We undertook this unannounced inspection on 01 June 2016. The last inspection was completed on 02 February 2013 and the service was meeting the regulations we assessed.

Bakewells provides residential care and support for up to 34 people. The main part of the home has maintained many of the original features. In 2014 the home had a purpose built extension added to the main building known as The Deane. The Deane cares for up to eight people living with dementia. The Deane had been designed to an excellent standard incorporating the best practice guidelines set out by Stirling University

The Deane has a secure entry system, spacious communal areas with plenty of light and large bedrooms with en-suite facilities. The Deane opens out into a large garden which has been purposely designed with a sensory area full of colour and aromatic smells. There is a large rabbit hutch and run so people can sit and watch the rabbits playing.

The registered manager is the registered provider and has been in post for 17 years. The registered manager is also a registered nurse. A registered manager is a person who is registered with The Care Quality Commission to manage the service. Like registered providers they are ‘registered persons’. Registered persons have legal responsibilities for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

All the staff we spoke with said the registered manager and the Managing Director were dedicated, supportive and approachable. They said whatever people needed was provided to ensure people had the best quality of life they could achieve.

People we spoke with were settled and contented. Relatives and friends visiting the home told us they only had positive experiences and praise for this service. Staff treated people as individuals with dignity and respect.

Staff were knowledgeable about people’s likes, dislikes, preferences and care needs. They approached people using a calm, friendly manner which people responded to positively.

The registered manager and all the staff we spoke with were passionate about providing a

service that placed people and their families at the very heart of the service. This was confirmed with us through speaking with relatives and visitors.

Staff told us they enjoyed working in both areas of the home. They received training in caring for people living with dementia. For example, The Jewels in Dementia Care. This is a recognised model of caring for people living with dementia. It explains the way of caring for people living with dementia using the analogy of Five Precious Jewels which is easy to remember. It is a dignified terminology and a practical tool for best practice care suitable for anyone caring for people living with dementia.

Staff we spoke with told us how they encouraged and supported people to make decisions for themselves, which ensured people were able to live the life they chose.

Staff had received training about how to ensure people’s rights were respected and how to safeguard people from abuse. They were able to describe the different types of abuse that may occur and said they would report any issues straight away. Staff told us how they were openly

encouraged to raise any issues which were then reported to the local authority for them to consider under their safeguarding of vulnerable adults procedures. This helped to protect people who used the service.

Risk assessments and detailed care plans were in place. This helped staff to deliver the care and support people needed. There were robust medication systems in place to ensure that people who used the service received their medicines as prescribed.

People were offered appropriate food and fluids to maintain their nutrition and hydration. The catering team took pride in serving appetising and nutritious food. Those who required prompting or support to eat were assisted by patient and attentive staff which ensured that people’s nutrit