Coxwell Hall

What families say

Several families have noticed how the warm, caring approach of staff translates into visible contentment among residents. The home's informal style seems to help people feel more at ease, with family members reporting that their relatives adapted to their new surroundings remarkably quickly.

Based on 12 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 & leadership68
• Resident happiness68

What inspectors found

Inspected 2022-10-01 · Report published 2022-10-01 · Inspected 4 times in the last three years

• Is this home safe?

  Good

  {"found":"The home was rated Good for Safety at the July 2022 inspection. This domain covers staffing levels, medicines management, infection control, and how the home responds to accidents and incidents. No specific observations, staffing ratios, or medicines-related findings are described in the published summary. The home is registered to care for people with dementia and physical disabilities, groups for whom safe staffing and consistent care are particularly important. The previous Outstanding rating means a step down to Good warrants a direct conversation about what changed.","quotes":[],"family_meaning":"A Good safety rating tells you that inspectors did not find significant failings, but it does not tell you what night staffing looks like or how often agency staff cover shifts. Good Practice research consistently shows that safety risks are highest at night and when unfamiliar agency staff are used, because continuity of care breaks down. If your mum or dad has dementia or reduced mobility, knowing the permanent-to-agency ratio on night shifts is one of the most important questions you can ask. The decline from Outstanding to Good also means something changed between inspections, and understanding what that was matters.","evidence_base":"The IFF Research and Leeds Beckett University rapid evidence review found that agency staff reliance is one of the clearest predictors of safety lapses in care homes, particularly for people with dementia who rely on staff knowing their routines and responses.","watch_out":"Ask the manager to show you the actual staffing rota for the past two weeks, not a template. Count how many shifts were covered by permanent staff versus agency staff, and ask specifically what the overnight staffing ratio is for the dementia unit."}

  Verified by inspectorMentioned, not assessed

• Is the care effective?

  Good

  {"found":"The home received a Good rating for Effective at the July 2022 inspection. This domain covers care planning, training, nutrition, and access to healthcare. Dementia is listed as a specialism, which means inspectors would have considered whether staff have appropriate training and whether care plans reflect the needs of people living with dementia. No specific training completion rates, GP access arrangements, or care plan examples are described in the published summary. The Good rating indicates these areas met the required standard without the specific detail that would allow a more confident assessment.","quotes":[],"family_meaning":"For your mum or dad, Effective covers some of the most practical day-to-day questions: does the team know what your parent's health conditions require, are care plans written in enough detail to guide every shift, and can staff get a GP quickly when needed? Our review data shows that healthcare access is a theme in 20.2% of positive family reviews, making it one of the areas families notice most. The Good Practice evidence base stresses that care plans should be living documents, updated after every significant health change and reviewed with families at least every three months. The published report does not confirm whether this happens here, so it is worth asking directly.","evidence_base":"The Leeds Beckett rapid evidence review found that regular, family-inclusive care plan reviews are strongly associated with better outcomes for people with dementia, because families often hold information about preferences and responses that staff cannot observe in a care setting.","watch_out":"Ask to see a sample care plan structure (with personal details removed) and ask when it was last reviewed and whether the family was involved in that review. Also ask what the process is for contacting a GP out of hours if your parent's condition changes overnight."}

  Verified by inspector

• Is this home caring?

  Good

  {"found":"Coxwell Hall and Mews received a Good rating for Caring at the July 2022 inspection. This domain is where inspectors assess whether staff treat people with warmth, respect their dignity, and support their independence. It is the domain most closely linked to the day-to-day experience of living in a care home. No direct observations of staff interactions, no resident quotes, and no specific examples of dignified care are recorded in the published summary. The Good rating confirms that inspectors were satisfied with what they saw, but families will need to form their own impression on a visit.","quotes":[],"family_meaning":"Staff warmth and compassion are the two most frequently cited themes in positive family reviews on DementiaCareChoices.com, appearing in 57.3% and 55.2% of reviews respectively. That tells you how much weight families place on how staff actually treat their parent, not just whether paperwork is in order. Good Practice research shows that for people with advanced dementia, non-verbal communication, tone of voice, unhurried movements, and recognition of familiar faces, matters as much as spoken interaction. Because the published report does not describe specific interactions, a visit at an unannounced time, such as mid-morning or just after lunch, will give you the most honest picture.","evidence_base":"The IFF Research evidence review found that person-led care, where staff know an individual's history, preferences, and communication style, produces measurably better wellbeing outcomes than task-led care, even when staffing levels are identical.","watch_out":"When you visit, notice whether staff address your parent by their preferred name without being prompted, and observe whether interactions feel unhurried. If you see a resident who appears distressed, watch how quickly and how calmly staff respond."}

  Verified by inspectorResident testimony recorded

• Is the home responsive?

  Good

  {"found":"The home was rated Good for Responsive at the July 2022 inspection. This domain covers activities, how well the home meets individual needs, and end-of-life care planning. The home supports people with dementia, physical disabilities, and sensory impairment, all of which require individually tailored responses rather than a standard activity programme. No specific activity schedules, examples of one-to-one engagement, or end-of-life planning arrangements are described in the published summary. The Good rating confirms a satisfactory standard without the detail needed to assess quality of daily life with confidence.","quotes":[],"family_meaning":"Activities and resident happiness together account for a significant share of what families value, with 21.4% of positive reviews mentioning meaningful activities and 27.1% describing their parent as content and engaged. For people living with dementia, the Good Practice evidence base is clear that group activities alone are not enough: one-to-one engagement, including simple household tasks, reminiscence, and sensory activities, is what supports wellbeing for people who cannot follow a group session. The inspection does not tell you whether this home provides that level of individual engagement. Asking about it directly, and asking to see last week's actual activity records, will help you judge.","evidence_base":"The Leeds Beckett rapid evidence review found that Montessori-based and everyday-task approaches to activity, where people with dementia are supported to do familiar things rather than just observe, produce significantly better engagement and mood outcomes than structured group programmes alone.","watch_out":"Ask the activities coordinator to show you last week's actual activity records, not a printed timetable. Ask specifically what happens for your parent on a day when they are not well enough or not willing to join a group session."}

  Verified by inspector

• Is the home well-led?

  Good

  {"found":"The home received a Good rating for Well-led at the July 2022 inspection. A registered manager, Mrs Zipporah Wangari Magana, is named and in post, and a nominated individual, Mr Amar Sheikh, is also identified. This domain covers the culture of the home, how well governance systems work, and whether the home learns from incidents and complaints. The decline from a previous Outstanding to Good at this inspection means the leadership was considered satisfactory rather than exceptional. No specific examples of governance activity, staff culture, or incident-learning processes are described in the published summary.","quotes":[],"family_meaning":"Management stability is one of the clearest predictors of care quality over time. Good Practice research shows that homes with consistent, visible leadership, where staff feel able to speak up and managers are known by name to residents, maintain quality more reliably than homes where leadership is distant or frequently changing. Our review data shows that management is mentioned in 23.4% of positive family reviews, often alongside comments about communication and responsiveness. The step down from Outstanding to Good is not a crisis, but it is worth asking the current manager directly what changed between inspections and what has been done since to address it.","evidence_base":"The IFF Research review found that leadership stability is one of the strongest predictors of sustained care quality, and that bottom-up empowerment, where frontline staff are trusted to raise concerns, is a consistent feature of homes that maintain high ratings over time.","watch_out":"Ask the registered manager how long she has been in post, what she believes led to the change from Outstanding to Good, and what specific improvements have been made since the July 2022 inspection. The directness and specificity of her answer will tell you a great deal about the culture of the home."}

  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 cares for adults both under and over 65, including those with physical disabilities and sensory impairments.. Gaps or open questions remain on Staff work with residents living with dementia, including those at more advanced stages, ensuring they can participate in the home's activities and outings. — areas worth probing directly during a visit.