High Meadows Care Home
At a Glance
The information you need to decide whether this home warrants a closer look.
Nursing homes
Staff warmth score
of reviewers answered yes
Good to know
- Registered beds45
- SpecialismsCaring for adults over 65 yrs, Dementia, Physical disabilities, Sensory impairment
- Last inspected2022-08-27
- Activities programmeThe home feels spacious and peaceful, with well-decorated private rooms and comfortable lounges where residents can relax. Families appreciate the attention to cleanliness throughout, and there's a structured programme of daily activities alongside opportunities for one-to-one time when residents prefer quieter moments.
- Visit Website
The Evidence
What the review data, the inspection reports, and the dementia-care evidence base tell us about this home.
What families say
Families mention feeling welcomed each time they visit, with staff showing real interest in both residents and their relatives. People describe an atmosphere where kindness comes naturally, from the way nurses deliver care without rushing to how staff engage with each resident as an individual.
Based on 11 Google reviews · 0 reviews on carehome.co.uk · most recent 2026-04-10
The eight family priority themes
- Staff warmth72
- Compassion & dignity72
- Cleanliness72
- Activities & engagement65
- Food quality65
- Healthcare70
- Management & leadership75
- Resident happiness70
What inspectors found
Inspected 2022-08-27 · Report published 2022-08-27 · Inspected 4 times in the last three years
Is this home safe?
{"found":"Safe was rated Good at the September 2024 inspection. The home had previously received a Requires Improvement overall rating, so achieving Good in this domain represents real progress. High Meadows is registered as a nursing home with 45 beds and is expected to have medicines management, infection control, and risk management processes in place. The published report summary does not provide specific detail on staffing ratios, falls data, or how incidents are reviewed. These are the areas where families most need to probe directly.","quotes":[],"family_meaning":"A Good safety rating after a previous Requires Improvement is encouraging, but it tells you the direction of travel rather than the specific level of safety on any given night. Good Practice research consistently shows that night staffing is where safety most often slips in care homes. With 45 beds, you should ask specifically how many nurses and carers are on duty after 8pm. Agency staff usage is also worth probing: homes that rely heavily on agency cover tend to have less consistent care, because unfamiliar staff do not know your parent's routines and behaviours.","evidence_base":"The IFF Research and Leeds Beckett rapid evidence review found that night staffing ratios and reliance on agency staff are among the strongest predictors of safety incidents in care home settings. A home that can show low agency use and stable night staffing is demonstrably safer.","watch_out":"Ask the manager to show you the actual staffing rota for the past two weeks, not the planned template. Count how many permanent staff versus agency names appear on night shifts, and ask what the nurse-to-resident ratio is after 8pm."}
Is the care effective?
{"found":"Effective was rated Good at the September 2024 inspection. As a nursing home registered for dementia care, the home is expected to maintain detailed care plans, provide staff with relevant training, and arrange regular healthcare access including GP input. The published summary does not include specific detail on how care plans are written or reviewed, what dementia training staff have completed, or how food quality is managed. These are all areas that families rightly care about and should explore on a visit.","quotes":[],"family_meaning":"Food quality is cited in 20.9% of the positive family reviews in our data as a meaningful marker of genuine care, because how a home approaches mealtimes reveals whether it treats residents as individuals or as a group to be processed. Dementia-specific training is equally important: staff who understand how dementia affects behaviour are better able to respond to distress calmly rather than with restriction. The inspection confirmed a Good rating here, but the specific evidence is not available in the published summary, so this is an area to probe yourself.","evidence_base":"The Leeds Beckett evidence review found that care plans treated as living documents, updated with family input after each significant change, are associated with better outcomes for people living with dementia. Homes where care plans are reviewed only annually tend to provide less person-centred care.","watch_out":"Ask the manager how often care plans are reviewed and whether you would be invited to contribute. Then ask to see the dementia training records for the staff who would most regularly care for your parent, and check when they last completed an update."}
Is this home caring?
{"found":"Caring was rated Good at the September 2024 inspection. This domain covers whether staff are kind, whether residents are treated with dignity, and whether people's individuality is respected. The published summary does not include specific inspector observations of staff interactions, quotes from residents, or descriptions of how dignity is maintained in practice. Without that detail, it is not possible to describe what the inspectors actually saw. Families should treat a personal visit as the most reliable source of evidence on this domain.","quotes":[],"family_meaning":"Staff warmth is the single biggest driver of family satisfaction in our review data, cited in 57.3% of positive reviews, and compassion and dignity together feature in 55.2%. These are not abstract standards; they show up in very specific observable moments. Does a carer knock before entering your parent's room? Do they use the name your parent prefers? Do they sit at eye level when speaking? Do they move without hurry? A Good rating here is positive, but these are things you can only confirm by seeing them yourself during a visit.","evidence_base":"The Good Practice evidence base notes that non-verbal communication matters as much as verbal communication for people living with dementia. Staff who adjust their body language, pace, and tone consistently produce fewer incidents of distress and better emotional wellbeing for residents.","watch_out":"During your visit, notice how staff interact with residents in corridors and communal areas when they think no one is watching. Are residents addressed by their preferred name? Do staff crouch or sit to speak rather than talking down? Is the pace unhurried, even when the unit is busy?"}
Is the home responsive?
{"found":"Responsive was rated Good at the September 2024 inspection. This domain covers whether the home provides activities that are meaningful to individuals, whether residents are supported to maintain their independence, and whether end-of-life care is planned. The published summary does not provide specific detail on the activity programme, how individual preferences are recorded and acted upon, or how the home supports people who cannot participate in group activities. This is an area where the evidence base and family review data both suggest families should probe carefully.","quotes":[],"family_meaning":"Activities are cited in 21.4% of positive family reviews as a meaningful part of what makes a home feel like a real home rather than somewhere to wait. For people living with dementia in particular, the Good Practice evidence base highlights that one-to-one engagement, not just group sessions, is essential for residents who can no longer participate socially. A home with 45 beds should have a dedicated activity coordinator and a clear plan for how they support people across all stages of dementia. A Good rating is encouraging, but ask for specifics.","evidence_base":"The Leeds Beckett evidence review identified that Montessori-based and everyday-task approaches to activity, such as folding, gardening, and simple cooking, are more effective for people with advanced dementia than formal group entertainment. Homes that rely only on group activities leave the most vulnerable residents without meaningful engagement.","watch_out":"Ask the activities coordinator to describe, specifically, what they did last Tuesday with a resident who was unable to join the group session. If the answer is vague or defaulted to television, that tells you something important about one-to-one provision."}
Is the home well-led?
{"found":"Well-led was rated Good at the September 2024 inspection. The home is run by Vivo Medical Care Limited, with Miss Mariana Costa Nunes as the Registered Manager and Mr Arumugadas Kumaradas as the Nominated Individual. Having both a named registered manager and a named nominated individual in place is a positive structural sign. The improvement from Requires Improvement to Good suggests that leadership has addressed earlier concerns, but the published summary does not describe how governance works in practice, how staff are supported to raise concerns, or how families are kept informed.","quotes":[],"family_meaning":"Management quality is cited in 23.4% of positive family reviews, and communication with families appears in 11.5%. The Good Practice evidence base is clear that leadership stability predicts the quality trajectory of a care home: when a manager leaves or changes frequently, quality tends to slip. The registered manager being named in the published record is a good sign, but you should ask how long she has been in post and whether there have been significant staffing changes in the past year. A home that improved its rating under stable leadership is more likely to maintain that standard.","evidence_base":"The IFF Research and Leeds Beckett review found that care homes where staff feel able to raise concerns without fear, and where managers are visibly present on the floor rather than office-bound, consistently achieve better care outcomes for residents.","watch_out":"When you visit, ask to speak with the registered manager in person and notice whether she is known to the residents and staff you encounter. Ask how long she has been in post and what the biggest change she made after the previous Requires Improvement rating was. The specificity of her answer will tell you a great deal."}
Source: CQC inspection report →
What the evidence base says
Against the DCC Good Practice in Dementia Care standards, this home’s evidence aligns most strongly on The home welcomes residents over 65 who need nursing care, including those living with dementia, physical disabilities or sensory impairments.. Gaps or open questions remain on High Meadows has created a dedicated upstairs wing specifically for residents with dementia, with clear planning for how support evolves as needs change. The approach combines structured support with flexibility to meet each person where they are. — areas worth probing directly during a visit.
The DCC Verdict
Our editorial view, built from the three lenses: what families tell us, what inspectors record, and how the home sits against good dementia-care practice.
DCC Family Score
High Meadows has improved from Requires Improvement to a Good rating across all five inspection domains, which is a meaningful step in the right direction. However, because the individual domain reports have not yet been published in the data provided, many specific details that families need, such as staffing ratios, activity quality, and food observations, cannot be verified from this inspection alone.
Homes in London typically score 68–82.The three-lens summary
What families tell us
Families mention feeling welcomed each time they visit, with staff showing real interest in both residents and their relatives. People describe an atmosphere where kindness comes naturally, from the way nurses deliver care without rushing to how staff engage with each resident as an individual.
What inspectors have recorded
What sets High Meadows apart is its ownership by GPs and medical consultants, bringing clinical confidence to everyday care decisions. While there's been a recent change in management that some families are still adjusting to, the nursing team continues delivering skilled care with the same attention to detail families have come to trust.
How it sits against good practice
For families weighing up options in the Pinner area, High Meadows offers that rare combination of medical expertise and personal warmth that makes such a difference in daily life.
Worth a visit
High Meadows in Pinner was rated Good at its most recent inspection in September 2024, with all five domains, Safe, Effective, Caring, Responsive, and Well-led, achieving that rating. This is a significant improvement from its previous Requires Improvement rating and suggests the home has addressed earlier concerns. It is a nursing home with 45 beds, registered to support people living with dementia, physical disabilities, and sensory impairments, with a named registered manager in post. The main limitation of this report is that the full inspection text has not yet been provided, so it is not possible to verify the specific evidence behind each Good rating. The family score of 74 reflects the positive trajectory and improved rating, but families should treat a visit as essential before making a decision. On that visit, ask to see last week's actual staffing rota, including night shifts; ask how staff are trained specifically in dementia care; and observe whether your parent is addressed by their preferred name and whether staff move at an unhurried pace.
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In Their Own Words
How High Meadows Care Home describes itself — collected from its own website. DCC has not edited or independently verified the content in this tab.
Skilled nursing meets genuine warmth in this medical-led Pinner home
Dedicated nursing home Support in Pinner
When families describe the care at High Meadows in Pinner, they talk about nurses who take their time and staff who remember the little things that matter. This purpose-built home brings together medical expertise with the kind of personal attention that helps residents feel genuinely cared for, whether they're living with dementia or need skilled nursing support.
Who they care for
The home welcomes residents over 65 who need nursing care, including those living with dementia, physical disabilities or sensory impairments.
High Meadows has created a dedicated upstairs wing specifically for residents with dementia, with clear planning for how support evolves as needs change. The approach combines structured support with flexibility to meet each person where they are.
Management & ethos
What sets High Meadows apart is its ownership by GPs and medical consultants, bringing clinical confidence to everyday care decisions. While there's been a recent change in management that some families are still adjusting to, the nursing team continues delivering skilled care with the same attention to detail families have come to trust.
The home & environment
The home feels spacious and peaceful, with well-decorated private rooms and comfortable lounges where residents can relax. Families appreciate the attention to cleanliness throughout, and there's a structured programme of daily activities alongside opportunities for one-to-one time when residents prefer quieter moments.
“For families weighing up options in the Pinner area, High Meadows offers that rare combination of medical expertise and personal warmth that makes such a difference in daily life.”
DCC does not edit or curate content in this tab. For independently curated information, see The Evidence and DCC Verdict.
