SafeAre people protected from abuse and avoidable harm?78%Good
See the breakdownHide the breakdown1 of 8 exceptional
Infection prevention and controlGood
Learning cultureGood
Medicines optimisationGood
Safe and effective staffingGood
Safe environmentsGood
Safe systems, pathways and transitionsGood
SafeguardingGood
Involving people to manage risksExceptional
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?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?93%★Outstanding
See the breakdownHide the breakdown5 of 7 exceptional
Equity in accessGood
Planning for the futureGood
Care provision, integration and continuityExceptional
Equity in experiences and outcomesExceptional
Listening to and involving peopleExceptional
Person-centred careExceptional
Providing InformationExceptional
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: 24 good, 9 exceptional. 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. ?
Tottle Brook House is a 5-bed nursing home in Nottingham, run by Elysium Healthcare No. 4 Limited. CQC registers it to look after people with a learning disability or autism. The typical home in Nottingham has 17 beds, so this one is on the small side.
It is one of 13 homes run by Elysium Healthcare No. 4 Limited. 11 of those with a rating are Good or Outstanding. It is the only Outstanding home among the 7 closest. 9 other homes in Nottingham share its tier, “Outstanding”.
CQC's latest rating, from February 2026, is Outstanding overall. Caring and responsive were also Outstanding. For safe, effective and well-led, the rating was Good. That is more recent than most ratings in Nottingham, where the typical rating is about 3 years old. 9 of the 33 standards CQC scored were exceptional, and none fell below good.
