Roxburgh House Care 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 beds44
- SpecialismsCaring for adults over 65 yrs, Caring for adults under 65 yrs, Dementia
- Last inspected2019-04-13
- 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
Based on 11 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
- Healthcare68
- Management & leadership72
- Resident happiness68
What inspectors found
Inspected 2019-04-13 · Report published 2019-04-13 · Inspected 4 times in the last three years
Is this home safe?
{"found":"The safe domain was rated Good at the January 2022 inspection. This covers medicines management, staffing levels, risk assessments, and infection control. The home had previously held a Requires Improvement rating, so this represents an improvement in safety standards. The published summary does not include specific observations about night staffing, falls management, or agency staff use.","quotes":[],"family_meaning":"A Good safety rating means inspectors were satisfied that the basic structures for keeping your parent safe were in place. However, the inspection findings reviewed by our team at DementiaCareChoices contain no detail on night staffing ratios or how the home manages falls, which are the two areas where safety most commonly slips according to the Good Practice evidence base. With 44 beds and a specialism in dementia care, night cover matters a great deal, because people living with dementia are more likely to be unsettled overnight. The previous Requires Improvement rating is worth understanding: ask the manager directly what changed and how the improvements were sustained.","evidence_base":"The Good Practice in Dementia Care evidence base (IFF Research and Leeds Beckett University, 2026) identifies night staffing as the single most common point at which safety gaps emerge in dementia care settings. A Good rating at a daytime inspection does not automatically confirm adequate overnight cover.","watch_out":"Ask the manager: how many permanent carers and how many senior staff are on duty overnight for 44 residents? Then ask to see last week's actual rota, not the template, and note how many shifts were covered by agency staff."}
Is the care effective?
{"found":"The effective domain was rated Good at the January 2022 inspection. This covers staff training, care planning, healthcare access, and nutrition. The home specialises in dementia care alongside general residential care for adults over and under 65. No specific detail is available in the published summary about how care plans are structured, how often they are reviewed, or what dementia training staff receive.","quotes":[],"family_meaning":"A Good rating for effectiveness means inspectors were broadly satisfied that staff had the skills and tools to meet your parent's needs. For a home with a dementia specialism, what matters most is whether care plans are genuinely individual, whether staff understand how dementia affects behaviour and communication, and whether healthcare professionals such as GPs and mental health nurses are accessed promptly when needed. The published findings give no detail on any of these points, so you will need to ask directly. Our Good Practice evidence base found that care plans function as living documents in the best homes: reviewed with families regularly, not filed and forgotten.","evidence_base":"The IFF Research and Leeds Beckett University rapid evidence review (2026) found that dementia-specific training content, particularly around non-verbal communication and behaviour as an expression of unmet need, is one of the strongest predictors of quality care outcomes. Ask what that training looks like here.","watch_out":"Ask the manager: when was my parent's care plan last reviewed, and can families attend that review? Ask also what specific dementia training staff complete and whether it covers recognising unmet need behind distressed behaviour."}
Is this home caring?
{"found":"The caring domain was rated Good at the January 2022 inspection. This covers staff warmth, dignity, respect, and support for independence. No specific inspector observations, staff interactions, or resident and relative testimony are included in the available published summary. The improvement from Requires Improvement suggests that concerns in this area, if any previously existed, have been addressed.","quotes":[],"family_meaning":"Staff warmth is the single biggest driver of family satisfaction in our review data, mentioned in 57.3% of positive Google reviews across 5,409 UK care homes. Compassion and dignity follow closely at 55.2%. These are the things families notice most and feel most strongly about. Because the published inspection text contains no direct observations of staff interactions, you cannot rely on the rating alone here. On your visit, watch whether staff knock before entering rooms, whether they use your parent's preferred name without being prompted, and whether they move at the pace of the person they are supporting rather than their own.","evidence_base":"The Good Practice evidence base identifies non-verbal communication as equally important as spoken interaction for people living with dementia. Inspectors may not always capture this in a published summary, which is why direct observation on a visit matters as much as the official rating.","watch_out":"During your visit, find a moment to sit in a communal area for 15 minutes without announcing why. Watch how staff greet residents who pass them, whether they make eye contact, and whether any resident appears to be waiting without acknowledgement."}
Is the home responsive?
{"found":"The responsive domain was rated Good at the January 2022 inspection. This covers activities, individual engagement, and end-of-life planning. The home is registered to care for people living with dementia, which requires responsive, individualised activity provision rather than a one-size programme. The published summary contains no description of the activity timetable, one-to-one engagement, or how end-of-life wishes are recorded.","quotes":[],"family_meaning":"Resident happiness is referenced in 27.1% of positive family reviews in our dataset, and activities and engagement are mentioned in 21.4%. For someone living with dementia, group activities in a lounge are often not enough. What matters is whether there is someone who knows your parent's personal history, interests, and daily rhythms, and who can offer a meaningful moment of connection when group participation is not possible. The published findings give no detail on this. Ask specifically about one-to-one engagement and how the home uses personal history when planning activities.","evidence_base":"The Good Practice evidence base (2026) highlights Montessori-based approaches and familiar household tasks as particularly effective for people with advanced dementia, providing a sense of purpose and continuity even when verbal communication is limited. Ask whether the home uses any structured individual engagement approaches.","watch_out":"Ask the activities coordinator: what would a typical Tuesday look like for a resident with moderate dementia who cannot join group sessions? Ask to see last week's completed activity log, not just the planned timetable."}
Is the home well-led?
{"found":"The well-led domain was rated Good at the January 2022 inspection. The home has a named registered manager and a nominated individual recorded with the regulator. It is operated by HC-One Limited, a national provider. The improvement from a previous Requires Improvement rating across all domains, including well-led, suggests the leadership team has driven meaningful change. The published summary does not describe the manager's tenure, how staff are supported, or how the home responds to complaints.","quotes":[],"family_meaning":"Visible, accountable leadership is one of the strongest predictors of consistent quality in care homes. Our Good Practice evidence base found that leadership stability over time, where a manager is known to staff and residents and has genuine authority to act, correlates with better outcomes across all care domains. Communication with families is mentioned in 11.5% of positive reviews in our dataset, and families who feel informed tend to feel more confident even when things go wrong. The fact that this home improved from Requires Improvement is encouraging, but you should understand what drove that improvement and whether the same manager is still in post.","evidence_base":"The Good Practice evidence base (IFF Research and Leeds Beckett University, 2026) identifies leadership stability as a key predictor of quality trajectory. Homes that improve and sustain improvement typically have managers who are present on the floor, known to residents, and able to act quickly on concerns raised by staff.","watch_out":"Ask: how long has the current registered manager been in post? Ask also how the home handled its previous Requires Improvement rating, what specifically was changed, and how those changes are now monitored to make sure standards are maintained."}
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 provides residential care for adults over 65, with experience supporting people living with dementia. They also care for younger adults who need residential support.. Gaps or open questions remain on For residents living with dementia, the team works to understand each person's individual needs and preferences. Families describe staff who respond patiently when behaviour becomes challenging, maintaining a respectful approach throughout. — 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
Roxburgh House holds a Good rating across all five inspection domains, having improved from Requires Improvement, which is a meaningful step forward. However, the published inspection text contains very limited specific detail, so most scores sit in the mid-range reflecting positive but unverified general findings rather than rich, directly observed evidence.
Homes in West Midlands typically score 68–82.Worth a visit
Roxburgh House in Cradley Heath was rated Good across all five inspection domains at its most recent inspection in January 2022, with findings reviewed again in July 2023 and no concerns identified. Importantly, the home had previously been rated Requires Improvement, so achieving Good across every domain represents a genuine, measurable improvement. The home is registered with HC-One Limited, has a named registered manager in post, and cares for adults over and under 65, including people living with dementia, across 44 beds. The main limitation of this report is that the published inspection summary contains very little specific detail. There are no direct inspector observations, no resident or relative quotes, and no descriptions of what daily life actually looks like. A Good rating is a solid foundation, but you should not rely on it alone. Visit at an unannounced time, ask to see the staffing rota for the previous week, observe whether staff interact with your parent warmly and without rushing, and ask specifically how the home supports people living with dementia on a day-to-day basis.
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In Their Own Words
How Roxburgh House Care Home describes itself — collected from its own website. DCC has not edited or independently verified the content in this tab.
Staff who remember the little things that matter to your loved one
Roxburgh House (West Midlands) – Your Trusted residential home
When you're looking for the right care, it's often the small details that reveal everything. Roxburgh House in Cradley Heath seems to understand this — families talk about staff who remember exactly how residents like their tea, who take time to learn what makes each person tick, and who include relatives in daily life rather than keeping them at arm's length.
Who they care for
The home provides residential care for adults over 65, with experience supporting people living with dementia. They also care for younger adults who need residential support.
For residents living with dementia, the team works to understand each person's individual needs and preferences. Families describe staff who respond patiently when behaviour becomes challenging, maintaining a respectful approach throughout.
“If you'd like to see how Roxburgh House approaches care, arranging a visit could help you get a feel for whether it's the right fit for your family.”
DCC does not edit or curate content in this tab. For independently curated information, see The Evidence and DCC Verdict.
