SafeAre people protected from abuse and avoidable harm?69%Good
See the breakdownHide the breakdown2 of 8 below good
Involving people to manage risksSome shortfalls
Medicines optimisationSome shortfalls
Infection prevention and controlGood
Learning cultureGood
Safe and effective staffingGood
Safe environmentsGood
Safe systems, pathways and transitionsGood
SafeguardingGood
EffectiveDoes care achieve good outcomes and a good quality of life?79%Good
See the breakdownHide the breakdown1 of 6 exceptional
Assessing needsGood
Consent to care and treatmentGood
Delivering evidence-based care and treatmentGood
How staff, teams and services work togetherGood
Supporting people to live healthier livesGood
Monitoring and improving outcomesExceptional
CaringAre staff kind, compassionate and respectful?90%★Outstanding
See the breakdownHide the breakdown3 of 5 exceptional
Responding to people's immediate needsGood
Workforce wellbeing and enablementGood
Independence, choice and controlExceptional
Kindness, compassion and dignityExceptional
Treating people as individualsExceptional
ResponsiveAre services organised to meet people's needs?75%Good
See the breakdownHide the breakdownAll 7 good
Care provision, integration and continuityGood
Equity in accessGood
Equity in experiences and outcomesGood
Listening to and involving peopleGood
Person-centred careGood
Planning for the futureGood
Providing InformationGood
Well-ledIs the home well managed, with a culture of high-quality care?71%Good
See the breakdownHide the breakdown1 of 7 below good
Governance, management and sustainabilitySome shortfalls
Capable, compassionate and inclusive leadersGood
Freedom to speak upGood
Learning, improvement and innovationGood
Partnerships and communitiesGood
Shared direction and cultureGood
Workforce equality, diversity and inclusionGood
Percentages are CQC scores from its newer way of assessing homes. ?
CQC scored 33 standards: 26 good, 4 exceptional, 3 below good. Use “See the breakdown” on each key question for its standards. ?
CQC hasn't inspected this home for more than 5 years. It re-inspects based on risk, so an old rating doesn't count against a home on this site, but it may not reflect the home today. ?
Highfield House Residential Care Home is in the Good, with Outstanding areas tier ?, with 13 other homes in Somerset.
89% of rated homes here are Good or Outstanding (England: 82%).
Highfield House Residential Care Home is an independent 22-bed residential care home in Castle Cary, Somerset, registered with CQC under its own name. It is registered to care for older people.
CQC's latest rating, from May 2026, is Good overall. Safe, effective, responsive and well-led were also Good. CQC rated caring as Outstanding. Its rating before that, in December 2019, was the same. That is more recent than most ratings in Somerset, where the typical rating is about 4 years old. CQC found some shortfalls in “involving people to manage risks”, one of 3 standards out of 33 scored below good.
None of the 5 nearest rated homes has a higher rating. Its kitchen was rated 5 for food hygiene in August 2025. That is true of 94% of homes in Somerset. Across Somerset, 89% of rated homes are Good or Outstanding, against 82% for England.
