Coxhill Manor Nursing and Residential Home

What families say

Visitors consistently describe feeling welcomed here, with staff taking time to chat over homemade cakes and proper cups of tea. Families notice their relatives looking happy and participating in the day's activities, whether that's joining in with entertainment or simply enjoying time in the well-kept gardens.

Based on 15 Google reviews · 0 reviews on carehome.co.uk · most recent 2026-04-10

The eight family priority themes

• Staff warmth72
• Compassion & dignity72
• Cleanliness70
• Activities & engagement65
• Food quality65
• Healthcare70
• Management & leadership70
• Resident happiness68

What inspectors found

Inspected 2019-12-18 · Report published 2019-12-18 · Inspected 1 times in the last three years

• Is this home safe?

  Good

  {"found":"The Safe domain was rated Good at the September 2019 inspection. This domain covers staffing levels, medicines management, infection control, safeguarding, and how the home responds to risks. No specific observations, staffing ratios, or examples are recorded in the published report. The home is registered for 52 beds across nursing and residential care, which means night staffing adequacy is a particularly important question to pursue directly.","quotes":[],"family_meaning":"A Good safety rating means inspectors did not identify significant concerns at the time of the visit. However, the Good Practice evidence base, drawn from 61 studies, is clear that night staffing is where safety most commonly slips in care homes, and that reliance on agency staff can undermine the consistency your parent needs, particularly if they have dementia. Because the published report gives no staffing numbers or incident-learning examples, you cannot rely on the rating alone to answer these questions. At 52 beds with a nursing designation, the home will have complex residents, so concrete night-time ratios matter.","evidence_base":"The IFF Research and Leeds Beckett University rapid evidence review found that agency staff reliance is one of the strongest predictors of inconsistent care quality, particularly for people with dementia who depend on familiar faces and routines.","watch_out":"Ask the manager to show you last week's actual staffing rota, not the template. Count how many permanent staff were on overnight shifts across the week, and ask how many of those shifts were covered by agency workers."}

  Verified by inspectorMentioned, not assessed

• Is the care effective?

  Good

  {"found":"The Effective domain was rated Good at the September 2019 inspection. This domain covers training, care planning, healthcare access, nutrition, and whether care is based on current best practice. The home specialises in dementia care, which requires specific training beyond general care qualifications. No detail about training content, care plan frequency, GP access arrangements, or food quality is recorded in the published report.","quotes":[],"family_meaning":"For families considering a home for a parent with dementia, the Effective domain is where the most important practical questions sit. Our Good Practice evidence base identifies care plans as living documents that should be reviewed regularly and updated with family input, not completed once on admission and filed away. The inspection rating tells you that systems were in place in 2019, but it does not tell you how frequently care plans are reviewed now, whether families are invited into that process, or what specific dementia training staff have completed. Food quality is the theme families mention 20.9% of the time in positive reviews, and it is entirely unaddressed in the published findings here.","evidence_base":"The rapid evidence review found that dementia-specific training, particularly training that covers non-verbal communication and behavioural responses to unmet need, is a strong predictor of person-led care quality and reduced use of restraint or sedation.","watch_out":"Ask the home what dementia training every carer on the unit completes, and when it was last updated. Then ask to see a sample care plan, with personal details removed, to check whether it describes your parent's individual preferences and life history or reads like a clinical checklist."}

  Verified by inspector

• Is this home caring?

  Good

  {"found":"The Caring domain was rated Good at the September 2019 inspection. This domain covers staff warmth, dignity, respect, and whether residents are treated as individuals. Staff warmth is the single most important theme in our family review data, mentioned in 57.3% of positive reviews, and compassion and dignity appear in 55.2%. No specific inspector observations, staff interactions, or resident or relative quotes are recorded in the published report for this home.","quotes":[],"family_meaning":"A Good rating in the Caring domain is encouraging, but it is the domain where a personal visit matters most, because warmth cannot be fully captured in a paper inspection. What families in our review data describe most often is staff who use their parent's preferred name, who stop and listen rather than hurrying past in a corridor, and who respond to distress without frustration. The Good Practice evidence base confirms that non-verbal communication, tone of voice, eye contact, and unhurried pace, matters as much as verbal interaction for people with dementia. You will get more useful information from 30 minutes in the home than from any document.","evidence_base":"Research across 61 studies found that person-led caring approaches, characterised by staff knowing individual histories and preferences and adjusting communication accordingly, significantly reduce anxiety and distress in people living with dementia.","watch_out":"On your visit, notice how staff speak to residents when no manager is present. Do they use preferred names? Do they make eye contact and crouch to the same level as someone seated? Do they seem unhurried? These small behaviours are more reliable indicators of genuine care culture than anything in a published report."}

  Verified by inspectorResident testimony recorded

• Is the home responsive?

  Good

  {"found":"The Responsive domain was rated Good at the September 2019 inspection. This domain covers activities, individual engagement, end-of-life care, and whether the home responds to the changing needs of the people who live there. The home is registered as specialising in dementia, which requires a thoughtful approach to activities for people at different stages. No detail about the activity programme, individual engagement, or end-of-life planning is recorded in the published report.","quotes":[],"family_meaning":"Activities and engagement appear in 21.4% of positive family reviews, and resident happiness overall is the third most mentioned theme at 27.1%. The Good Practice evidence base is clear that group activities are not sufficient on their own: people with more advanced dementia need one-to-one engagement, and familiar household tasks, folding, sorting, gardening, can provide a sense of purpose and continuity that structured group sessions cannot. Because the published report gives no detail on any of this, you need to ask specifically about what happens for a resident who cannot join a group activity, not what is planned but what actually happened last week.","evidence_base":"The rapid evidence review found that Montessori-based and task-based individual engagement approaches significantly improve wellbeing and reduce distress in people with moderate to advanced dementia, and that homes relying solely on group activities leave a substantial proportion of residents without meaningful daily engagement.","watch_out":"Ask the activities coordinator to show you the actual activity records from the last four weeks for a resident who is living with advanced dementia. Look for evidence of one-to-one engagement on days when no group session was held. If those records are thin or vague, that is important information."}

  Verified by inspector

• Is the home well-led?

  Good

  {"found":"The Well-led domain was rated Good at the September 2019 inspection. A registered manager, Mr Sudhir Sijapati, and a nominated individual, Ms Rachel Harvey, were named at the time of registration. The home is operated by Aria Healthcare Group Ltd. The Well-led domain covers management culture, governance, accountability, staff support, and whether the home learns from incidents and complaints. No specific examples of leadership in action, staff feedback mechanisms, or governance processes are recorded in the published report.","quotes":[],"family_meaning":"Management stability is one of the strongest predictors of care quality over time, according to our Good Practice evidence base. A registered manager who has been in post for several years and is known to residents and families by name is a positive sign. The first question to ask is whether Mr Sijapati is still the registered manager: the inspection report is from September 2019, over five years ago, and leadership can change significantly in that time. Our family review data shows that 23.4% of positive reviews specifically mention management, usually in the context of a manager who is visible, approachable, and acts on concerns rather than deflecting them.","evidence_base":"The rapid evidence review found that leadership stability is a consistent predictor of care quality trajectory: homes with long-tenured managers who actively empower staff to raise concerns tend to sustain and improve their ratings, while homes with frequent management changes show greater variability in care quality.","watch_out":"Ask who the current registered manager is, how long they have been in post, and whether there have been any changes in senior leadership in the past two years. Then ask what happened the last time a family raised a formal concern: how was it handled, and what changed as a result?"}

  Verified by inspector

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 provides both residential and nursing care, with particular experience supporting people living with dementia and physical disabilities. They welcome both younger adults under 65 and older residents who need round-the-clock support.. Gaps or open questions remain on Families with relatives living with dementia report feeling their loved ones are safe here, with staff who understand the specific care and support needed to help residents feel secure and maintain their daily routines. — areas worth probing directly during a visit.