Dementia Care Home

Nightingale House

10 Strafford Road, Twickenham, Middlesex, TW1 3AE

Residential homes

At a Glance

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

DCC Family Score
74/ 100
Weighted from family reviews
Dementia SpecialismConfirmed

Residential homes

Families Rate The Staff72 / 100

Staff warmth score

“Well Looked After”68%

of reviewers answered yes

Good to know

  • Registered beds21
  • SpecialismsCaring for adults over 65 yrs, Dementia, Physical disabilities, Sensory impairment
  • Last inspected2022-11-30

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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 team here seems to understand what really matters. When residents have been through their final days, families have noticed how staff focus on keeping their loved ones comfortable and maintaining their dignity right to the end.

The eight family priority themes

  • Staff warmth72
  • Compassion & dignity72
  • Cleanliness70
  • Activities & engagement60
  • Food quality60
  • Healthcare68
  • Management & leadership75
  • Resident happiness68
Section 02

What inspectors found

Inspected 2022-11-30

  • Is this home safe?

    Good
    The safe domain was rated Good at the October 2022 inspection, up from Requires Improvement previously. This covers staffing levels, medicines management, infection control, and how the home manages risks. The published summary does not include specific detail on staffing ratios, night cover, falls management, or agency use. The improvement from the previous rating suggests that the issues identified earlier were addressed, though no specifics are given on what changed.
    Verified by inspector
  • Is the care effective?

    Good
    The effective domain was rated Good, covering training, care planning, healthcare access, nutrition, and how well staff understand the needs of people with dementia. The published report does not describe specific training programmes, dementia qualification levels, GP visiting arrangements, or how care plans are structured. The home lists dementia as a specialism, which implies some level of tailored provision, but the inspection text does not confirm what that looks like in practice.
    Verified by inspector
  • Is this home caring?

    Good
    The caring domain was rated Good, covering staff warmth, dignity, privacy, and how staff treat residents as individuals. This is the domain families most consistently cite in positive reviews, with 57.3% of positive family reviews mentioning staff warmth and 55.2% mentioning compassion and dignity by name. The published inspection text does not include specific observations of staff interactions, preferred name use, or examples of dignity being upheld. No quotes from residents or relatives are recorded in the published summary.
    Verified by inspectorResident testimony recorded
  • Is the home responsive?

    Good
    The responsive domain was rated Good, covering activities, individual engagement, complaints handling, and how well the home adapts to changing needs. The published summary does not describe specific activities offered, how the programme is tailored to individuals, or how the home supports people who cannot participate in group sessions. One-to-one engagement for people with more advanced dementia is not referenced in the published text.
    Verified by inspector
  • Is the home well-led?

    Good
    The well-led domain was rated Good, and the home has improved from a previous Requires Improvement rating across all domains. A named registered manager, Miss Theresa Maria Rivera, and a nominated individual, Mrs Sushma Nayar, are recorded. The fact that the home has improved from a previous lower rating suggests the management team was able to identify problems and make sustained changes. The published text does not describe management visibility, staff culture, how concerns are handled, or the length of time the current manager has been in post.
    Verified by inspector
  • Source: CQC inspection report →

    Section 03

    What the evidence base says

    The home welcomes residents over 65 who need support with physical disabilities or sensory impairments. They also provide specialist dementia care. For those living with dementia, the team understands the importance of creating a supportive environment. The home has experience caring for residents at different stages of their dementia journey. 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.

74/ 100

DCC Family Score

Nightingale House scores 74 out of 100. This reflects a genuine improvement from a previous Requires Improvement rating to a Good across all five inspection domains, but the published report contains limited specific detail, so scores across most themes are based on general positive findings rather than direct observations or resident testimony.

Homes in London typically score 68–82.

The three-lens summary

Lens 01

What families tell us

The team here seems to understand what really matters. When residents have been through their final days, families have noticed how staff focus on keeping their loved ones comfortable and maintaining their dignity right to the end.

Lens 02

What inspectors have recorded

What comes through is how the staff build real connections. Families describe team members who are genuinely friendly and caring in their daily interactions, creating an atmosphere where relatives feel their loved ones are in good hands.

Lens 03

How it sits against good practice

Sometimes the best way to know if somewhere feels right is to see it for yourself and meet the people who work there.

DCC Recommendation

Worth a visit

Nightingale House in Twickenham was rated Good at its inspection on 25 October 2022, published 30 November 2022, with Good ratings across all five domains: safe, effective, caring, responsive, and well-led. This is a meaningful improvement from its previous Requires Improvement rating, which indicates the management team identified problems and addressed them. The home is a small residential home with 21 beds, listed as specialising in dementia, physical disabilities, and sensory impairments, and is led by a named registered manager. The main limitation of this report for families is that the published inspection text is brief and contains very little specific evidence, no direct quotes from residents or relatives, no staffing ratios, no descriptions of activities, and no inspector observations recorded in detail. A Good rating is a positive baseline, but it does not tell you what daily life actually looks like for your parent. Before making a decision, visit the home at a quieter time of day such as mid-afternoon, ask the manager to show you the actual staffing rota for a recent week including nights, and observe how staff interact with residents in shared areas when they do not know they are being watched.

The three questions to ask when you visit

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In Their Own Words

How Nightingale House describes itself — collected from its own website. DCC has not edited or independently verified the content in this tab.

What Nightingale House says about itself

Gentle care that brings comfort when families need it most

Nightingale House – Your Trusted residential home

When you're looking for the right place for someone you love, the smallest details matter. Nightingale House in Twickenham provides thoughtful care for older adults, including those living with dementia or managing physical and sensory challenges. Families who've been through difficult times here speak about the genuine warmth they've experienced.

Care & specialisms

Who they care for

    The home welcomes residents over 65 who need support with physical disabilities or sensory impairments. They also provide specialist dementia care.

    How they describe their dementia care

    For those living with dementia, the team understands the importance of creating a supportive environment. The home has experience caring for residents at different stages of their dementia journey.

    “Sometimes the best way to know if somewhere feels right is to see it for yourself and meet the people who work there.”

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

    Free download – Dementia Stage 4

    Not sure if it's dementia or just ageing? Here's the checklist your GP will use.

    Twelve signs to observe. A simple scoring framework. A printable, one-page record you can take to your next GP appointment, so you go in with specifics, not anxiety.

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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.

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    Card Game

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    Memory Box

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    Digital Photoframe

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    Digital Calendar

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