This inspection took place on 28 June and 01 July 2016. It was an unannounced visit to the service.
We previously inspected the service on 01 January 2014. The service was meeting the requirements of the regulations at that time.
Pennefather Court is a care home for adults who have physical disabilities. It is registered to provide accommodation and personal care for 16 people. At the time of our inspection 15 people lived at Pennefather Court.
Pennefather Court is located in a residential area, a short walk away from the market town of Aylesbury. People told us they were pleased they could go to the local town centre as it was so close.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
There is a requirement for providers to inform CQC when specific events happen. We call these notifications One event, for example, is when abuse or alleged abuse had occurred. When we checked if we had received all the required notifications we and found we had not. The registered manager had not reported to the CQC or the local safeguarding authority one incident which should have been reported to both.
Repairs within the home were not always completed in a timely manner. One light fitted was broken leaving electrical wires exposed. Staff told us it had been like that for two weeks.
There were processes and procedures to report accidents and incidents. However staff told us about one event when someone had fallen. We found no record this had been reported. This meant the registered manager could not monitor trends to reduce future incidents.
The registered manager told us they were aware of their role and responsibilities. However we found two people did not have any information about how staff should support them in an emergency. This meant they could have been placed at harm in the event of a fire.
We received positive feedback about the service. Comments included. “This place is outstanding, the staff are really helpful, and they (staff) go out of their way to make sure we are ok.” A relative told us “Staff are brilliant; they always make us feel welcome.”
People told us they felt safe at the service. Comments included “ I feel very safe hear, the staff are always around,” and “I feel safe, if I did not, I would talk to staff, or if it involved a senior member of staff I would go to social services.”
Staff had been selected following robust recruitment processes to ensure they had the right skills and attributes to work with people. Some staff had worked in the service many years and had developed good working relationship with people who lived at the home.
People had access to a wide variety of activities. These were based on what people wanted to do. For instance, two people attended a day centre and one person went to a drama group. Feedback was regularly sought from people who lived at the home. Another person liked to go on holidays and one other person like to sew. We observed another person making a rug.
We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We found breaches of the Care Quality Commission (Registration) Regulations 2009. You can see what action we told the provider to take at the back of the full version of the report.