Dementia Care Home

Stocks Hall Andrew Smith House Nursing Home

Marsden Hall Road North, Nelson, Lancashire, BB9 8JN

Nursing homes, Rehabilitation (illness/injury)

At a Glance

The information you need to decide whether this home warrants a closer look.

DCC Family Score
73/ 100
Weighted from family reviews
Dementia SpecialismConfirmed

Nursing homes, Rehabilitation (illness/injury)

Families Rate The Staff72 / 100

Staff warmth score

“Well Looked After”68%

of reviewers answered yes

Good to know

  • Registered beds60
  • SpecialismsCaring for adults over 65 yrs, Caring for adults under 65 yrs, Dementia, Learning disabilities, Physical disabilities
  • Last inspected2022-08-31

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The Evidence

What the review data, the inspection reports, and the dementia-care evidence base tell us about this home.

Section 01

What families say

Recent visitors have noticed real efforts from care staff, who many describe as dedicated and hardworking. The home has introduced more frequent activities and made environmental changes to better support residents with dementia.

The eight family priority themes

  • Staff warmth72
  • Compassion & dignity72
  • Cleanliness70
  • Activities & engagement65
  • Food quality65
  • Healthcare70
  • Management & leadership75
  • Resident happiness68
Section 02

What inspectors found

Inspected 2022-08-31

  • Is this home safe?

    Not yet rated
    The home was rated Good for safety at its July 2025 inspection. The published summary does not include specific detail about staffing ratios, medicines management, falls recording, or infection control. The home is a 60-bed nursing home, which means registered nurses should be on duty at all times, but the inspection text does not confirm night staffing arrangements. The previous Requires Improvement rating suggests there were safety concerns at an earlier point, and the improvement to Good indicates these were addressed.
    Verified by inspector
  • Is the care effective?

    Not yet rated
    Andrew Smith House was rated Good for effectiveness at the July 2025 inspection. The published summary does not describe care plan quality, GP access arrangements, dementia training content, or mealtime provision. The home carries dementia and nursing specialisms, which implies a baseline of clinical competence, but the inspection text does not provide evidence to verify how this plays out in practice for individual residents.
    Verified by inspector
  • Is this home caring?

    Not yet rated
    The home received a Good rating for caring at the July 2025 inspection. The published summary does not include direct inspector observations of staff interactions, quotes from residents or relatives, or specific examples of dignity being upheld. A Good rating in this domain is meaningful, but the absence of detail means it cannot be verified from the published text alone.
    Verified by inspectorResident testimony recorded
  • Is the home responsive?

    Not yet rated
    Andrew Smith House was rated Good for responsiveness at the July 2025 inspection. The published summary does not describe the activities programme, how individual preferences are recorded and acted upon, how complaints are handled, or what end-of-life care arrangements look like. The home's breadth of specialisms suggests it cares for people with varying levels of need and ability, which makes individual tailoring of activities and daily life particularly important.
    Verified by inspector
  • Is the home well-led?

    Not yet rated
    The home was rated Good for leadership at its July 2025 inspection and has a named registered manager, Mrs Diane Jacqueline Kavanagh, supported by nominated individual Mrs Susan Lace under Stocks Hall Care Homes Limited. The improvement from Requires Improvement to Good across all domains suggests that leadership has driven meaningful change. The published summary does not describe the manager's visibility, staff culture, governance systems, or how the home handles complaints and incidents.
    Verified by inspector
  • Source: CQC inspection report →

    Section 03

    What the evidence base says

    The home provides care for adults both under and over 65, including those with dementia, learning disabilities, and physical disabilities. Environmental upgrades have included dementia-friendly design elements, though the effectiveness of activities programmes varies depending on individual residents' complex support needs. All 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.

73/ 100

DCC Family Score

Andrew Smith House scores 73 out of 100, reflecting a solid Good rating across all five domains and a meaningful improvement from its previous Requires Improvement status. The score is tempered by the fact that the published inspection report contains very little specific observational detail, so many areas cannot be independently verified from the text alone.

Homes in North West typically score 68–82.

The three-lens summary

Lens 01

What families tell us

Recent visitors have noticed real efforts from care staff, who many describe as dedicated and hardworking. The home has introduced more frequent activities and made environmental changes to better support residents with dementia.

Lens 02

What inspectors have recorded

Management restructuring has brought some operational improvements, including better staffing levels that allow activities to run simultaneously. However, some families have reported difficulties communicating with management, suggesting relationships with relatives remain an area needing attention.

Lens 03

How it sits against good practice

If you're considering Andrew Smith House, visiting in person and asking detailed questions about their improvement plans would be particularly important.

DCC Recommendation

Worth a visit

Andrew Smith House in Nelson was rated Good across all five inspection domains at its most recent assessment in July 2025, published in September 2025. This is a meaningful step forward from a previous Requires Improvement rating, and the fact that named, accountable management is in post under Stocks Hall Care Homes Limited is a positive structural sign. The home is registered as a nursing home with dementia, learning disability, and physical disability specialisms, and has 60 beds, meaning it should have qualified nursing staff available around the clock. However, the published inspection summary available at the time of writing contains very little specific observational detail, which means this Family View cannot independently verify most of the things families care most about: staff warmth, mealtimes, activities, night staffing, and how the home communicates with relatives. A Good rating is genuinely encouraging, especially given the improvement trajectory, but you should treat a visit as essential before making a decision. Ask to see last week's actual staffing rota, ask what changed since the previous Requires Improvement rating, and spend time in a communal area watching how staff interact with your parent's potential neighbours.

The three questions to ask when you visit

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In Their Own Words

How Stocks Hall Andrew Smith House Nursing Home describes itself — collected from its own website. DCC has not edited or independently verified the content in this tab.

What Stocks Hall Andrew Smith House Nursing Home says about itself

Working hard to rebuild trust after significant past challenges

Nursing home,rehabilitation (illness/injury) in Nelson: True Peace of Mind

Andrew Smith House in Nelson has been through a difficult period, with serious care failures that led to regulatory intervention. The home is now working to implement improvements, with restructured management, expanded staffing, and updated facilities. While some families report positive changes, others describe concerning experiences that suggest the journey toward consistent, quality care continues.

Care & specialisms

Who they care for

    The home provides care for adults both under and over 65, including those with dementia, learning disabilities, and physical disabilities.

    How they describe their dementia care

    Environmental upgrades have included dementia-friendly design elements, though the effectiveness of activities programmes varies depending on individual residents' complex support needs.

    “If you're considering Andrew Smith House, visiting in person and asking detailed questions about their improvement plans would be particularly important.”

    DCC does not edit or curate content in this tab. For independently curated information, see The Evidence and DCC Verdict.

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