The Bakery

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were safe and protected from avoidable harm.

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 promoted an open and positive culture where safety incidents, concerns and feedback were encouraged, reported and reviewed. Staff understood their responsibilities for reporting incidents and followed established policies and procedures to support learning and continuous improvement.

Feedback from the person's relative reflected positive working relationships with staff and confidence in the care and support provided

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services.

Prior to using the service, a comprehensive assessment of the person's needs was completed to determine the level of care and support required. Information was gathered from the person, their relatives, and other professionals involved in their care to build a clear understanding of their individual requirements. This collaborative approach helped support a safe and successful transition into the service.

Care and support arrangements were planned around the person's unique preferences, established routines, and identified needs. Documentation was regularly reviewed and updated by staff to ensure it accurately reflected the person's circumstances, risks, strengths, and choices at the time.

Ongoing assessments were carried out to monitor any changes in the person's needs and wellbeing. This helped ensure the support provided remained responsive, consistent, and focused on achieving positive outcomes for the person.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately.

Staff demonstrated a clear understanding of safeguarding responsibilities and were able to recognise and respond appropriately to any concerns relating to the person's safety or welfare. They promoted the person's rights, dignity, and independence while taking steps to reduce risks and support their overall wellbeing.

The person's capacity to make specific decisions had been considered in line with relevant legislation. Where the person was unable to make certain decisions independently, best interest discussions had taken place to ensure decisions were made appropriately and in the least restrictive way possible.

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

Family members told us they felt their relative was supported safely by staff in a caring, respectful and dignified manner. Risks associated with the person's care and support were appropriately managed, enabling them to receive personal care in a safe and person centred way.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

The person's relative told us they felt the person was safe when receiving care and support at home. Environmental risks had been assessed and managed appropriately, with regular checks carried out to monitor the safety of the home environment and address any concerns identified.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

The person's relative spoke positively about the care and support provided and told us they were confident the person was safe, well supported, and cared for by staff who understood their complex needs. They described staff as competent, experienced, and suitably trained to provide care tailored to the person's individual requirements. The relative described positive, trusting relationships between their daughter and staff, which helped ensure her needs and preferences were well understood.

Staff demonstrated a clear understanding of their roles and responsibilities and were confident in delivering the person's care and support. Recruitment processes were carried out safely. Records showed the necessary pre-employment checks had been completed, helping to ensure staff were suitable to work with and support the person.

The relative confirmed their family member was safe when receiving support. They confirmed staff were reliable and raised concerns about their family member's health and welfare when required. The relative also said staff were trained to support the person with prescribed medicines when needed. The relative particularly praised the consistency and support provided by the person's regular carer.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

Appropriate infection prevention and control (IPC) measures were in place to support the person's safety and wellbeing. The person's relative told us they had no concerns about staff practice in this area. Staff had access to suitable personal protective equipment (PPE) and were knowledgeable about its correct use. Discussions with the relative and staff provided assurance that IPC procedures were followed consistently.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened.

The person primarily received support with their medicines from family members involved in their day-to-day care arrangements. However, the provider had systems in place to ensure staff were appropriately trained and assessed as competent to provide medication support when required.

Staff understood their responsibilities in relation to medicines management and were aware of the procedures for reporting and responding to any medication concerns or errors. Records and discussions with staff provided assurance that appropriate arrangements were in place to support safe medicines management.