 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of The Bakery

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. January 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Bakery →

  2. January 2020Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Bakery →

  3. January 2019

    Registered with the Care Quality Commission on 18 January 2019.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

62 live-in carers within about an hour of Derbyshire

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.

“Ernest is an amazing professional carer who delivers care from the heart.”
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“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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See live-in carers near DerbyshireProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.