Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvementRated 1 year ago↓ Down from Good
SafeAre people protected from abuse and avoidable harm?53%Requires improvement
See the breakdownHide the breakdown7 of 8 below good
Involving people to manage risksSome shortfalls
Learning cultureSome shortfalls
Medicines optimisationSome shortfalls
Safe and effective staffingSome shortfalls
Safe environmentsSome shortfalls
Safe systems, pathways and transitionsSome shortfalls
SafeguardingSome shortfalls
Infection prevention and controlGood
EffectiveDoes care achieve good outcomes and a good quality of life?54%Requires improvement
See the breakdownHide the breakdown5 of 6 below good
Assessing needsSome shortfalls
Consent to care and treatmentSome shortfalls
Delivering evidence-based care and treatmentSome shortfalls
Monitoring and improving outcomesSome shortfalls
Supporting people to live healthier livesSome shortfalls
How staff, teams and services work togetherGood
CaringAre staff kind, compassionate and respectful?70%Good
See the breakdownHide the breakdown1 of 5 below good
Independence, choice and controlSome shortfalls
Kindness, compassion and dignityGood
Responding to people's immediate needsGood
Treating people as individualsGood
Workforce wellbeing and enablementGood
ResponsiveAre services organised to meet people's needs?64%Good
See the breakdownHide the breakdown3 of 7 below good
Listening to and involving peopleSome shortfalls
Person-centred careSome shortfalls
Planning for the futureSome shortfalls
Care provision, integration and continuityGood
Equity in accessGood
Equity in experiences and outcomesGood
Providing InformationGood
Well-ledIs the home well managed, with a culture of high-quality care?50%Requires improvement
See the breakdownHide the breakdown7 of 7 below good
Capable, compassionate and inclusive leadersSome shortfalls
Freedom to speak upSome shortfalls
Governance, management and sustainabilitySome shortfalls
Learning, improvement and innovationSome shortfalls
Partnerships and communitiesSome shortfalls
Shared direction and cultureSome shortfalls
Workforce equality, diversity and inclusionSome shortfalls
Percentages are CQC scores from its newer way of assessing homes. ?
CQC scored 33 standards: 10 good, 23 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. ?
Run by Dons Care Limited, Holly Cottage is a residential care home in Dereham, Norfolk with 12 registered beds. CQC registers it to look after older people, younger adults, people with a learning disability or autism and people with mental health needs. It is a small home for Norfolk, where the median is 29 beds.
The current CQC rating is Requires improvement, published in July 2025. It was Requires improvement for safe, effective and well-led as well. Caring and responsive were rated Good. Its previous rating, in June 2019, was Good, so the home has slipped. The typical rating in Norfolk is about 5 years old, so this one is fairly recent. CQC found some shortfalls in “independence, choice and control”, one of 23 standards out of 33 scored below good.
In Norfolk, 67% of rated care homes are Good or Outstanding (England 82%). Its kitchen was rated 5 for food hygiene in November 2024. That is true of 89% of homes in Norfolk. Lyles House, 0.0 km away, is the closest home rated Good.
