The Bakery

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Before the person began receiving support from the service, an assessment was completed to identify their care and support needs and to ensure these could be met effectively. The person and their relative were involved in the assessment process, along with relevant health and social care professionals where appropriate, to help ensure support reflected the person's preferences, needs, and desired outcomes.

Care plans and risk assessments provided clear guidance on the support the person required, any associated risks, and the measures needed to promote their safety and wellbeing. Staff told us these documents were reviewed regularly and updated whenever there were changes to the person's needs or circumstances.

The relative felt staff had the skills and knowledge required to support their family member's needs. They also confirmed staff promoted the person's independence wherever possible and adapted support to their individual needs and preferences.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

The service delivered care and support that was personalised to the person's individual needs and preferences. The person and their relative were involved in developing and reviewing care plans to ensure these reflected what was important to them and how they wished to be supported.

Support was provided in accordance with the person's assessed needs and personal preferences. Care planning and delivery were informed by current best practice and relevant professional guidance to help ensure the person received effective, high-quality care.

The person received support when needed, and staff worked closely with their relatives and other professionals involved in their care. Records showed that advice from healthcare professionals was sought and acted upon where required, helping to ensure a coordinated approach to meeting the person's needs.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

The provider maintained clear and up-to-date information about the person's health needs and support requirements, which helped ensure relevant professionals had access to important information when needed.

The provider worked effectively with the person’s family, external agencies and professionals involved in the person's care. Systems were in place to support a joined-up approach, helping to ensure the person's care and support needs were met consistently and in line with professional advice.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

The person received support to maintain their health and wellbeing. Staff understood their individual nutritional requirements and followed relevant guidance to ensure these needs were met. The person's preferences regarding food and drink were taken into account, and support was provided in a way that promoted their wellbeing and helped maintain a healthy nutritional status.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The person was at the centre of the support they received. Records demonstrated a personalised approach to care, reflecting their individual needs, preferences, and routines. Support plans were focused on what was important to the person and were reviewed and updated when their needs or circumstances changed.

Staff knew the person well and understood how they communicated their wishes, preferences, and wellbeing. They were able to recognise signs that the person may be unhappy, distressed, or have unmet needs, which helped ensure support was provided in a timely and responsive way that met the person's individual needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Assessments relating to the person's ability to make decisions had been completed where appropriate, and decisions made on their behalf were supported in line with relevant legislation and guidance. Staff understood the importance of involving the person in decisions about their care and support and used approaches tailored to their individual communication needs to maximise their participation and choice.

The provider respected the person's rights and supported them to express their preferences and make decisions wherever possible. Staff demonstrated an understanding of the principles of the Mental Capacity Act 2005 and knew how these applied to the person they supported. Staff knew the person well, including their likes, dislikes, preferred routines, and methods of communication, which enabled them to provide personalised support and involve the person in decisions about their day-to-day life. Staff told us they worked at the person's pace and adapted their approach to reflect their individual needs and preferences.