Dementia Care Home

The Harefield Care Home

Hill End Road, Uxbridge, Middlesex, UB9 6UX

Nursing homes

At a Glance

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

DCC Family Score
72/ 100
Weighted from family reviews
Dementia SpecialismConfirmed

Nursing homes

Families Rate The Staff70 / 100

Staff warmth score

“Well Looked After”68%

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

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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

The eight family priority themes

  • Staff warmth70
  • Compassion & dignity72
  • Cleanliness60
  • Activities & engagement65
  • Food quality60
  • Healthcare58
  • Management & leadership72
  • Resident happiness68
Section 02

What inspectors found

Inspected 2023-04-12

  • Is this home safe?

    Requires improvement
    The Safe domain was rated Requires Improvement at the March 2023 inspection. This is the only domain that did not reach a Good rating, and it represents a significant area of concern for a nursing home caring for people with dementia. The published inspection text does not detail the specific reasons for this rating. Common reasons for a Requires Improvement in Safe include staffing levels, medicines management, and infection control, but the published summary does not confirm which of these applied here.
    Verified by inspector
  • Is the care effective?

    Good
    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.
    Verified by inspector
  • Is this home caring?

    Good
    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.
    Verified by inspectorResident testimony recorded
  • Is the home responsive?

    Good
    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.
    Verified by inspector
  • Is the home well-led?

    Good
    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.
    Verified by inspector
  • Source: CQC inspection report →

    Section 03

    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.

72/ 100

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.
DCC Recommendation

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 visit

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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.

What The Harefield Care Home says about itself

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.

Care & specialisms

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.

    How they describe their dementia care

    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.

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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)

    Dementia care gifts that help

    The Thoughtful Gift That Makes a Difficult Day Easier

    The things that make the greatest difference to someone living with dementia are rarely the most obvious ones. They are the things that ease the day — that give a carer a moment to breathe, or give the person they care for a moment of calm or quiet joy. Every item here was chosen because it works, and because it reduces stress for everyone in the room.

    Comforting Memories

    Britain 1940 to 1970: Memory Lane

    Card Game

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    Memory Box

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    Digital Photoframe

    The Frame That Brings the Family Into the Room

    Digital Calendar

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