Elizabeth Fleming 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 beds36
- SpecialismsCaring for adults over 65 yrs, Caring for adults under 65 yrs, Dementia, Mental health conditions, Physical disabilities
- Last inspected2022-11-18
- 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
Visitors mention being greeted warmly when they arrive, and there's a programme of activities keeping residents engaged. Cinema nights, arts and crafts sessions and sing-alongs happen regularly throughout the week.
Based on 9 Google reviews · 0 reviews on carehome.co.uk · most recent 2026-04-10
The eight family priority themes
- Staff warmth72
- Compassion & dignity72
- Cleanliness68
- Activities & engagement55
- Food quality55
- Healthcare68
- Management & leadership72
- Resident happiness68
What inspectors found
Inspected 2022-11-18 · Report published 2022-11-18 · Inspected 3 times in the last three years
Is this home safe?
{"found":"The inspection rated this domain Good. Elizabeth Fleming is registered to provide nursing care, meaning registered nurses should be available around the clock. The home cares for people with dementia, mental health conditions, and physical disabilities, all of which require consistent, skilled staffing. No specific detail on falls management, medicines, infection control, or night staffing ratios was included in the published report.","quotes":[],"family_meaning":"A Good rating for safety is reassuring, but the published findings give you very little to go on beyond the headline. The Good Practice evidence base (IFF Research and Leeds Beckett, March 2026) identifies night staffing as the point where safety most commonly slips in homes like this one. With 36 beds and a nursing registration, there should be a nurse on at night, but the inspection does not confirm how many carers support them. Agency reliance is a related concern: consistent, familiar faces matter enormously for people with dementia, who can become distressed around unfamiliar staff. Ask directly before you commit.","evidence_base":"The Good Practice evidence review found that night staffing ratios and agency staff reliance are among the strongest predictors of safety incidents in care homes. Homes with stable permanent teams have significantly fewer falls and medication errors.","watch_out":"Ask the manager to show you the actual staffing rota for last week, not the template. Count permanent versus agency names on night shifts, and ask what the nurse-to-resident ratio is overnight when the home is fully occupied."}
Is the care effective?
{"found":"The inspection rated this domain Good. The home holds a nursing registration and lists dementia as a specialism, which implies a trained workforce. No specific detail on care plan quality, GP access, dementia training content, or food provision was included in the published report.","quotes":[],"family_meaning":"A Good rating for effectiveness means the inspection found the home meets the standard for training, care planning, and healthcare access. What it does not tell you is whether your parent's care plan would reflect who they actually are: their preferences, their history, their routines. The Good Practice evidence review found that care plans functioning as living documents, updated regularly with family input, are one of the clearest markers of genuinely effective dementia care. Ask to see a sample care plan (with personal details removed) and ask how often they are reviewed with family members present.","evidence_base":"The Good Practice evidence review identified regular, family-inclusive care plan reviews as a key differentiator between homes rated Good and those rated Outstanding. Plans that remain static after admission are a warning sign.","watch_out":"Ask whether you and your parent would be invited to a formal care plan review within the first month, and then how often after that. Ask what dementia training staff have completed in the past 12 months and whether it involved any practical, scenario-based learning."}
Is this home caring?
{"found":"The inspection rated this domain Good. No direct observations of staff interactions, quotes from residents, or specific examples of dignity and respect in practice were included in the published report. The Good rating indicates inspectors were satisfied, but the evidence behind that judgement is not visible in the published text.","quotes":[],"family_meaning":"Staff warmth is the single biggest driver of family satisfaction in our review data, mentioned in 57.3% of positive reviews. Compassion and dignity follow closely at 55.2%. These are the things families notice first and remember longest. Because the inspection report contains no direct observations or resident quotes for this home, you cannot rely on the published findings alone to answer the question 'will the staff be kind to my mum or dad?' You need to see it for yourself. Arrive unannounced if possible, watch how staff greet residents in corridors, and notice whether anyone is left waiting or ignored.","evidence_base":"The Good Practice evidence review found that non-verbal communication, tone of voice, eye contact, and unhurried pace, matters as much as spoken words for people with advanced dementia. These signals are visible on a visit and are not captured by inspection ratings alone.","watch_out":"During your visit, note whether staff address residents by their preferred name, whether they crouch to make eye contact with residents who are seated, and whether anyone appears to be waiting for help without a staff member noticing."}
Is the home responsive?
{"found":"The inspection rated this domain Good. The home accepts residents with a wide range of needs including dementia, mental health conditions, and physical disabilities. No specific detail on the activity programme, individual engagement, end-of-life care, or how the home responds to changing needs was included in the published report.","quotes":[],"family_meaning":"Activities and engagement account for 21.4% of positive family reviews in our data, and resident happiness accounts for 27.1%. A Good rating tells you the inspection found no significant concerns, but it does not tell you whether your parent would have a meaningful life here. For someone with dementia who can no longer join group activities, one-to-one engagement becomes critical. The Good Practice evidence review found that Montessori-based approaches and familiar household tasks, folding laundry, tending plants, sorting objects, can provide genuine purpose and reduce distress. Ask specifically what happens for a resident on a day when the group activity is not suitable for them.","evidence_base":"The Good Practice evidence review found that group-only activity programmes consistently fail to meet the needs of people with moderate to advanced dementia. Homes with dedicated one-to-one engagement programmes show lower rates of distress and withdrawal.","watch_out":"Ask the activities coordinator (or manager, if there is no coordinator) to describe what a typical Tuesday looks like for a resident with advanced dementia who cannot join group sessions. If the answer is vague, probe further: who does the one-to-one engagement, and for how long each day?"}
Is the home well-led?
{"found":"The inspection rated this domain Good. A named registered manager, Miss Lesley Ann Richardson, is recorded as being in post, with Mrs Kirsty Crozier listed as nominated individual. No specific detail on management visibility, staff culture, governance processes, or how the home handles complaints was included in the published report.","quotes":[],"family_meaning":"Management quality accounts for 23.4% of positive family reviews in our data, and communication with families accounts for a further 11.5%. Leadership stability is one of the strongest predictors of care quality over time: the Good Practice evidence review found that homes with a consistent, visible manager tend to maintain standards more reliably than those with frequent leadership changes. The inspection confirms a manager is registered, but it does not tell you how long she has been in post, how often she is on the floor, or how the home communicates with families when something goes wrong. These are questions worth asking directly.","evidence_base":"The Good Practice evidence review identified manager tenure and floor visibility as the most reliable indicators of a positive care culture. Managers who are known by name to residents and staff, and who are regularly present in communal areas, are associated with better outcomes.","watch_out":"Ask the manager how long she has been in post at this home, and ask how the home would contact you if your parent had a fall or a health change overnight. Ask whether there is a family liaison role or a regular newsletter, and how complaints are recorded and followed up."}
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 of all ages with various needs, including dementia, mental health conditions and physical disabilities.. Gaps or open questions remain on Residents with dementia are supported here alongside those with other care needs, with staff responding to individual requirements as they arise. — 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
Elizabeth Fleming Care Home scored Good across all five inspection domains, which is a positive baseline. However, the published inspection report contains very little specific detail, so most scores sit in the 'present but unverified' range rather than the higher bands reserved for homes with direct observations and testimony.
Homes in North East typically score 68–82.The three-lens summary
What families tell us
Visitors mention being greeted warmly when they arrive, and there's a programme of activities keeping residents engaged. Cinema nights, arts and crafts sessions and sing-alongs happen regularly throughout the week.
What inspectors have recorded
Families describe staff as attentive and willing to help when residents need something. They've been particularly supportive during end-of-life care, staying close to residents and helping families through difficult times.
How it sits against good practice
If you're looking for a care home where staff pay attention and residents can rebuild their confidence, this could be worth exploring.
Worth a visit
Elizabeth Fleming Care Home, on the edge of Houghton Le Spring, was rated Good across all five inspection domains at its July 2022 inspection, with that rating confirmed as unchanged following a further review in July 2023. The home is a 36-bed nursing home run by Marton Care Homes Ltd, with a named registered manager in post. It accepts people with dementia, mental health conditions, physical disabilities, and both adults over and under 65. The main limitation here is that the published inspection report contains very little narrative detail. There are no direct observations from inspectors, no quotes from residents or relatives, and no specific examples of care in practice. A Good rating is genuinely positive, but it tells you the home meets the standard, not what living there actually feels like for your parent. Before you decide, visit in person, ask to see last week's staffing rota (permanent versus agency, day and night), watch how staff interact with residents in corridors and at mealtimes, and ask what one-to-one engagement looks like for someone with advanced dementia who cannot join group activities.
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In Their Own Words
How Elizabeth Fleming Care Home describes itself — collected from its own website. DCC has not edited or independently verified the content in this tab.
Where staff actually listen and residents find their feet
Dedicated nursing home Support in Houghton Le Spring
When families describe Elizabeth Fleming Care Home in Houghton Le Spring, they talk about staff who respond quickly to requests and residents who've settled in well after difficult moves. This care home supports adults with dementia, mental health conditions and physical disabilities, both under and over 65.
Who they care for
The home cares for adults of all ages with various needs, including dementia, mental health conditions and physical disabilities.
Residents with dementia are supported here alongside those with other care needs, with staff responding to individual requirements as they arise.
Management & ethos
Families describe staff as attentive and willing to help when residents need something. They've been particularly supportive during end-of-life care, staying close to residents and helping families through difficult times.
“If you're looking for a care home where staff pay attention and residents can rebuild their confidence, this could be worth exploring.”
DCC does not edit or curate content in this tab. For independently curated information, see The Evidence and DCC Verdict.












