SafeAre people protected from abuse and avoidable harm?66%Good
See the breakdownHide the breakdown3 of 8 below good
Involving people to manage risksSome shortfalls
Safe and effective staffingSome shortfalls
Safe environmentsSome shortfalls
Infection prevention and controlGood
Learning cultureGood
Medicines optimisationGood
Safe systems, pathways and transitionsGood
SafeguardingGood
EffectiveDoes care achieve good outcomes and a good quality of life?71%Good
See the breakdownHide the breakdown1 of 6 below good
Consent to care and treatmentSome shortfalls
Assessing needsGood
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?70%Good
See the breakdownHide the breakdown1 of 5 below good
Kindness, compassion and dignitySome shortfalls
Independence, choice and controlGood
Responding to people's immediate needsGood
Treating people as individualsGood
Workforce wellbeing and enablementGood
ResponsiveAre services organised to meet people's needs?68%Good
See the breakdownHide the breakdown2 of 7 below good
Equity in experiences and outcomesSome shortfalls
Providing InformationSome shortfalls
Care provision, integration and continuityGood
Equity in accessGood
Listening to and involving peopleGood
Person-centred careGood
Planning for the futureGood
Well-ledIs the home well managed, with a culture of high-quality care?68%Good
See the breakdownHide the breakdown2 of 7 below good
Governance, management and sustainabilitySome shortfalls
Partnerships and communitiesSome shortfalls
Capable, compassionate and inclusive leadersGood
Freedom to speak upGood
Learning, improvement and innovationGood
Shared direction and cultureGood
Workforce equality, diversity and inclusionGood
Percentages are CQC scores from its newer way of assessing homes. ?
CQC scored 33 standards: 24 good, 9 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. ?
St Nicholas Care Home is a 176-bed nursing home in Bootle, Sefton, run by Randomlight Limited. Its CQC registration covers older people, people with dementia, people with a physical disability, people with a learning disability or autism, people with mental health needs and people with a sensory impairment. Most homes in Sefton are smaller: the median there is 27 beds.
In April 2025, CQC gave it Good overall, and Good for each of the five key questions too. Before that, in October 2023, it was rated Inadequate. Ratings in Sefton are typically about 5 years old, which makes this one newer than most. CQC found some shortfalls in “kindness, compassion and dignity”, one of 9 standards out of 33 scored below good.
The kitchen has a food hygiene rating of 5 (very good), from August 2025. That is true of 94% of homes in Sefton. Across Sefton, 79% of rated homes are Good or Outstanding, against 82% for England. Randomlight Limited runs 2 care homes, and 1 of the 2 rated are Good or Outstanding. None of the 6 nearest rated homes has a higher rating.
