Pelham Grove Care Home

Updated 13 January 2026

We carried out site visits to the home on29 January 2026 to 4 February 2026, with the remainder of the assessment being conducted offsite. Pelham Grove Care Home is a care home providing accommodation and personal care for up to 35people. At the time of ourassessment, there were 24 people living at the home.This assessment was carried out due to an aged rating, andwe assessed all 34quality statements fromallthekey questions. The overall rating of the service has changed from good to requires improvement. The provider was in breach of the legal regulations relating to safeguarding, learning culture and governance.

People were not consistently provided with safe care and treatment. The provider did not establish an open and transparent culture in relation to safety. Incidents were not consistently reported, investigated or used as opportunities for learning. In some cases, concerns were not shared with external safeguarding bodies or with the Care Quality Commission, meaning the provider failed to submit required statutory notifications.

Some admissions were not safely managed, and staff lacked the necessary training to manage risks effectively.

We found decisions made on behalf of people assessed as lacking capacity were not always compliant with the Mental Capacity Act 2005, and best‑interest processes were not consistently followed.

Despite these issues, the environment was observed to be clean and well maintained. Infection prevention and control (IPC) audits demonstrated high standards, and the home was frequently described as ‘really clean’ by people and staff.

Staff understood people’s nutritional needs, and individuals were offered a choice of healthy food and drinks. People received appropriate support to maintain their health and wellbeing.

Staff were seen interacting with people with kindness, compassion and respect. People’s privacy, dignity and independence were promoted. Staff told us they felt supported by both the registered manager and provider, and they were confident to raise concerns or suggestions.

The management team were responsive and proactive in addressing some of the shortfalls we raised. We have asked the provider for an action plan in response to the concerns found at this assessment.

Updated 13 January 2026

People spoke positively and felt safe, happy and well looked after and were treated with kindness and respect. People’s comments included, “Oh yes I feel very safe” and “It’s marvellous, no complaints.” Professional visitors told us, “The staff seem to be very kind and caring” and “It is very good, staff are always helpful and keen to implement any advice given.”

People were given choice about how their care and support was provided and they felt staff knew them well. One person told us, “Oh yes they would know if I wasn’t happy, they know me well.” People told us staff were good at making sure they received the right support for their health and well-being. Their comments included, “They [staff] are very kind we get to choose what time we wake up and go to bed and there’s always activities to do.”

People were given a choice of food and drink which they enjoyed. One person told us, “We get a choice, I don’t like certain foods so when they are on the menu they always do me something different.”

People felt the home was managed well. One person told us, “You see the manager around a lot, she is very approachable.” Another person told us, “[Manager] always has time to talk to you.” A visiting professional told us, “The home is well managed, all staff I have spoken to know the residents well.”