Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvementRated 2 years ago↓ Down from Good
SafeAre people protected from abuse and avoidable harm?62%Requires improvement
See the breakdownHide the breakdown2 of 8 below good
Safe and effective staffingSignificant shortfalls
Learning cultureSome shortfalls
Infection prevention and controlGood
Involving people to manage risksGood
Medicines optimisationGood
Safe environmentsGood
Safe systems, pathways and transitionsGood
SafeguardingGood
EffectiveDoes care achieve good outcomes and a good quality of life?75%Good
See the breakdownHide the breakdownAll 6 good
Assessing needsGood
Consent to care and treatmentGood
Delivering evidence-based care and treatmentGood
How staff, teams and services work togetherGood
Monitoring and improving outcomesGood
Supporting people to live healthier livesGood
CaringAre staff kind, compassionate and respectful?75%Good
See the breakdownHide the breakdownAll 5 good
Independence, choice and controlGood
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?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?50%Requires improvement
See the breakdownHide the breakdown5 of 7 below good
Freedom to speak upSignificant shortfalls
Governance, management and sustainabilitySignificant shortfalls
Capable, compassionate and inclusive leadersSome shortfalls
Shared direction and cultureSome shortfalls
Workforce equality, diversity and inclusionSome shortfalls
Learning, improvement and innovationGood
Partnerships and communitiesGood
Percentages are CQC scores from its newer way of assessing homes. ?
CQC scored 33 standards: 26 good, 7 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. ?
Smallbrook Care Home is in the Requires improvement tier ?, with 63 other homes in Surrey.
81% of rated homes here are Good or Outstanding (England: 82%).
Asprey Healthcare Limited runs Smallbrook Care Home, a residential care home in Horley, Surrey with room for 41 residents. CQC registers it to look after older people and people with dementia.
The current CQC rating is Requires improvement, published in May 2024. Safe and well-led were also Requires improvement. Effective, caring and responsive were rated Good. Its previous rating, in September 2019, was Good, so the home has slipped. CQC found significant shortfalls in “safe and effective staffing”, one of 7 standards out of 33 scored below good.
About 0.1 km away, Upfield is rated Good. Asprey Healthcare Limited runs 2 care homes, and 0 of the 2 rated are Good or Outstanding. Across Surrey, 81% of rated homes are Good or Outstanding, against 82% for England. Its kitchen was rated 5 for food hygiene in March 2026. That is true of 87% of homes in Surrey.
