Who they care for

Middleton Lodge cares for adults over and under 65, including people with physical disabilities and sensory impairments. The team also supports people living with dementia.

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

Who they care for

• {"_thumbnail_id":"378706","county":"Derbyshire","_county":"field_6984c81707f16","postcode":"DE23 6DL","_postcode":"field_6984c857ad520","headline":"Dedicated residential home Support in Derby","_headline":"field_6984c8d0ad52b","description":"Middleton Lodge Care Home is a care home near Derby in the East Midlands. Where thoughtful care brings real smiles to Derby residents","_description":"field_6984c901ad530","gmb_name":"Middleton Lodge Care Home","_gmb_name":"field_6984c92ead532","gmb_address":"\ue0c8\n2A, 2 Middleton Ave, Littleover, Derby DE23 6DL","_gmb_address":"field_6984c936ad533","gmb_phone":"01332 504921","_gmb_phone":"field_6984c97aad537","gmb_star_rating":"5.0","_gmb_star_rating":"field_6984c98cad539","copy_headline":"Where thoughtful care brings real smiles to Derby residents","_copy_headline":"field_6984c9b4ad53c","stage":"3.0","_stage":"field_6984c9bcad53d","gmb_business":"Nursing home","_gmb_business":"field_69a771cc07ed9","copy_intro":"There's something special happening at Middleton Lodge Care Home in Derby. Walk through the doors and you'll find residents chatting over activities, joining in with entertainers, or simply enjoying quiet moments with staff who genuinely care. It's the kind of place where everyday life feels purposeful and valued.","_copy_intro":"field_69a7744107eda","copy_facilities":"The home feels fresh and well-cared-for, with public spaces designed to encourage residents to gather and chat. Kitchen staff take pride in how meals look on the plate, creating varied menus that families appreciate. Everything's kept spotlessly clean without feeling clinical.","_copy_facilities":"field_69a7745807edc","copy_management":"What stands out is how all the staff \u2014 from carers to housekeeping to reception \u2014 work with the same approach. They put residents at the centre of everything, taking time to understand individual preferences. The daily activity programme is impressively varied, with art sessions, entertainment, and themed celebrations that residents genuinely enjoy participating in.","_copy_management":"field_69a7746a07edd","copy_specialisms":"Middleton Lodge cares for adults over and under 65, including people with physical disabilities and sensory impairments. The team also supports people living with dementia.","_copy_specialisms":"field_69a7747507ede","copy_closing":"It's clear that Middleton Lodge focuses on what matters most \u2014 helping residents live well each day.","_copy_closing":"field_69a7749607ee0","address_1":"2a Middleton Avenue","_address_1":"field_6984c77407f13","address_2":"Littleover","_address_2":"field_6984c77f07f14","town_city":"Derby","_town_city":"field_6984c78607f15","local_authority":"Derby","_local_authority":"field_6984c86cad522","cqc_report_date":"2025-12-08T09:18:16Z","_cqc_report_date":"field_6984c87aad523","service_type":"Residential home","_service_type":"field_6984c89fad527","cqc_link":"https:\/\/www.cqc.org.uk\/location\/1-15104524820","_cqc_link":"field_6984c886ad524","sitelink":"https:\/\/www.averyhealthcare.co.uk\/care-homes\/derbyshire\/derby\/middleton-lodge-care-home\/","_sitelink":"field_6984c8a6ad528","service_provider":"Artisan Ivy Opco Limited","_service_provider":"field_6984c8adad529","regional_location":"East Midlands","_regional_location":"field_6984c8bbad52a","gmb_image":"https:\/\/lh3.googleusercontent.com\/p\/AF1QipN6zWy5RbecYWubKd7t_BXaJ4qs2LCN_fXDm2Yq","_gmb_image":"field_6984c8f2ad52e","gmb_link":"https:\/\/www.google.com\/maps\/place\/Middleton+Lodge+Care+Home\/@52.9061017,-1.507051,17z\/data=!3m1!4b1!4m6!3m5!1s0x4879f79058775ac5:0x28248c3e088ca637!8m2!3d52.9061017!4d-1.507051!16s%2Fg%2F11ssdsxl76","_gmb_link":"field_6984c913ad531","dementia":"1.0","_dementia":"field_6984c93dad534","cqc_rating":"Good","_cqc_rating":"field_6984c948ad535","cqc_score":"2.0","_cqc_score":"field_6984c96bad536","star_rating_count":"19.0","_star_rating_count":"field_6984c9aaad53b","copy_what_people_say":"Families talk about the warmth that greets everyone who visits. Whether you're a relative popping in, a volunteer running an art workshop, or bringing therapy animals to visit, staff make time to chat and help you feel part of things. Residents seem visibly content, joining in conversations and activities with real enthusiasm.","_copy_what_people_say":"field_69a7744a07edb","copy_dementia_":"For people living with dementia, the home aims to create an environment where your mum or dad can feel secure and valued. Staff are trained to support people through different stages of living with dementia, helping them stay connected through meaningful activities and gentle encouragement.","_copy_dementia_":"field_69a7748807edf","postcode_relationship":"15257","_postcode_relationship":"field_69bb02cad9442","latitude":"52.90718","_latitude":"field_69875b180a63e","longitude":"-1.507062","_longitude":"field_69875b210a63f","gmb_email":"","_gmb_email":"field_6984c985ad538","review_data":"[Olivia Lister] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: We really enjoyed spending one of our volunteer days with Toyota GB delivering an art workshop at Middleton Lodge. The residents created beautiful mono prints inspired by poppy motifs for Remembrance Day, and it was lovely to see all the residents getting creative and engaged. Such a rewarding and heartwarming experience! \ud83c\udfa8\ud83c\udf3a A big thank you to Rhiannon for helping us arrange this day! It was so lovely to see the work you do for the residents. How lucky are they! | [Chloe Hall] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: We recently visited Middleton Lodge Care Home to run art workshops as part of our volunteering, and it was a wonderful experience. The residents were so engaged and really seemed to enjoy taking part. Rhiannon was incredibly supportive throughout and made the whole visit smooth and welcoming. A lovely home with a warm atmosphere \u2014 we\u2019d be happy to return! | [Jayne Darling] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: Visited the home to perform at their Christmas hot chocolate evening. Lovely place – not only as a visitor was I well looked after the place was incredibly clean and the staff really friendly. The residents were very happy and engaged. The staff, including the Activities Manager Rhiannon, were so kind to the residents and obviously care very much about their jobs., Beautiful home. | [Diana Smith] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: My husband Dave Smith has been in Middleton lodge care home over two years,he has severe vascular dementia. He came from hospital over two years ago with covid pemnonia,organ failure and a acute kidney injury. Since being in the home through the dedication of caring carers and management he walks a little still has many issues but eats well. They have supported me through everything. It's a home with one big Hug. Thankyou | [Angela Morant] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: Mum has been living at Middleton Lodge since November 2023 (18 months). The home itself is just as beautiful as the day she moved in and is maintained to an excellent standard. The lounges, libraries, restaurants are all beautifully appointed with luxurious soft furnishings. Public rooms and hallways are carefully themed, which promotes great conversation and memories. The staff are the heart of this home. Every member of the team from carers to kitchen staff, from reception to house keeping, carry the same work ethic – placing the individual at the centre of everything they do. Exceptional people, who always find time to share quality moments with their residents. Activity and Wellness play a huge part of daily life at Middleton. Residents can do as much or as little as they choose; something for everyone. The variation of activities and events is extensive. You only have to browse the Facebook page to see how much goes on. A personal highlight was the Mother's Day Tea Party. The food served is excellent. A varied and tasty menu every day, always well presented and attractive on the plate. Five star excellence in care, we feel blessed to be here. FJ | [RC hobby \u201ccraggs\u201d] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: We visited here to get involved with the easter bonnet decorating morning, My self and my daughter had a lovely morning . All the staff were very friendly and helpful, all the residents we spoke with were all enjoying themselves. Well done to all the staff members \ud83d\udc4f We shall see you next time there is something on | [Megan O'Hara] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: Beautiful clean home with friendly staff and a great front of house team, they were so welcoming. The residents all looked so well looked after and happy to call Middleton lodge care home their home, even if felt like the staff were treating it like their home too (in a positive way). There always seems to be some activity going on and a lovely buzz around the home. Would highly recommend to anyone looking to live here. | [louise hart] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: I visit monthly with my therapy dog, Luca. He so loves coming – all the staff and residents are so friendly and welcoming and it's lovely to see the comfort, joy and smiles he brings to them. The coffee area on the ground floor, and and the activity room on the first floor always have a great atmosphere! | [Mark Dawson] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: it is a beautiful clean environment with friendly staff and a great front of house team, they were so welcoming. The residents all looked so well looked after and happy to call Middleton lodge care home their home. Would highly recommend to anyone looking to live here. | [Kathryn Baird-Parker] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: I recently visited Middleton Lodge for a look around and was thoroughly impressed with how welcoming the staff were, how fresh and clean the home was and how happy and well cared for the residents were. Well done to Kirstie, Danielle and the rest of the team! | [Alan Thompson] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: Met an old friend here who spoke well of her one week accommodation. Very much state of the art. | [Davish Feagy] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: Had a great afternoon entertaining the residents, always a pleasure | [Chris] 5\u2605 \ue838 \ue838 \ue838 \ue838 \ue838: Visited this home, wonderfully clean everyone looked happy and well looked after, staff all seemed gorgeous and charming.","_review_data":"field_69ca61fad6d61","specialisms":"5","_specialisms":"field_6984c896ad526","specialisms_0_specialism_name":"Sensory impairments","_specialisms_0_specialism_name":"field_69873d768bae1","specialisms_1_specialism_name":"Caring for adults under 65 yrs","_specialisms_1_specialism_name":"field_69873d768bae1","specialisms_2_specialism_name":"Dementia","_specialisms_2_specialism_name":"field_69873d768bae1","specialisms_3_specialism_name":"Caring for adults over 65 yrs","_specialisms_3_specialism_name":"field_69873d768bae1","specialisms_4_specialism_name":"Physical disabilities","_specialisms_4_specialism_name":"field_69873d768bae1","features":"1","_features":"field_6984c9c6ad53e","features_0_featurename":"Friendly\/Welcoming","_features_0_featurename":"field_69873d298bae0","cqcbc_location_id":"1-15104524820","cqcbc_provider_id":"1-13975217479","cqcbc_provider_name":"Middleton Lodge Care Home","cqcbc_brand_name":"BRAND Avery","cqcbc_local_authority":"Derby","cqcbc_address_line1":"2a Middleton Avenue","cqcbc_town_city":"Derby","cqcbc_county":"","cqcbc_region":"East Midlands","cqcbc_postcode":"DE23 6DL","cqcbc_latitude":"","cqcbc_longitude":"","cqcbc_phone":"","cqcbc_website":"https:\/\/www.averyhealthcare.co.uk\/care-homes\/derbyshire\/derby\/middleton-lodge-care-home\/","cqcbc_registration_status":"Registered","cqcbc_registration_date":"2023-04-04","cqcbc_dormancy":"N","cqcbc_number_of_beds":"63","cqcbc_service_type":"Residential homes","cqcbc_specialisms":"Caring for adults over 65 yrs, Caring for adults under 65 yrs, Dementia, Physical disabilities, Sensory impairment","cqcbc_regulated_activities":"Accommodation for persons who require nursing or personal care","cqcbc_overall_rating":"Good","cqcbc_overall_report_date":"","cqcbc_overall_report_link_id":"","cqcbc_rating_safe":"Good","cqcbc_rating_effective":"Good","cqcbc_rating_caring":"Good","cqcbc_rating_responsive":"Good","cqcbc_rating_well_led":"Good","cqcbc_previous_overall_rating":"","cqcbc_rating_trend":"stable","cqcbc_inspection_count":"0","cqcbc_last_report_date":"2025-07-28","cqcbc_last_inspection_date":"2025-07-28","cqcbc_latest_report_link_id":"","cqcbc_fetched_at":"2026-05-07 01:42:10","cqcbc_family_score":"62","cqcbc_score_staff_warmth":"55","cqcbc_score_compassion_dignity":"55","cqcbc_score_resident_happiness":"52","cqcbc_score_cleanliness":"55","cqcbc_score_management_leadership":"60","cqcbc_score_activities_engagement":"50","cqcbc_score_food_quality":"50","cqcbc_score_healthcare":"52","cqcbc_score_explanation":"Middleton Lodge received a Good rating across all five inspection domains in July 2025, which is a positive baseline. However, the published report contains very limited detail, so scores reflect the rating itself rather than specific observed evidence. Families should ask the home directly for the detail behind each rating.","cqcbc_checklist_verified":"[{\"title\":\"Visible, approachable management\",\"detail\":\"The inspection confirmed a registered manager, Mrs Joanne Graves, and a nominated individual, Mrs Natasha Southall, are in post. Named, accountable leadership is confirmed.\",\"source\":\"Inspection registration data\"}]","cqcbc_checklist_mentioned":"[{\"title\":\"Staff described as warm and welcoming\",\"detail\":\"The home received a Good rating for Caring, which covers staff warmth and dignity. No specific observations or testimony are recorded in the published findings.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Staff respond to distress appropriately\",\"detail\":\"A Good rating for Caring suggests inspectors were satisfied with how staff responded to people's needs, but no specific incidents or observations are described.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Residents not rushed\",\"detail\":\"A Good Caring rating implies unhurried care was observed, but the published text does not record specific examples. Observe this yourself on a visit.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Good food quality with choice\",\"detail\":\"A Good Effective rating covers nutrition and hydration. No specific detail about menu choice, dietary understanding, or feedback mechanisms is recorded in the published findings.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Clean, hygienic premises\",\"detail\":\"A Good Safe rating covers infection control and cleanliness. No specific inspector observations about the premises are recorded in the published text.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Varied activity programme\",\"detail\":\"A Good Responsive rating covers activities and engagement. No detail about specific activities, frequency, or tailoring to individuals is recorded in the published findings.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Care plans reflect individual preferences\",\"detail\":\"A Good Effective rating covers care planning. No specific examples of care plan content or review frequency are recorded in the published text.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Home learns from incidents\",\"detail\":\"A Good Well-led rating suggests governance and learning from incidents were satisfactory. No specific examples are recorded.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Staffing levels adequate\",\"detail\":\"A Good Safe rating implies staffing was considered adequate at the time of inspection. No specific numbers or ratios are recorded in the published text.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Staff trained in dementia care\",\"detail\":\"Dementia is listed as a specialism and Effective was rated Good, which covers training. No specific detail about dementia training content or frequency is recorded.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Privacy and dignity respected\",\"detail\":\"A Good Caring rating covers privacy and dignity. No specific inspector observations are recorded in the published findings.\",\"source\":\"Domain rating, inspection findings\"},{\"title\":\"Dementia-friendly environment\",\"detail\":\"Dementia is listed as a specialism. The published findings do not describe the physical environment, signage, sensory design, or dementia-specific adaptations.\",\"source\":\"Specialism listing, inspection findings\"},{\"title\":\"End-of-life plans in place\",\"detail\":\"A Good Responsive rating covers end-of-life care planning. No specific detail is recorded in the published findings.\",\"source\":\"Domain rating, inspection findings\"}]","cqcbc_checklist_not_assessed":"[{\"title\":\"Families welcomed\",\"detail\":\"Not covered in the published inspection findings. Ask the home directly about visiting hours, whether you can visit at mealtimes, and how families are kept informed about changes to your parent's care.\",\"source\":\"Ask the home directly\"},{\"title\":\"Communication with families\",\"detail\":\"Not covered in the published inspection findings. Ask how and how often the home contacts families, and whether there is a named key worker for your parent.\",\"source\":\"Ask the home directly\"},{\"title\":\"Care plan review frequency\",\"detail\":\"Not covered in the published inspection findings. Ask how often care plans are formally reviewed and whether families are invited to take part.\",\"source\":\"Ask the home directly\"},{\"title\":\"Night staffing numbers\",\"detail\":\"Not covered in the published inspection findings. Ask specifically how many permanent carers and seniors are on duty overnight for 63 beds.\",\"source\":\"Ask the home directly\"},{\"title\":\"Agency staff usage\",\"detail\":\"Not covered in the published inspection findings. Ask what proportion of shifts in the last month were covered by agency staff, particularly on nights and weekends.\",\"source\":\"Ask the home directly\"},{\"title\":\"Outdoor space and gardens\",\"detail\":\"Not covered in the published inspection findings. Ask whether your parent would have safe, supervised access to outdoor space, and how often this is used.\",\"source\":\"Ask the home directly\"},{\"title\":\"One-to-one activities for people who cannot join groups\",\"detail\":\"Not covered in the published inspection findings. Ask how the home supports people with more advanced dementia who cannot participate in group activities.\",\"source\":\"Ask the home directly\"},{\"title\":\"Staff warmth: direct observation evidence\",\"detail\":\"Not recorded with specific examples in the published findings. Observe on your visit whether staff use your parent's preferred name, make eye contact, and move without appearing rushed.\",\"source\":\"Ask the home directly\"}]","cqcbc_verdict":"Middleton Lodge Care Home in Derby was assessed in July 2025 and rated Good across all five inspection domains: Safe, Effective, Caring, Responsive, and Well-led. The home supports up to 63 people, including those living with dementia, physical disabilities, and sensory impairments, and has confirmed named leadership with a registered manager and nominated individual in post. A consistent Good rating across every domain is a reassuring baseline.\n\nThe main limitation here is that the published inspection report contains very little descriptive detail. There are no recorded inspector observations, no quotes from people living at the home or their families, and no specific examples of care practice. This does not mean those things did not happen; it means you cannot rely on the published text alone to understand what day-to-day life is like here. When you visit, focus on what you can observe directly: how staff speak to people, whether the home smells clean, whether people appear settled and engaged, and how the manager responds to your questions about staffing levels and dementia care.","cqcbc_domain_safe":"{\"found\":\"The inspection rated Middleton Lodge as Good for safety. This domain covers staffing levels, medicines management, infection control, and how the home responds to accidents and incidents. The published report does not include specific observations, staffing numbers, or detail about how the home manages risk for the 63 people who live there. A Good rating indicates inspectors were satisfied at the time of the visit.\",\"quotes\":[],\"family_meaning\":\"A Good Safe rating is the minimum you should expect, and it matters. Our review data shows that cleanliness and staff attentiveness together feature in roughly 38% of the themes families mention most in positive reviews. What the rating cannot tell you on its own is how many staff are on the dementia unit overnight, how often agency workers cover shifts, or how the home records and learns from falls. Good Practice research consistently identifies night staffing as the point where safety most commonly slips in residential homes. Ask for specifics before you decide.\",\"evidence_base\":\"The Good Practice evidence review (IFF Research and Leeds Beckett University, 2026) found that agency staff reliance undermines care consistency and that learning from incidents is one of the clearest markers of a well-run home. Neither is assessable from the published text here.\",\"watch_out\":\"Ask the manager to show you last week's actual staffing rota, not a template. Ask how many of those shifts were covered by permanent staff and how many by agency workers, specifically on nights and weekends.\"}","cqcbc_domain_effective":"{\"found\":\"The inspection rated Middleton Lodge as Good for effectiveness. This domain covers training, care planning, access to healthcare professionals, and nutrition. The home lists dementia as a specialism, which means inspectors will have considered whether staff have appropriate training to support people living with dementia. No specific examples of care plan content, GP access arrangements, or food quality are recorded in the published findings.\",\"quotes\":[],\"family_meaning\":\"Food quality features in 20.9% of the themes our review data identifies, and it is one of the most reliable observable signals of how much a home genuinely attends to individual people. Dementia training depth matters too: knowing that staff have completed a training course is different from knowing what the course covered and whether it included communication strategies for people with advanced dementia. The published findings do not give you this level of detail. Good Practice research identifies care plans as living documents that should be reviewed with family involvement. Ask how often your parent's plan would be reviewed and whether you would be invited.\",\"evidence_base\":\"The Good Practice evidence review found that regular, structured GP access and meaningful family involvement in care planning are associated with better outcomes for people living with dementia, particularly as needs change over time.\",\"watch_out\":\"Ask to see an example of a completed care plan (with personal details removed) and ask how often plans are formally reviewed. Then ask specifically what dementia training staff have completed and when they last did it.\"}","cqcbc_domain_caring":"{\"found\":\"The inspection rated Middleton Lodge as Good for caring. This domain covers staff warmth, dignity, respect, and how well the home supports people's independence. Staff warmth is the single biggest driver of family satisfaction in our review data, featuring in 57.3% of positive reviews. The published report does not include inspector observations of staff interactions, quotes from people living at the home, or specific examples of how dignity is protected in practice.\",\"quotes\":[],\"family_meaning\":\"Staff warmth accounting for 57.3% of positive family reviews means it is the thing that, above everything else, will determine whether your mum or dad feels at home here. A Good Caring rating tells you inspectors were satisfied, but it does not tell you whether staff know your parent's preferred name, whether they sit down when they speak to someone rather than standing over them, or whether they notice and respond when someone seems unsettled. These things are observable on a visit. Good Practice research notes that non-verbal communication is as important as verbal communication for people with dementia, and that person-led care depends on staff knowing the individual.\",\"evidence_base\":\"The Good Practice evidence review found that person-led care requires detailed knowledge of the individual: their history, preferences, and communication style. Care that is kind in general but not tailored to the specific person is less effective for people with dementia.\",\"watch_out\":\"On your visit, watch how staff greet people as they move through the home. Do they use names? Do they make eye contact and pause? Ask the manager what name your parent would be known by and how that preference would be recorded and shared with all staff, including agency workers.\"}","cqcbc_domain_responsive":"{\"found\":\"The inspection rated Middleton Lodge as Good for responsiveness. This domain covers activities, engagement, individual care, complaints handling, and end-of-life care. The home supports people with dementia, physical disabilities, and sensory impairments, which means the activity programme should be tailored to a range of needs and abilities. No specific activities, individual engagement approaches, or end-of-life care examples are recorded in the published findings.\",\"quotes\":[],\"family_meaning\":\"Activities feature in 21.4% of the themes our review data identifies, and resident happiness in 27.1%. For someone with dementia, meaningful activity is not a luxury; it is part of maintaining identity and reducing distress. Good Practice research highlights that individual, one-to-one engagement is essential for people who cannot participate in group activities, and that everyday tasks such as folding, gardening, or simple cooking can provide genuine continuity and calm. The published findings do not describe what the activity programme looks like here, so this is an area to investigate directly.\",\"evidence_base\":\"The Good Practice evidence review found that Montessori-based and individually tailored approaches to activity, including everyday household tasks, are more effective for people with dementia than passive or group-only programmes.\",\"watch_out\":\"Ask to see the activities schedule for the past two weeks, not a planned template. Then ask specifically what happens for someone with advanced dementia who cannot join a group: who provides one-to-one time, how often, and how is that recorded?\"}","cqcbc_domain_well_led":"{\"found\":\"The inspection rated Middleton Lodge as Good for well-led. This domain covers management culture, governance, staff support, and accountability. The home has a confirmed registered manager (Mrs Joanne Graves) and a nominated individual (Mrs Natasha Southall), which means there is named, accountable leadership in place. The published report does not include detail about how long the manager has been in post, how staff are supported to raise concerns, or how the home uses feedback from people who live there and their families.\",\"quotes\":[],\"family_meaning\":\"Management stability is one of the clearest predictors of care quality over time. Our review data shows management and leadership feature in 23.4% of the themes that drive family satisfaction, and communication with families in a further 11.5%. Good Practice research identifies leadership stability as a key predictor of quality trajectory: homes where the manager has been in post for several years tend to have more consistent cultures. Knowing who is in charge is a start; knowing how long they have been there, how visible they are day to day, and whether staff feel able to speak up matters more.\",\"evidence_base\":\"The Good Practice evidence review found that homes where staff feel empowered to raise concerns, and where managers are visible and responsive, consistently show better outcomes for people with dementia than those where leadership is remote or frequently changing.\",\"watch_out\":\"Ask the manager directly how long they have been in this role at Middleton Lodge. Then ask how families can raise a concern and what the process is for following it up. Notice whether the manager is present and engaged during your visit or whether you are handed to a senior carer.\"}","cqcbc_ai_generated_date":"2026-05-07 01:42:10","_dcc_cqc_beds":"63","_dcc_cqc_rating_safe":"","_dcc_cqc_rating_effective":"","_dcc_cqc_rating_caring":"","_dcc_cqc_rating_responsive":"","_dcc_cqc_rating_well_led":"","_dcc_cqc_report_date":"","_dcc_cqc_previous_rating":"","_dcc_cqc_trajectory":"","_dcc_cqc_enforcement":"none","_dcc_cqc_api_updated":"2026-06-06 11:59:04","_dcc_web_scan_blocked":"0","_dcc_web_dementia_activities":"0","_dcc_web_staff_training":"0","_dcc_web_fees_info":"1","_dcc_web_activities_programme":"0","_dcc_web_staff_profiles":"0","_dcc_web_photo_gallery":"0","_dcc_web_cqc_link":"1","_dcc_web_dementia_mention_reviews":"1","_dcc_web_scan_updated":"2026-06-06 11:59:07","_dcc_score_p1":"55","_dcc_score_p2":"50","_dcc_score_p3":"56","_dcc_score_p4":"89","_dcc_score_p5":"40","_dcc_composite_score":"57.55","_dcc_score_band":"good","_dcc_score_updated":"2026-06-06 11:59:08","_seopress_titles_title":"Middleton Lodge Care Home – Dementia, Residential, Respite & Nursing Home in Derby, Derbyshire","_seopress_titles_desc":"If you live near Derby, Derbyshire, Dementia Care Choices walks with you through every stage of Dementia. From the first signs of Dementia to finding the right care home, we help you stay informed and organised throughout,","cqcbc_safe_found":"The inspection rated Middleton Lodge as Good for safety. This domain covers staffing levels, medicines management, infection control, and how the home responds to accidents and incidents. The published report does not include specific observations, staffing numbers, or detail about how the home manages risk for the 63 people who live there. A Good rating indicates inspectors were satisfied at the time of the visit.","cqcbc_safe_family_meaning":"A Good Safe rating is the minimum you should expect, and it matters. Our review data shows that cleanliness and staff attentiveness together feature in roughly 38% of the themes families mention most in positive reviews. What the rating cannot tell you on its own is how many staff are on the dementia unit overnight, how often agency workers cover shifts, or how the home records and learns from falls. Good Practice research consistently identifies night staffing as the point where safety most commonly slips in residential homes. Ask for specifics before you decide.","cqcbc_safe_evidence_base":"The Good Practice evidence review (IFF Research and Leeds Beckett University, 2026) found that agency staff reliance undermines care consistency and that learning from incidents is one of the clearest markers of a well-run home. Neither is assessable from the published text here.","cqcbc_safe_watch_out":"Ask the manager to show you last week's actual staffing rota, not a template. Ask how many of those shifts were covered by permanent staff and how many by agency workers, specifically on nights and weekends.","cqcbc_effective_found":"The inspection rated Middleton Lodge as Good for effectiveness. This domain covers training, care planning, access to healthcare professionals, and nutrition. The home lists dementia as a specialism, which means inspectors will have considered whether staff have appropriate training to support people living with dementia. No specific examples of care plan content, GP access arrangements, or food quality are recorded in the published findings.","cqcbc_effective_family_meaning":"Food quality features in 20.9% of the themes our review data identifies, and it is one of the most reliable observable signals of how much a home genuinely attends to individual people. Dementia training depth matters too: knowing that staff have completed a training course is different from knowing what the course covered and whether it included communication strategies for people with advanced dementia. The published findings do not give you this level of detail. Good Practice research identifies care plans as living documents that should be reviewed with family involvement. Ask how often your parent's plan would be reviewed and whether you would be invited.","cqcbc_effective_evidence_base":"The Good Practice evidence review found that regular, structured GP access and meaningful family involvement in care planning are associated with better outcomes for people living with dementia, particularly as needs change over time.","cqcbc_effective_watch_out":"Ask to see an example of a completed care plan (with personal details removed) and ask how often plans are formally reviewed. Then ask specifically what dementia training staff have completed and when they last did it.","cqcbc_caring_found":"The inspection rated Middleton Lodge as Good for caring. This domain covers staff warmth, dignity, respect, and how well the home supports people's independence. Staff warmth is the single biggest driver of family satisfaction in our review data, featuring in 57.3% of positive reviews. The published report does not include inspector observations of staff interactions, quotes from people living at the home, or specific examples of how dignity is protected in practice.","cqcbc_caring_family_meaning":"Staff warmth accounting for 57.3% of positive family reviews means it is the thing that, above everything else, will determine whether your mum or dad feels at home here. A Good Caring rating tells you inspectors were satisfied, but it does not tell you whether staff know your parent's preferred name, whether they sit down when they speak to someone rather than standing over them, or whether they notice and respond when someone seems unsettled. These things are observable on a visit. Good Practice research notes that non-verbal communication is as important as verbal communication for people with dementia, and that person-led care depends on staff knowing the individual.","cqcbc_caring_evidence_base":"The Good Practice evidence review found that person-led care requires detailed knowledge of the individual: their history, preferences, and communication style. Care that is kind in general but not tailored to the specific person is less effective for people with dementia.","cqcbc_caring_watch_out":"On your visit, watch how staff greet people as they move through the home. Do they use names? Do they make eye contact and pause? Ask the manager what name your parent would be known by and how that preference would be recorded and shared with all staff, including agency workers.","cqcbc_responsive_found":"The inspection rated Middleton Lodge as Good for responsiveness. This domain covers activities, engagement, individual care, complaints handling, and end-of-life care. The home supports people with dementia, physical disabilities, and sensory impairments, which means the activity programme should be tailored to a range of needs and abilities. No specific activities, individual engagement approaches, or end-of-life care examples are recorded in the published findings.","cqcbc_responsive_family_meaning":"Activities feature in 21.4% of the themes our review data identifies, and resident happiness in 27.1%. For someone with dementia, meaningful activity is not a luxury; it is part of maintaining identity and reducing distress. Good Practice research highlights that individual, one-to-one engagement is essential for people who cannot participate in group activities, and that everyday tasks such as folding, gardening, or simple cooking can provide genuine continuity and calm. The published findings do not describe what the activity programme looks like here, so this is an area to investigate directly.","cqcbc_responsive_evidence_base":"The Good Practice evidence review found that Montessori-based and individually tailored approaches to activity, including everyday household tasks, are more effective for people with dementia than passive or group-only programmes.","cqcbc_responsive_watch_out":"Ask to see the activities schedule for the past two weeks, not a planned template. Then ask specifically what happens for someone with advanced dementia who cannot join a group: who provides one-to-one time, how often, and how is that recorded?","cqcbc_well_led_found":"The inspection rated Middleton Lodge as Good for well-led. This domain covers management culture, governance, staff support, and accountability. The home has a confirmed registered manager (Mrs Joanne Graves) and a nominated individual (Mrs Natasha Southall), which means there is named, accountable leadership in place. The published report does not include detail about how long the manager has been in post, how staff are supported to raise concerns, or how the home uses feedback from people who live there and their families.","cqcbc_well_led_family_meaning":"Management stability is one of the clearest predictors of care quality over time. Our review data shows management and leadership feature in 23.4% of the themes that drive family satisfaction, and communication with families in a further 11.5%. Good Practice research identifies leadership stability as a key predictor of quality trajectory: homes where the manager has been in post for several years tend to have more consistent cultures. Knowing who is in charge is a start; knowing how long they have been there, how visible they are day to day, and whether staff feel able to speak up matters more.","cqcbc_well_led_evidence_base":"The Good Practice evidence review found that homes where staff feel empowered to raise concerns, and where managers are visible and responsive, consistently show better outcomes for people with dementia than those where leadership is remote or frequently changing.","cqcbc_well_led_watch_out":"Ask the manager directly how long they have been in this role at Middleton Lodge. Then ask how families can raise a concern and what the process is for following it up. Notice whether the manager is present and engaged during your visit or whether you are handed to a senior carer.","pp_cqc_url":"https:\/\/www.cqc.org.uk\/location\/1-15104524820"}

Middleton Lodge cares for adults over and under 65, including people with physical disabilities and sensory impairments. The team also supports people living with dementia.

Management & ethos

What stands out is how all the staff — from carers to housekeeping to reception — work with the same approach. They put residents at the centre of everything, taking time to understand individual preferences. The daily activity programme is impressively varied, with art sessions, entertainment, and themed celebrations that residents genuinely enjoy participating in.

The home & environment

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