Latest Inspection
This is the latest available inspection report for this service, carried out on 14th December 2009. 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.
For extracts, read the latest CQC inspection for Baxter Close(15).
Annual service review
Name of Service: Baxter Close(15) The quality rating for this care home is: The rating was made on: two star good service 0 7 1 1 2 0 0 8 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: Barbara Mulligan Date of this annual service review: 2 2 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 15 Baxter Close Crownhill Milton Keynes Bucks MK8 0BE 01908262835 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 4 0 The maximum number of service users who can be accommodated is: 4 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 15 and 15A Baxter Close are two flats and part of three separately registered services located in Crownhill, Milton Keynes. They form a small service group providing accommodation and support to nine adult service users with learning disabilities. The flats accommodate two people each. The services are located within a short walking distance of each other in a small close in an area with reasonably good public transport to the city centre. There is a corner shop close by. 0 7 1 1 2 0 0 8 Annual Service Review Page 2 of 6 The group of homes is managed from Marley Grove, which also provides accommodation for three service users requiring higher levels of support. The staff team works as one group, flexibly covering the needs of service users in all the three settings, rather than being specifically allocated to one or another. Together, Marley Grove and Baxter Close aim to enable people with learning disabilities to live as independent lives as possible. Annual Service Review Page 3 of 6 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 or annual service review. This included: -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. -Surveys returned to us by people using the service and from other people with an interest in the service. Two completed staff surveys were returned to the Commission. -Information we have about how the service has managed any complaints. -What the service has told us about things that have happened in the home, these are called notifications and are a legal requirement. -The previous key inspection report and the results of any other visits that we have made to the service in the last 12 months. -Relevant information from other organisations. -What other people have told us about the service. What has this told us about the service? The home sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgment is that the home is still providing a good service and that they know what further improvements they need to make. Comments received under the heading of what the home does well include, understands and listens to individuals. Every service user is allocated a linkworker in both residential and Day Services. This person acts as a representative for the service user and all linkworkers and the service users have quarterly 3 way meetings as an open forum for views to be listened to. The AQAA tells us that MacIntyre actively promotes the use of independent advocates and some service users are employed by MacIntyre as Practice Development Officers who are involved in practice development and assessment. They also provide training to staff. We are informed by the AQAA that an annual service user questionnaire is completed by service users on a voluntary basis. The results are used to identify areas in need of improvement. People using this service users at 15a Baxter Close have a weekly house meeting. These meetings are used to for menu planning and compilation of the weekly shopping list and to remind service users around issues of safety, abuse awareness and fire procedures. They are also used to discuss and plan activities. Comments made in the returned surveys tell us there is not enough staff to meet the Annual Service Review Page 4 of 6 needs of individuals who wish to do activities during the weekend and evenings. The home ensure the equality and diversity of people using the service by having in place and training around equal opportunities policy, mental capacity act and disability discrimination. We are informed by the AQAA that service users have a last wishes questionnaire in place to ensure that service users wishes are adhered to and actions to be taken with regards to their cultural or religious beliefs. The completed AQAA tells us that staff receive specific training is undertaken in areas such as loss and bereavement, dementia, dsyphagia awareness and use of a portable hoist and wheelchairs. We are informed by the AQAA that the home employs six permanent care staff and they have been subject to satisfactory pre-employment checks. For some areas the barriers to improvement recorded in the AQAA are low staffing levels working across two services during evenings and weekends. One comment tells us that there is pressure to pick up relief shifts due to lone working and not using agency staff. To reduce the impact on service users and staff the AQAA tells us that the home have made the senior support worker Acting Head of Service and has been supported by an experienced senior support worker from another MacIntyre service in Milton Keynes The completed AQAA informs us they have a clear complaints procedure in place and the home has not received any complaints during the last 12 months. Information in the AQAA tells us that the home has had no safeguarding of vulnerable adults referrals in the last 12 months and that they have a whistle blowing policy to encourage open reporting of serious malpractice within the organisation. The AQAA tells us that staff have had safeguarding training and can recognise the symptoms of abuse, and that staff know how and why to report other staff and understand the importance of whistle blowing. The AQAA outlines that staff employed by the organisation have relevant qualifications and training for the field of practice they are assigned to. What are we going to do as a result of this annual service review? We are not going to change out inspection plan and will complete a key inspection by the 7th November 2010. 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 the service. Annual Service Review Page 5 of 6 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. Helpline:
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