Dementia Care Home

St Nicholas House Residential Care Home

Littlefields, Dereham, Norfolk, NR19 1BG

Residential homes

At a Glance

The information you need to decide whether this home warrants a closer look.

DCC Family Score
68/ 100
Weighted from family reviews
Dementia SpecialismConfirmed

Residential homes

Families Rate The Staff50 / 100

Staff warmth score

“Well Looked After”50%

of reviewers answered yes

Good to know

  • Registered beds38
  • SpecialismsCaring for adults over 65 yrs, Caring for adults under 65 yrs, Dementia
  • Last inspected2019-03-07

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The Evidence

What the review data, the inspection reports, and the dementia-care evidence base tell us about this home.

Section 01

What families say

Visitors describe finding a warm, professional atmosphere when they arrive. The physical environment gets positive mentions, with people noting the home feels well-maintained and comfortable for residents.

The eight family priority themes

  • Staff warmth50
  • Compassion & dignity55
  • Cleanliness50
  • Activities & engagement50
  • Food quality50
  • Healthcare50
  • Management & leadership65
  • Resident happiness50
Section 02

What inspectors found

Inspected 2019-03-07

  • Is this home safe?

    Requires improvement
    Safe was rated Requires Improvement at the January 2021 inspection. The published inspection text does not explain what specific concerns were identified in this domain. The home had previously been rated Requires Improvement overall, suggesting the safety issues may have been present for some time before the inspection. No information about falls management, medicines administration, infection control, or staffing numbers is included in the available text.
    Verified by inspector
  • Is the care effective?

    Good
    Effective was rated Good at the January 2021 inspection. The home specialises in dementia care for both adults over 65 and adults under 65, which covers a wide range of needs. No specific detail about care plan content, GP access, dementia training, or nutritional support is included in the published inspection text. The Good rating indicates inspectors were broadly satisfied, but the absence of specific evidence makes it difficult to assess the quality in detail.
    Verified by inspector
  • Is this home caring?

    Good
    Caring was rated Good at the January 2021 inspection. The published text does not include any direct observations of staff interactions, quotes from residents, or specific examples of how dignity and respect are maintained in practice. The Good rating suggests inspectors were satisfied with the culture of care they observed, but no narrative detail is available to substantiate what they saw.
    Verified by inspectorResident testimony recorded
  • Is the home responsive?

    Good
    Responsive was rated Good at the January 2021 inspection. The home is registered to care for people with dementia across a wide age range, which suggests some capacity to tailor care to different needs. No specific detail about the activities programme, individual engagement, family communication, or end-of-life planning is included in the published inspection text. The Good rating indicates inspectors were broadly satisfied with how the home responds to individual needs.
    Verified by inspector
  • Is the home well-led?

    Good
    Well-led was rated Good at the January 2021 inspection, and the home improved from its previous Requires Improvement overall rating, which suggests the management team played a part in driving that improvement. The home is run by Norse Care (Services) Limited and has a named registered manager and a nominated individual listed. No further detail about management visibility, staff culture, governance processes, or how the home handles complaints is included in the published text.
    Verified by inspector
  • Source: CQC inspection report →

    Section 03

    What the evidence base says

    St Nicholas House provides care for adults over 65 and under 65, with specialist dementia support available. The home accommodates residents with varying care needs. The home has a dedicated dementia care unit. If you're considering dementia care here, it's worth asking about current staffing arrangements and how they support residents with different mobility needs. All 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.

68/ 100

DCC Family Score

St Nicholas House scores in the mid-range because the inspection text provided is very limited in specific detail. The Good rating across four domains is encouraging, but the Requires Improvement in Safe means there are real questions to put to the home before making a decision.

Homes in East typically score 68–82.

The three-lens summary

Lens 01

What families tell us

Visitors describe finding a warm, professional atmosphere when they arrive. The physical environment gets positive mentions, with people noting the home feels well-maintained and comfortable for residents.

Lens 02

What inspectors have recorded

Lens 03

How it sits against good practice

Getting a feel for any care home means seeing it for yourself and meeting the team who'd be looking after your loved one.

DCC Recommendation

Worth a visit

St Nicholas House in Dereham was rated Good overall at its last inspection, conducted in January 2021 and published in April 2021. Four of the five domains, including Effective, Caring, Responsive, and Well-led, received a Good rating, and the home improved from its previous Requires Improvement overall rating. The home is run by Norse Care (Services) Limited and has a named registered manager. The main concern to address before visiting is the Requires Improvement rating in Safe, which remains unexplained in the published text available here. The inspection is also now over three years old, meaning conditions may have changed. When you visit, ask the manager directly what the specific safety concerns were at the time of the inspection, what action was taken, and what the current staffing numbers look like on day and night shifts. The limited detail in the published report means a visit is essential before drawing any conclusions about whether this is the right home for your parent.

The three questions to ask when you visit

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In Their Own Words

How St Nicholas House Residential Care Home describes itself — collected from its own website. DCC has not edited or independently verified the content in this tab.

What St Nicholas House Residential Care Home says about itself

Dedicated staff creating a warm atmosphere in this Dereham care home

Compassionate Care in Dereham at St Nicholas House

When families visit St Nicholas House in Dereham, they often comment on the welcoming feel of the place. The team here works hard to create a comfortable environment, though like many homes they face the ongoing challenge of maintaining ideal staffing levels. It's worth visiting to get a sense of how things are running day to day.

Care & specialisms

Who they care for

    St Nicholas House provides care for adults over 65 and under 65, with specialist dementia support available. The home accommodates residents with varying care needs.

    How they describe their dementia care

    The home has a dedicated dementia care unit. If you're considering dementia care here, it's worth asking about current staffing arrangements and how they support residents with different mobility needs.

    “Getting a feel for any care home means seeing it for yourself and meeting the team who'd be looking after your loved one.”

    DCC does not edit or curate content in this tab. For independently curated information, see The Evidence and DCC Verdict.

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    Related:

    What Real Families Say About Dementia Care Homes: The Eight Things That Matter Most

    A Which? Report for Care Homes: Real Family Reviews, Not Just Official Inspections

    Step-by-Step Guide to Finding a Care Home for Your Mum in the UK

    What Does 'Dementia Specialist' Actually Mean? How to Tell If a Care Home Really Is One

    Best UK Website for Comparing Dementia Care Homes (Beyond CQC Ratings)

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