Pelham House Residential Care Home with Dementia

Risks to people were not always managed effectively, including people's health needs. These included that people lived with diabetes and used a catheter.

Staff had not always recognised potential safeguarding incidents and lack of management oversight meant these had not been reported to the local authority in line with the providers policy. Some people told us they felt safe. One person said, "I do feel safe. There are enough people that make sure I am. If I needed anything I, would ask".

There were sufficient staff deployed, however, the provider did not knew what staff were being sent from the agency or what skills and experience they had. This meant that there was a risk of staff being deployed to areas of the service without having the necessary skills to support people appropriately.

There was a lack of oversight of the quality and safety of the service by the provider. There were not adequate systems and processes in place to monitor the quality of care or sufficiently robust to identify any shortfalls or concerns. .

People told us positive things about the care they received from staff. One person said, "I think the staff are caring and look after me well. They are all very kind and patient".

People gave feedback about the service using surveys and questionnaires, but people said they hadn't completed them for a while. People told us that they used their call bells if they needed assistance and these were responded to in a timely fashion.