Penley Grange

Registration details

The location ID for Penley Grange is 1-128805398.

CQC register Penley Grange to carry out these legally regulated activities. Contact us if you think Penley Grange is operating services not listed here.

Type of service

• Residential homes

Service specialism

• Learning disabilities

Local authority

Buckinghamshire

Monitored services

CQC register Penley Grange to carry out the following legally regulated services here:

Accommodation for persons who require nursing or personal care

Mr Blesson Thomas is responsible for these services.

Miss Shayne Ghafoor is the registered manager for these services at this location.

Condition of this registration relating to carrying out this regulated activity

1. The registered provider must not admit any new service user to Penley Grange, Marlow Road, Stokenchurch, Buckinghamshire, HP14 3UW without the prior written agreement of the Care Quality Commission. The term ‘new service user’ includes any former service user.

2. The registered provider must provide to the CQC on the second Monday of every month after this condition has taken effect, an updated service action plan to evidence progress made toward achieving the actions identified within the action plan. This must include any new gaps identified by the service through their monitoring systems and actions taken in response.

3. The registered provider must provide to the CQC on the second Monday of every month after this condition has taken effect, copies of all audits completed within the preceding month. These must include your findings and any responsive actions, clearly identifying who is responsible and the timescales for this. This should be understood to mean audits undertaken by the location and the provider.

4. The registered provider must provide to the CQC on the second Monday of every month after this condition has taken effect, a report with details of any accidents and incidents, complaints and safeguarding concerns identified within the preceding month. This should be understood to mean concerns identified by the provider or by others, such as the local safeguarding authority. The report must include your findings and any responsive actions, clearly identifying who is responsible and the timescales for this. Should a concern remain subject to an ongoing investigation, your report must summarise your initial findings and clearly identify who will be responsible for the investigation.

5. The registered provider must provide to the CQC on the second Monday of every month after this condition has taken effect, evidence of how service users and/or their representatives have been consulted in relation to their care and support, and the running of the service within the preceding month. This should be understood to include processes such as care plan reviews, monthly keyworker reviews, resident meetings and family meetings. Where this consultation has resulted in changes to care plans and risk assessments, you must supply the updated documentation.

6. The registered provider must provide to the CQC on the second Monday of every month after this condition has taken effect, evidence of staff rotas for the preceding month. Rotas should clearly identify the planned number of staff for each shift, the actual number of staff on shift, and where applicable, identify where shifts have been covered by agency staff.

7. The registered provider must provide to the CQC on the second Monday of every month after this condition has taken effect, an updated staff training matrix to include both internal and external training completed. This document must include the name of the training, the names of staff members, date of training, nature of training and name of training provider. The matrix must indicate the frequency at which mandatory training should be refreshed. Where mandatory training is incomplete or overdue renewal, your monthly report must specify actions being taken to address any training gaps, including actions taken to mitigate risk pending completion of training.

8. The registered provider must provide to the CQC on the second Monday of every month after this condition has taken effect, an updated staff supervision and appraisal matrix. This should clearly identify for each member of staff when supervisions and appraisals are due, dates of completed supervisions and, where applicable, completed appraisals. You must also provide evidence of any staff competency checks completed within the preceding month.

9. The registered provider must provide to the CQC on the second Monday of every month after this condition has taken effect, evidence of all actions taken to ensure fire safety within the preceding month. This should be understood to include any fire safety related work undertaken by contractors, fire safety checks or drills, staff training, review of personal emergency evacuation plans (PEEPS), or changes to fire safety related policies, procedures or risk assessments.

10. The registered provider must provide to the CQC on the second Monday of every month after this condition has taken effect, an updated maintenance log, relating to the health, safety and general condition of the internal and external service environment. The log must specify when maintenance requests were identified and completed. Where any maintenance requests are incomplete, the log must specify timescales for completion, who will be responsible for completing the required remedial works, and how any risks to service users’ health and safety will be mitigated pending completion.

Terms of this registration relating to carrying out this regulated activity

The Registered Provider must not provide nursing care under Accommodation for persons who require nursing or personal care at Penley Grange.

The Registered Provider must only accommodate a maximum of 6 service users at Penley Grange