The Harefield 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 beds40
- SpecialismsCaring for adults over 65 yrs, Caring for adults under 65 yrs, Dementia
- Last inspected2023-04-12
The Evidence
What the review data, the inspection reports, and the dementia-care evidence base tell us about this home.
What families say
The eight family priority themes
- Staff warmth70
- Compassion & dignity72
- Cleanliness60
- Activities & engagement65
- Food quality60
- Healthcare58
- Management & leadership72
- Resident happiness68
What inspectors found
Inspected 2023-04-12
Is this home safe?
Is the care effective?
The Effective domain was rated Good. This domain covers training, care planning, healthcare access, nutrition, and the application of the Mental Capacity Act. A Good rating indicates inspectors were satisfied that staff had the knowledge and skills to meet residents' needs. The home specialises in dementia, which means Effective should include specific competency in dementia care approaches. The published text does not record specific examples of training content, care plan quality, or GP access arrangements.Is this home caring?
The Caring domain was rated Good. This domain covers how staff interact with the people who live here, whether dignity and privacy are respected, and whether residents are supported to be as independent as possible. A Good rating means inspectors were satisfied with the quality of relationships and interactions they observed. The published text does not include specific inspector observations, resident quotes, or relative feedback about staff warmth or dignity in practice.Is the home responsive?
The Responsive domain was rated Good. This domain covers how well the home tailors its care to individual needs, including activities, engagement, and end-of-life planning. A Good rating indicates inspectors found that the home was responding to people as individuals rather than as a group. The published text does not provide specific examples of activities, one-to-one engagement, or how the home responds to changing needs over time.Is the home well-led?
The Well-led domain was rated Good. The home has a named registered manager and a nominated individual, and the improvement from a previous overall Requires Improvement rating to Good suggests that leadership has driven meaningful change. A Good Well-led rating indicates inspectors found a positive culture, working governance systems, and staff who felt supported. The published text does not include specific observations about management visibility, staff feedback mechanisms, or how the home handles complaints.
Source: CQC inspection report →
What the evidence base says
The home provides specialist support for people living with dementia, alongside general residential care for adults over 65 and younger adults who need care support. For residents living with dementia, consistent staffing and reliable care routines are particularly important. Families considering dementia care here should ask detailed questions about staffing levels, particularly at night, and how the home ensures continuity of care. 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.
DCC Family Score
The Harefield Care Home scores 72 out of 100, reflecting genuine improvement from a previous Requires Improvement rating, with positive inspection findings across care, responsiveness, and leadership, but held back by an ongoing Requires Improvement in safety and limited specific detail across several themes.
Homes in London typically score 68–82.Worth a visit
The Harefield Care Home, on Hill End Road in Uxbridge, was rated Good overall at its inspection on 21 March 2023, an improvement from its previous Requires Improvement rating. Four of the five inspection domains, Effective, Caring, Responsive, and Well-led, were rated Good, and the home specialises in dementia care for both older and younger adults across 40 nursing beds. The improvement in overall rating is an encouraging sign that leadership has addressed earlier concerns. The important caveat is that the Safe domain remains at Requires Improvement, and the published inspection report provides very little specific detail about what was observed on the ground. That gap matters. For a nursing home with a dementia specialism, safety and staffing are the foundations everything else rests on. Before visiting, note that the inspection findings available here are limited to domain ratings and provider information. On your visit, ask the manager to explain what the Requires Improvement in Safe means in practice, request to see last week's actual staffing rota (not the template), and ask specifically about night staffing numbers and how much of the rota was covered by agency staff last month.
The three questions to ask when you visitSave this home. Compare it against your shortlist.
Let our analysis show you how The Harefield Care Home measures up against the other homes you’re considering. Free account.
In Their Own Words
How The Harefield Care Home describes itself — collected from its own website. DCC has not edited or independently verified the content in this tab.
Families share concerns about basic care delivery in Uxbridge
The Harefield Care Home – Expert Care in Uxbridge
Choosing residential care involves trusting others with daily essentials we often take for granted. The Harefield Care Home in Uxbridge provides support for adults over 65, younger adults with care needs, and those living with dementia. Recent feedback from families reveals significant worries about whether fundamental care needs are being met consistently.
Who they care for
The home provides specialist support for people living with dementia, alongside general residential care for adults over 65 and younger adults who need care support.
For residents living with dementia, consistent staffing and reliable care routines are particularly important. Families considering dementia care here should ask detailed questions about staffing levels, particularly at night, and how the home ensures continuity of care.
“When visiting any care home, it's worth spending time observing daily routines and asking specific questions about how individual care needs will be met.”
DCC does not edit or curate content in this tab. For independently curated information, see The Evidence and DCC Verdict.
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
The Harefield Care Home scores 72 out of 100, reflecting genuine improvement from a previous Requires Improvement rating, with positive inspection findings across care, responsiveness, and leadership, but held back by an ongoing Requires Improvement in safety and limited specific detail across several themes.
Homes in London typically score 68–82.Worth a visit
The Harefield Care Home, on Hill End Road in Uxbridge, was rated Good overall at its inspection on 21 March 2023, an improvement from its previous Requires Improvement rating. Four of the five inspection domains, Effective, Caring, Responsive, and Well-led, were rated Good, and the home specialises in dementia care for both older and younger adults across 40 nursing beds. The improvement in overall rating is an encouraging sign that leadership has addressed earlier concerns. The important caveat is that the Safe domain remains at Requires Improvement, and the published inspection report provides very little specific detail about what was observed on the ground. That gap matters. For a nursing home with a dementia specialism, safety and staffing are the foundations everything else rests on. Before visiting, note that the inspection findings available here are limited to domain ratings and provider information. On your visit, ask the manager to explain what the Requires Improvement in Safe means in practice, request to see last week's actual staffing rota (not the template), and ask specifically about night staffing numbers and how much of the rota was covered by agency staff last month.
The three questions to ask when you visitSave this home. Compare it against your shortlist.
Let our analysis show you how The Harefield Care Home measures up against the other homes you’re considering. Free account.
In Their Own Words
How The Harefield Care Home describes itself — collected from its own website. DCC has not edited or independently verified the content in this tab.
Families share concerns about basic care delivery in Uxbridge
The Harefield Care Home – Expert Care in Uxbridge
Choosing residential care involves trusting others with daily essentials we often take for granted. The Harefield Care Home in Uxbridge provides support for adults over 65, younger adults with care needs, and those living with dementia. Recent feedback from families reveals significant worries about whether fundamental care needs are being met consistently.
Who they care for
The home provides specialist support for people living with dementia, alongside general residential care for adults over 65 and younger adults who need care support.
For residents living with dementia, consistent staffing and reliable care routines are particularly important. Families considering dementia care here should ask detailed questions about staffing levels, particularly at night, and how the home ensures continuity of care.
Management & ethos
Families report that while management staff are approachable and willing to discuss concerns, these conversations haven't led to meaningful improvements in care delivery. Despite regular meetings and daily feedback from worried relatives, the same care issues have persisted over time.
“When visiting any care home, it's worth spending time observing daily routines and asking specific questions about how individual care needs will be met.”
DCC does not edit or curate content in this tab. For independently curated information, see The Evidence and DCC Verdict.













