Nelson Manor 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 beds70
- SpecialismsCaring for adults over 65 yrs, Caring for adults under 65 yrs, Dementia, Learning disabilities, Physical disabilities
- Last inspected2018-10-05
- Activities programmeThe kitchen team prepares home-cooked meals daily, with flexibility to accommodate individual food preferences and dietary requirements. Residents enjoy views over the gardens from their rooms.
- 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 describe bright, spacious rooms with garden views and en-suite facilities throughout. The care home maintains a clean, comfortable environment where residents with complex needs receive consistent nursing attention.
Based on 14 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
- Healthcare55
- Management & leadership60
- Resident happiness55
What inspectors found
Inspected 2018-10-05 · Report published 2018-10-05 · Inspected 7 times in the last three years
Is this home safe?
{"found":"The home was rated Good for safety at its last inspection in August 2020. A monitoring review in July 2023 found no new evidence of safety concerns. The published summary does not include specific observations about staffing ratios, medicines management, falls logging, or infection control. No concerns about the use of agency staff or night-time cover are recorded, but equally, no detail confirming these are well managed is available.","quotes":[],"family_meaning":"A Good safety rating is reassuring, but the lack of published detail means you cannot rely on this report alone to judge day-to-day safety. Good Practice research consistently identifies night staffing as the point where safety most often slips in care homes: the ratio of staff to residents after 8pm is one of the most important questions you can ask. Our review data also shows that families who later raise concerns often recall early signs they did not follow up, such as call bells going unanswered or agency faces they did not recognise. The inspection was also carried out in 2020, so conditions may have changed.","evidence_base":"The IFF Research and Leeds Beckett University rapid evidence review found that agency staff reliance is one of the strongest predictors of safety incidents in care homes, because unfamiliar staff do not know residents' individual behaviours, triggers, or routines.","watch_out":"Ask the manager to show you the actual staffing rota for the past two weeks, not a template. Count how many permanent staff names appear on night shifts compared with agency workers, and ask what the minimum number of staff on overnight is for 70 residents."}
Is the care effective?
{"found":"The home was rated Good for effectiveness at its last inspection in August 2020. This domain covers care planning, staff training, healthcare access, and food quality. The published summary does not include specific examples of care plan content, GP access arrangements, dementia training programmes, or how residents' nutritional needs are assessed. The Good rating indicates inspectors were satisfied, but the evidence behind that judgement is not available in the published text.","quotes":[],"family_meaning":"Effectiveness matters enormously if your parent has dementia, because a Good rating in this domain should mean staff know how to communicate with someone who cannot always express their needs in words. Good Practice evidence shows that care plans which are regularly reviewed and written with the person and their family are significantly more likely to result in care that matches individual preferences. Food quality is one of the clearest signals of genuine care: if the home cannot tell you what your parent's favourite meal is within a week of their arrival, that is worth noting. The inspection was carried out in 2020, so ask how training has been updated since then.","evidence_base":"The rapid evidence review found that dementia training which goes beyond basic awareness, covering non-verbal communication, distress recognition, and person-led approaches, is associated with measurably better outcomes for people living with dementia.","watch_out":"Ask the manager what dementia-specific training every member of staff, including night carers and kitchen staff, has completed in the last 12 months. Ask to see the training log, not just a description of the programme."}
Is this home caring?
{"found":"The home was rated Good for caring at its last inspection in August 2020. This domain covers staff warmth, dignity, privacy, and respect for independence. The published summary does not include any direct observations of staff interactions, resident testimony, or examples of how privacy is protected during personal care. No quotes from residents or relatives are available in the published findings.","quotes":[],"family_meaning":"Staff warmth is the single biggest driver of family satisfaction in our review data, mentioned by name in 57.3% of positive reviews. Compassion and dignity follow closely at 55.2%. These are not qualities that a rating alone can confirm: they are things you observe in person. Watch whether staff use your parent's preferred name without being prompted, whether they knock before entering a room, and whether interactions feel unhurried. Good Practice evidence shows that non-verbal communication, tone of voice, eye contact, and physical proximity, matters as much as what is said for people living with dementia. A Good rating from 2020 tells you inspectors were satisfied then; a visit tells you what is happening now.","evidence_base":"The rapid evidence review found that person-led care, where staff know the individual's history, preferences, and communication style, produces significantly better wellbeing outcomes than care organised around task completion alone.","watch_out":"When you visit, ask a member of staff what your parent's preferred name is and how they like to spend a morning. If the staff member needs to check a folder rather than answering from knowledge, that tells you something important about how well staff know the people in their care."}
Is the home responsive?
{"found":"The home was rated Good for responsiveness at its last inspection in August 2020. This domain covers activities, individual engagement, response to complaints, and end-of-life care. The published summary does not include specific details about the activities programme, one-to-one engagement for residents who cannot join groups, or how end-of-life wishes are recorded and honoured. The Good rating indicates inspectors were satisfied, but no supporting detail is available.","quotes":[],"family_meaning":"Responsiveness is where many families notice the gap between what a home promises and what it delivers day to day. Our review data shows that activities and engagement account for 21.4% of positive family reviews, and resident happiness for 27.1%. Good Practice evidence highlights that group activities alone are not sufficient for people with advanced dementia: tailored one-to-one engagement, including familiar household tasks and reminiscence, is associated with significantly better mood and reduced distress. Ask what happens for your parent on a day when they cannot or do not want to join a group activity. The home's answer to that question is more revealing than any printed programme.","evidence_base":"The rapid evidence review found that Montessori-based and individually tailored activity approaches, rather than group-only programming, produce better engagement and reduced distress for people living with dementia, particularly in the moderate to advanced stages.","watch_out":"Ask to see the activity records for three residents with dementia over the past month, not the programme template. Check how many one-to-one sessions each person received and what form they took."}
Is the home well-led?
{"found":"The home was rated Good for being well-led at its last inspection in August 2020. Mrs Olivia Lucy Entwhistle is the named registered manager, and Mrs Joanne Murray is the nominated individual. The published summary does not describe management visibility, staff culture, governance systems, or how the home responds to concerns raised by families or staff. The home's improvement from Requires Improvement to Good suggests leadership was able to identify and sustain change.","quotes":[],"family_meaning":"Leadership stability is one of the strongest predictors of care quality over time. Good Practice evidence shows that homes with a consistent, visible manager, one who staff and residents know by name, tend to maintain quality more reliably than those with frequent management changes. The improvement from Requires Improvement is a meaningful positive signal: it indicates problems were recognised and addressed rather than ignored. However, the inspection was carried out in 2020 and the manager named in the published record may have changed since then. Our review data shows that communication with families accounts for 11.5% of positive reviews, so ask directly how the home keeps you informed.","evidence_base":"The rapid evidence review found that bottom-up leadership cultures, where staff feel confident raising concerns without fear, are associated with lower rates of safety incidents and better family satisfaction scores.","watch_out":"Ask the manager how long they have been in post and whether there have been any changes to the senior leadership team in the past 12 months. Also ask how you would raise a concern and what happens after you do."}
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 welcomes adults of all ages, including those under 65, with physical disabilities, learning disabilities and dementia care needs.. Gaps or open questions remain on The care home includes dedicated dementia facilities for residents living with cognitive changes. — 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
Nelson Manor Care Home holds a Good rating across all five inspection domains, but the published report contains very limited specific detail, so scores reflect confirmed compliance rather than rich observed evidence. Families should treat this score as a starting point and gather more through a personal visit.
Homes in North West typically score 68–82.The three-lens summary
What families tell us
Families describe bright, spacious rooms with garden views and en-suite facilities throughout. The care home maintains a clean, comfortable environment where residents with complex needs receive consistent nursing attention.
What inspectors have recorded
Staff appear promptly when residents need assistance and maintain regular communication with families about ongoing care. The 24/7 nursing presence means medical needs receive immediate attention.
How it sits against good practice
While some families have raised concerns about care planning and communication systems, many describe attentive nursing care delivered with genuine warmth.
Worth a visit
Nelson Manor Care Home, on Barkerhouse Road in Lancashire, was rated Good across all five inspection domains at its last full inspection in August 2020. A monitoring review carried out in July 2023 found no evidence that the rating needed to change. The home also improved from a previous Requires Improvement rating, which is a positive sign that problems were identified and addressed. A registered manager and nominated individual are named in the published record, indicating a defined leadership structure. The main limitation here is that the published inspection summary contains very little specific detail: no direct observations of staff interactions, no resident or family quotes, and no data on staffing levels, food quality, or activities. The Good rating is encouraging, but it was awarded in 2020 and the full inspection text was not available for this report. Before making a decision, visit the home in person, ask to see last week's staffing rota, and request a copy of a sample care plan. Pay particular attention to how staff interact with residents in communal areas and what happens for your parent on a quiet afternoon.
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In Their Own Words
How Nelson Manor Care Home describes itself — collected from its own website. DCC has not edited or independently verified the content in this tab.
Where nursing care meets genuine warmth in Lancashire
Nelson Manor Care Home – Your Trusted nursing home
When complex health needs require round-the-clock nursing support, families need reassurance that medical care won't come at the expense of kindness. Nelson Manor Care Home in Lancashire brings both together, with 24-hour nursing cover alongside the everyday touches that matter — home-cooked meals tailored to individual tastes and staff who respond quickly when needed.
Who they care for
The home welcomes adults of all ages, including those under 65, with physical disabilities, learning disabilities and dementia care needs.
The care home includes dedicated dementia facilities for residents living with cognitive changes.
Management & ethos
Staff appear promptly when residents need assistance and maintain regular communication with families about ongoing care. The 24/7 nursing presence means medical needs receive immediate attention.
The home & environment
The kitchen team prepares home-cooked meals daily, with flexibility to accommodate individual food preferences and dietary requirements. Residents enjoy views over the gardens from their rooms.
“While some families have raised concerns about care planning and communication systems, many describe attentive nursing care delivered with genuine warmth.”
DCC does not edit or curate content in this tab. For independently curated information, see The Evidence and DCC Verdict.












