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Inspection on 09/03/10 for Monro Avenue (54)

Also see our care home review for Monro Avenue (54) for more information

This is the latest available inspection report for this service, carried out on 9th March 2010.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Monro Avenue (54) The quality rating for this care home is: The rating was made on: two star good service 1 8 0 2 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Chris Schwarz Date of this annual service review: 0 3 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 54 Monro Avenue Crownhill Milton Keynes Bucks MK8 0BL 01908269116 Telephone number: Fax number: Email address: Provider web address:   www.macintyrecharity.org MacIntyre Care Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability - LD Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 54 Monro Avenue is a care service managed by MacIntyre Care and provides personal care and accommodation for up to six people with learning disabilities. The building is a two storey residential house built in the style of the surrounding properties. The service is situated in a residential area of Milton Keynes and is within walking distance of the local shops, church and local pubs. The building has six single bedrooms on the ground and upper floor and has a secure maintained garden that is accessible to all service users. Access to the upper floor is via stairs or a stair lift. The centre of Milton Annual Service Review Page 2 of 7 1 8 0 2 2 0 0 9 Keynes is close by offering a large shopping centre, cinema, a range of restaurants and recreational activities, cycle tracks and many other attractions. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection on 18 February 2009. This included: 1.The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. 2. Surveys returned to us by people using the service and from other people with an interest in the service. 3. Information we have about how the service has managed any complaints. 4. What the service has told us about things that have happened in the service, these are called notifications and it is a legal requirement for the service to tell us about them. 5. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 6. Relevant information from other organisations. 7. What other people have told us about the service. What has this told us about the service? The Annual Quality Assurance Assessment was returned in good time to carry out this assessment and had been completed to a reasonable standard. It showed that various improvements had been made at the service in the past year such as developing a pictorial service users guide and statement of purpose, developing communication systems to involve people in menu planning and showing them who will be providing support throughout the day, service users being involved in recruitment of new staff, providing more choice around menu planning, food choices and accessing the community, visiting the doctors surgery rather than arranging home visits, making use of the local authoritys safeguarding training, the front garden has been developed, reduction in the use of agency staff and the manager completed her National Vocational Qualification level 4. The manager identified further areas for improvement over the course of the next twelve months to improve outcomes for people using the service. Statistical information provided in the Annual Quality Assurance Assessment showed that equipment was being maintained such as the heating system, portable electrical appliances and fire fighting equipment. The manager told us that the service has written assessments for hazardous substances and an action plan to deliver best practice in the prevention and control of infection. Information showed that there had not been any admissions or discharges at 54 Monro over the past year. The manager said there had not been any complaints, use of restraint or safeguarding referrals or investigations. She confirmed that all staff employed in the past year had satisfactory pre-employment checks and that the service had a staff development programme which meets the National Minimum Standards for the service. She indicated that all of the permanent care workers had completed an induction which met with Skills for Care standards and that two of the eight permanent workers had achieved National Vocational Qualification at level 2 or above. Annual Service Review Page 4 of 7 Seven completed surveys were returned to us. A service user who completed a survey said they had been asked if they wanted to move in to 54 Monro and that they received enough information about the service to help them decide if it was the right place for them. They said they can usually make decisions about what to do each day and that they could do what they wanted to during the day, in the evenings and at weekends. They said they knew who to speak with if they were not happy and how to make a complaint. They said the service is always kept fresh and clean and that staff always treat them well and listen and act on what they say. The person said one of the things the service does well was cooking. They did not identify any areas that could be done better. A social and health care professional said the services assessment arrangements always ensured that accurate information is gathered and that the right service is planned for people. They said peoples health and social care needs are always properly monitored, reviewed and met and that the service always seeks advice and acts on it to improve peoples social and health care needs. They said peoples privacy and dignity were always respected and that the service always supports people to live the life they choose. They said managers and staff always have the right skills and experience to support peoples social and health care needs and that the service always responds to diverse needs such as those related to disability, gender, faith and culture. They said the service always responds appropriately if they or a person using the service have raised any concerns. Additional comments were I review three service users at Monro. I am always impressed by the way that the work of the service reflects their individual needs. I see this in the way reviews are prepared and organised, peoples rooms and how they are furnished to individual tastes, activity plans etc. I was impressed with the support given to one resident when she was unwell earlier this year. There is always enthusiasm and a desire to do even better. Staff have always been professional, reviews are structured to involve service users as much as possible. Staff support service users to try new things such as holidays or activities like hydro or wrestling. I think what I am most impressed with is that they always want to do more for the people that they support. Five staff returned surveys. They said they are given up to date information about the needs of the people they support. They said their employer carried out checks before they started work such as uptake of references and Criminal Records Bureau checks and that their induction covered the areas they needed to know about very well. They said they receive training which is relevant to their role, helps them to understand and meet the individual needs of people, keeps them up to date with new ways of working and gives them enough knowledge about health care and medication. They said their manager regularly gives them enough support and meets with them to discuss how they are working and that they knew what to do if anyone raised any concerns. Staff said the ways in which information is shared usually worked well and that there were usually enough staff to meet individual needs. They said they felt they had enough support, experience and knowledge to meet the different needs of people who live at the service. Areas where they felt the service worked well included safe environment for people we support, offering options and challenges that they do enjoy, caters for the service users very well. They are well looked after and cared for, provides a loving, warm, safe place for the residents to live. Keeping the house well decorated and clean and comfortable and puts the individual first and treats everyone equally i.e. staff, individuals we support and families. Areas where staff felt the service could improve were more activities but due to the cold nights the individuals dont always Annual Service Review Page 5 of 7 want to go out, provide more staff so that the residents get more 1-1 time and outings etc, instead of staff spending time washing, cooking and cleaning, more staff, find out about blind peoples activities to offer to one of our clients and PCP (person centred planning). The information that has been provided in order to carry out this review indicates that the service continues to provide a good standard of care to people living at 54 Monro and that we do not need to alter our planned inspection schedule. What are we going to do as a result of this annual service review? The next key inspection of 54 Monro will be carried out before 17 February 2011 to review our assessment. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using it. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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