SafeAre people protected from abuse and avoidable harm?75%Good
See the breakdownHide the breakdownAll 8 good
Infection prevention and controlGood
Involving people to manage risksGood
Learning cultureGood
Medicines optimisationGood
Safe and effective staffingGood
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?75%Good
See the breakdownHide the breakdownAll 7 good
Capable, compassionate and inclusive leadersGood
Freedom to speak upGood
Governance, management and sustainabilityGood
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: 33 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. ?
The Old Downs Care Centre is one of 485 care homes in Kent: a 41-bed nursing home in Dartford, run by Nellsar Limited. Its CQC registration covers older people, people with dementia, people with a physical disability and people with a sensory impairment. Most homes in Kent are smaller: the median there is 24 beds.
286 other homes in Kent share its tier, “Good”. Its kitchen was rated 5 for food hygiene in July 2025. 90% of homes in Kent also score 5. Nellsar Limited runs 13 care homes, and 10 of the 13 rated are Good or Outstanding. Of the 6 closest rated homes, none is rated above it.
In November 2024, CQC gave it Good overall, and Good for each of the five key questions too. That matches its previous rating, from September 2017. The typical rating in Kent is about 4 years old, so this one is fairly recent. CQC scored 33 standards, and every one was good.
