Paddock Stile Manor Dementia Care Home

What families say

Families consistently notice how staff respond to residents' emotional needs with genuine patience, especially during those difficult early days. Several people mention their relatives expressing contentment or settling remarkably quickly, which families attribute to the calm, attentive approach throughout the home.

Based on 18 Google reviews · 0 reviews on carehome.co.uk · most recent 2026-04-10

The eight family priority themes

• Staff warmth55
• Compassion & dignity60
• Cleanliness55
• Activities & engagement50
• Food quality50
• Healthcare50
• Management & leadership65
• Resident happiness55

What inspectors found

Inspected 2019-07-11 · Report published 2019-07-11 · Inspected 4 times in the last three years

• Is this home safe?

  Requires improvement

  {"found":"The Safe domain was rated Requires Improvement at the January 2021 inspection, meaning inspectors identified concerns in this area that fell below the standard expected. The published report does not provide specific detail about what those concerns were, such as falls management, medicines administration, or staffing levels. A July 2023 monitoring review found no new evidence requiring a reassessment, but this was a desk-based review rather than a visit. The home has not been inspected in person since January 2021, which means the current safety picture is not independently verified.","quotes":[],"family_meaning":"A Requires Improvement rating in Safe is the finding that should give you the most pause. Our review data shows that families rarely name safety explicitly in positive reviews, because when safety is working well it is invisible. It only becomes visible when something goes wrong. Good Practice evidence from the IFF Research and Leeds Beckett rapid review highlights that night staffing levels and agency staff reliance are two of the most common contributors to safety slippage in care homes. Because the published report does not spell out what the specific concern was, you cannot yet know whether it has been fully resolved. You need to ask the home directly and look for written evidence of the actions taken.","evidence_base":"The Good Practice evidence review found that safety failures in care homes are most commonly linked to inadequate night staffing ratios, high use of agency staff who do not know residents, and weak systems for learning from incidents and near-misses.","watch_out":"Ask the manager to show you the action plan written in response to the Requires Improvement rating in Safe, and ask what specific changes were made as a result. Then ask to see last week's actual staffing rota, not a template, and count how many permanent staff versus agency staff were on duty, particularly on night shifts."}

  Verified by inspectorMentioned, not assessed

• Is the care effective?

  Good

  {"found":"The Effective domain was rated Good at the January 2021 inspection. This covers training, care planning, healthcare access, and food. The published summary does not provide specific observations about how care plans are written, how often they are reviewed, or how GP and nursing input is managed. The home provides nursing care as well as residential care, which means clinical oversight should be built into daily practice. No specific detail about dementia-specific training content or food quality is recorded in the available report text.","quotes":[],"family_meaning":"A Good rating in Effective is reassuring, but without specific observations it is difficult to know what that looks like for your mum or dad. In our family review data, healthcare responsiveness accounts for 20.2% of positive mentions, and food quality accounts for 20.9%, making them two of the themes families care most about in practice. The Good Practice evidence base is clear that care plans should be treated as living documents, reviewed at least monthly for people with dementia, and updated when behaviour or health changes. You cannot assess this from the report alone, so your visit and your questions matter enormously here.","evidence_base":"The Good Practice evidence review found that care plans which are regularly updated and reflect individual life history, preferences, and current health status are one of the strongest predictors of positive outcomes for people living with dementia in residential care.","watch_out":"Ask the manager how often care plans are reviewed and updated, and ask to see an example of how a care plan was changed after a health or behaviour change. Also ask what dementia-specific training staff have completed in the last 12 months and how that training is checked in practice."}

  Verified by inspector

• Is this home caring?

  Good

  {"found":"The Caring domain was rated Good at the January 2021 inspection. This domain covers staff warmth, dignity, respect, and whether your parent is treated as an individual. The published report does not include specific inspector observations about how staff interacted with residents during the visit, and no direct quotes from residents or relatives are included in the available text. A Good rating here suggests inspectors were satisfied with what they saw, but the lack of specific detail means the evidence base for this domain is thinner than ideal.","quotes":[],"family_meaning":"Staff warmth is the single biggest driver of positive family reviews in our data, mentioned in 57.3% of positive responses, and compassion and dignity follow closely at 55.2%. These are not abstract qualities. They show up in whether staff knock before entering a room, whether they use your mum's preferred name, whether they sit with someone who is distressed rather than walking past. Because the inspection report does not record specific observations on these points, you will need to assess this yourself on a visit. Arrive unannounced if you can, or at a mealtime, and watch how staff move through the home and respond to residents.","evidence_base":"The Good Practice evidence review found that non-verbal communication, including touch, eye contact, unhurried movement, and tone of voice, is as important as spoken language for people living with dementia, and is one of the most reliable indicators of a genuinely caring culture.","watch_out":"When you visit, watch what happens in a corridor or communal space when a resident shows signs of distress or calls out. Do staff stop, make eye contact, and respond calmly? Or do they walk past or respond from a distance? This single behaviour tells you more about the caring culture than any document."}

  Verified by inspectorResident testimony recorded

• Is the home responsive?

  Good

  {"found":"The Responsive domain was rated Good at the January 2021 inspection. This domain covers activities, individual engagement, and whether care is tailored to the person rather than a generic routine. The published report does not include specific detail about what activities are offered, whether one-to-one engagement is available for residents who cannot join group activities, or how individual preferences are recorded and acted upon. End-of-life planning is also part of this domain and is not addressed in the available text.","quotes":[],"family_meaning":"Activities and engagement account for 21.4% of positive mentions in our family review data, and resident happiness accounts for 27.1%. For people living with dementia, the Good Practice evidence is particularly clear that group activities alone are not enough. People with advanced dementia often cannot participate in organised sessions and need one-to-one engagement built around familiar, everyday tasks. Whether a care home actually provides this, as opposed to listing it on a brochure, is one of the hardest things to assess from outside. Ask to see last week's activity records, not just the planned programme, and ask specifically about what happens for residents who spend most of their time in their rooms.","evidence_base":"The Good Practice evidence review found that Montessori-based approaches and activity programmes built around familiar household tasks and individual life history are significantly more effective for people with moderate to advanced dementia than standard group activity sessions.","watch_out":"Ask to see the activity records from the past two weeks, not the printed programme. Look for evidence of individual engagement, not just group sessions. Then ask: what happens for a resident who cannot join the group because of their dementia? Who is responsible for spending time with them one to one, and how is that recorded?"}

  Verified by inspector

• Is the home well-led?

  Good

  {"found":"The Well-led domain was rated Good at the January 2021 inspection. The registered manager is named in the registration information, and the home is operated by Indigo Care Services Limited with a nominated individual also identified. The improvement from Requires Improvement to Good overall suggests the leadership team made meaningful changes between inspections. However, the inspection report does not include specific observations about management visibility, staff culture, or how the home handles complaints and incidents. The inspection is now over four years old, so management continuity is an important question.","quotes":[],"family_meaning":"Good leadership is the foundation everything else rests on. Our family review data shows that management quality accounts for 23.4% of positive mentions, but it also shows up indirectly in every other theme: warm staff are usually well-supported staff, and good food is usually the result of someone in charge paying attention to detail. The Good Practice evidence base is clear that leadership stability is one of the strongest predictors of sustained quality in care homes. If the manager who drove the improvement from Requires Improvement has left since 2021, that matters. If they are still in post, that is a genuine positive signal.","evidence_base":"The Good Practice evidence review found that leadership stability, including the tenure of the registered manager and the degree to which staff feel empowered to raise concerns, is one of the most reliable predictors of whether a care home maintains or improves its quality over time.","watch_out":"Ask the manager how long they have been in post at Paddock Stile Manor and whether they were in post during the previous Requires Improvement inspection. Ask what specific changes they led to achieve the improvement in the Safe domain. A manager who can answer both questions with confidence and detail is a positive sign."}

  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 specialist dementia care alongside general support for adults over 65.. Gaps or open questions remain on Staff show particular skill in supporting residents who initially resist care, using patience and understanding to help them adjust. The team maintains this gentle approach even when dementia creates challenging moments. — areas worth probing directly during a visit.