Hillcrest Residential Home
At a Glance
The information you need to decide whether this home warrants a closer look.
Residential homes
Staff warmth score
of reviewers answered yes
Good to know
- Registered beds17
- SpecialismsCaring for adults over 65 yrs, Dementia, Mental health conditions
- Last inspected2018-05-01
- Activities programmeThe kitchen cooks everything on site, with families mentioning how residents actually enjoy mealtimes. It's the kind of smaller setting where individual preferences get noticed and accommodated.
- 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
Families talk about residents with dementia settling better than expected, moving from their own homes without the distress everyone feared. The environment feels manageable rather than overwhelming, and people describe staff from different departments all knowing residents personally.
Based on 9 Google reviews · 0 reviews on carehome.co.uk · most recent 2026-04-10
The eight family priority themes
- Staff warmth55
- Compassion & dignity55
- Cleanliness55
- Activities & engagement50
- Food quality50
- Healthcare50
- Management & leadership60
- Resident happiness55
What inspectors found
Inspected 2018-05-01 · Report published 2018-05-01 · Inspected 2 times in the last three years
Is this home safe?
{"found":"The safe domain was rated Good at the January 2021 inspection. This covers staffing levels, medicines management, infection control, and safeguarding. The published summary does not record specific details about staffing ratios, night cover, or how medicines are managed. No concerns or requirement actions were identified in this domain.","quotes":[],"family_meaning":"A Good safe rating means inspectors did not find significant concerns about risk, staffing, or medicines at the time of the visit. However, the inspection was conducted in January 2021, and the published findings give no specific figures for overnight staffing. Good Practice research consistently finds that safety risks are highest on night shifts, particularly in smaller homes with dementia specialisms. At 17 beds, Hillcrest is a small home, which can mean a warmer, more familiar environment for your parent, but it also means a single staff absence overnight can significantly change the cover available. Ask directly how many staff are on duty between 10pm and 6am.","evidence_base":"The IFF Research and Leeds Beckett University rapid evidence review found that night staffing ratios are one of the most reliable early indicators of where safety problems develop in residential care homes. Smaller homes are not automatically safer at night simply because they have fewer beds.","watch_out":"Ask the manager: how many staff are physically on site between 10pm and 6am on a typical weeknight, and what happens if one of them calls in sick? Get a specific number, not a policy statement."}
Is the care effective?
{"found":"The effective domain was rated Good at the January 2021 inspection. This domain covers training, care planning, healthcare access, nutrition, and outcomes for the people who live in the home. The published summary does not record specific detail about dementia training content, care plan review frequency, GP access arrangements, or food quality. No concerns were identified.","quotes":[],"family_meaning":"A Good effective rating indicates that inspectors were broadly satisfied with how the home translates knowledge into practice for the people who live there. Dementia is listed as a specialism, so you would expect staff to have specific dementia training beyond basic induction. Our review data shows that families rate healthcare responsiveness (20.2% of positive reviews) and food quality (20.9%) as significant factors in their overall satisfaction. The inspection findings give no specific evidence on either. Good Practice research highlights that care plans should be living documents, updated after any health change and reviewed with families at least every three months. Ask the home how often your parent's plan would be reviewed and whether you would be invited.","evidence_base":"The Leeds Beckett rapid evidence review found that the quality of care plans as working documents, rather than completed forms filed away, is one of the strongest predictors of good outcomes for people living with dementia. Plans that are updated after health changes and co-produced with families are linked to better wellbeing.","watch_out":"Ask to see an example of how the home records a care plan update after a health change, such as a fall or a change in appetite. Ask when you would be contacted, and by whom, if your parent had a difficult night."}
Is this home caring?
{"found":"The caring domain was rated Good at the January 2021 inspection. This covers staff warmth, dignity, privacy, and respect for independence. The published summary contains no specific inspector observations, resident quotes, or family testimony about how staff interact with the people who live there. No concerns were identified.","quotes":[],"family_meaning":"Staff warmth is the single biggest driver of family satisfaction in our review data, mentioned in 57.3% of positive reviews, and compassion and dignity accounts for a further 55.2%. A Good caring rating is encouraging, but without specific observations or quotes in the published findings, it is difficult to know what this looks like day to day at Hillcrest. Good Practice research shows that for people living with dementia, non-verbal communication matters as much as spoken words: tone, pace, and physical proximity are all indicators of genuine warmth. When you visit, observe how staff greet your parent in a corridor or a communal space, not just in a prepared meeting. Notice whether they crouch down to speak, use a preferred name, and take their time.","evidence_base":"The IFF Research rapid evidence review found that person-led caring requires staff to know each individual well, including their history, preferences, and communication style. Homes with high caring ratings typically show evidence of this knowledge in everyday interactions, not just in written care plans.","watch_out":"When you visit, listen for whether staff use your parent's preferred name (not just their first name if that is not what they like to be called), and watch whether staff make unhurried eye contact or seem to be moving on to the next task. These small interactions are the most reliable signal of genuine warmth."}
Is the home responsive?
{"found":"The responsive domain was rated Good at the January 2021 inspection. This domain covers activities, individual engagement, complaints handling, and end-of-life care. The published summary provides no specific detail about the types of activities offered, how individual preferences are accommodated, or how the home responds to complaints. No concerns were identified.","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 responsive rating suggests inspectors found the home was meeting people's individual needs, but the lack of specific detail in the published findings makes it hard to assess what daily life actually looks like. Good Practice research highlights that group activities alone are insufficient for people with more advanced dementia: individual, one-to-one engagement, including familiar household tasks, music, and sensory activities, produces better wellbeing outcomes. Ask what your parent's day would typically look like on a day when no organised activity is planned.","evidence_base":"The Leeds Beckett rapid evidence review found that Montessori-based and individually tailored approaches to activity, including everyday tasks such as folding, watering plants, and simple cooking, produce measurably better engagement and reduced distress in people living with dementia compared to group activity programmes alone.","watch_out":"Ask the activities coordinator (or the manager, if there is no dedicated coordinator) what would happen on a Tuesday afternoon if your parent did not want to join the group session. What would one-to-one time look like, and who would provide it?"}
Is the home well-led?
{"found":"The well-led domain was rated Good at the January 2021 inspection. The home is operated by Caring Alternatives Limited and has two named registered managers on record. A monitoring review in July 2023 found no reason to reassess the rating. The published findings give no specific detail about governance processes, staff culture, or how the home acts on feedback and incidents.","quotes":[],"family_meaning":"Management and leadership accounts for 23.4% of positive family reviews in our data. Two registered managers are named in the records, which raises a practical question: which manager holds day-to-day responsibility, and how long have they been in post? Good Practice research consistently finds that leadership stability is one of the strongest predictors of care quality over time. Homes where the manager is well-known to residents and staff, and where staff feel able to raise concerns, tend to sustain their ratings between inspections. The July 2023 monitoring review is reassuring, but it was a desk-based check rather than an on-site visit. Ask how long the current manager has been in the role.","evidence_base":"The Leeds Beckett rapid evidence review found that leadership stability, particularly consistent tenure of the registered manager, is one of the most reliable predictors of sustained care quality. Homes with frequent manager changes show measurable declines in staff confidence and care consistency.","watch_out":"Ask: which of the two registered managers is the day-to-day lead, how long have they been in that role, and when did an inspector last visit the home in person? A manager who has been in post for several years and is known by name to the people who live there is a positive sign."}
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 They support people with dementia and mental health conditions, focusing on over-65s. The smaller scale means they can adapt their approach to individual needs.. Gaps or open questions remain on Families specifically mention how residents with dementia transition here, often settling more smoothly than expected when moving from their own homes. — 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
Hillcrest received a Good rating across all five inspection domains, which is a positive baseline. However, the published inspection findings contain very limited specific detail, so many scores reflect a general positive assessment rather than confirmed, observed evidence.
Homes in North West typically score 68–82.The three-lens summary
What families tell us
Families talk about residents with dementia settling better than expected, moving from their own homes without the distress everyone feared. The environment feels manageable rather than overwhelming, and people describe staff from different departments all knowing residents personally.
What inspectors have recorded
One serious concern was raised about staff conduct that families will want to ask about directly. Beyond this, families describe consistent staffing where the same faces stick around, from care teams through to domestic staff.
How it sits against good practice
Worth visiting to see if the smaller setting and consistent team feel right for your situation.
Worth a visit
Hillcrest Residential Home in Tyldesley was rated Good across all five inspection domains at its last full inspection, carried out on 27 January 2021 and published in February 2021. The home is registered to care for up to 17 adults over 65, including people living with dementia and mental health conditions. A monitoring review in July 2023 found no evidence to change that rating. Two registered managers are named in the registration records, which suggests formal leadership continuity. The main uncertainty here is the age of the inspection. The last full on-site inspection took place in January 2021, more than four years ago, and the published summary contains very little specific detail about what inspectors actually observed. A Good rating is a positive baseline, but it tells you little about what daily life looks like now. On a visit, ask to see last week's actual staffing rota (counting permanent versus agency names, especially on night shifts), ask how many staff are on duty after 8pm, and observe how staff interact with the people living there in corridors and communal areas, not just in a formal meeting.
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In Their Own Words
How Hillcrest Residential Home describes itself — collected from its own website. DCC has not edited or independently verified the content in this tab.
Small care home where families see real settling happen
Dedicated residential home Support in Tyldesley
When someone you love has dementia, watching them settle somewhere new feels impossible. Hillcrest Residential Home in Tyldesley seems to help residents find their feet, with families describing how anxiety drops and people adapt. It's a smaller place where the kitchen team cook proper meals and staff across different roles work together.
Who they care for
They support people with dementia and mental health conditions, focusing on over-65s. The smaller scale means they can adapt their approach to individual needs.
Families specifically mention how residents with dementia transition here, often settling more smoothly than expected when moving from their own homes.
Management & ethos
One serious concern was raised about staff conduct that families will want to ask about directly. Beyond this, families describe consistent staffing where the same faces stick around, from care teams through to domestic staff.
The home & environment
The kitchen cooks everything on site, with families mentioning how residents actually enjoy mealtimes. It's the kind of smaller setting where individual preferences get noticed and accommodated.
“Worth visiting to see if the smaller setting and consistent team feel right for your situation.”
DCC does not edit or curate content in this tab. For independently curated information, see The Evidence and DCC Verdict.












