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Aston HouseHerefordshire, County of

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Rated:InadequateResidential

Aston House

45 Hampton Park Road, Hereford, Herefordshire, HR1 1TJ
01432267996
Care Type

Residential Care

Assessment date

16 January 2026

Provider

Aston House Care Ltd

Beds

19 beds

Rating history

  1. GoodApr 2016
  2. GoodNov 2018
  3. Requires ImprovementNov 2021
  4. InadequateApr 2026

Rating dropped from Requires Improvement to Inadequate in 2026. CQC has rated this home 4 times since 2016.

Source: CQC inspection reports. Contains CQC data licensed under the Open Government Licence v3.0.

Costs and who runs this home

This is the only care home Aston House Care Ltd runs in England.

Average care home fees in the West Midlands: £912 a week for residential care and £1,308 for nursing care (2024-25 averages). Self-funders usually pay more. See our care home costs guide.

  • How to pay for a care home explains the council means test, what counts as capital and the funding you can ask to be assessed for.

About Aston House

Aston House is a residential care home in Herefordshire, providing accommodation and personal care for people with mental health support needs. The findings from the most recent CQC inspection are set out below.

Aston House, in Herefordshire, provides accommodation and personal care for up to 19 people with mental health support needs. The CQC rated the service inadequate overall and placed it in special measures, finding breaches of five legal regulations covering safe care, staffing, consent, person-centred care and governance.

Inspectors found risks around fire safety, arson and suicide were not properly managed, medicines guidance was inaccurate, and staffing and training were insufficient. Governance was ineffective and failed to pick up serious concerns, though people and relatives described staff as kind, and some positive interactions were observed.

Source: CQC assessment, 15 April 2026

Specialist Care

Learning disabilitiesMental healthOlder peopleYounger adults

Fees and availability

We have not verified a current weekly fee for this home. Ask for a written quote based on the room and care needed, including any extra charges.

Check current vacancies, the admission assessment and visiting arrangements directly with the home.

Care and inspection details

Checked against the CQC register on 20 September 2026. This is a check of published information, not a visit to the home.

Registered service
Care home service without nursing
Registered capacity
19 places — this is not a vacancy count
Registration checked
Registered · HR1 1TJ

Registered care categories

Caring for adults over 65 yrs; Caring for adults under 65 yrs; Mental health conditions.

These describe the registration. The home must assess whether it can meet the individual person's needs and whether a place is available.

CQC ratings in more detail

Overall rating shown by CQC: Inadequate.

Assessment published 15 April 2026. Assessment date recorded: 16 January 2026.

Read CQC's assessment overview

The following is CQC's published account of its assessment, published 15 April 2026. References to “we” mean CQC. It describes findings at that time.

Date of assessment: 19, 27 February, 10 March 2026.

Aston House provides accommodation and personal care for up to 19 people who have mental health support needs. People who live at Aston House may need a long-term home or be planning to move towards a more independent way of life. At the time of our inspection there were 17 people living at the home.

We inspected this service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

The inspection was prompted in part by notification of an incident following which a person using the service passed away. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident.

However, the information shared with CQC about the incident indicated potential concerns about the management of risk. This assessment examined those risks. We found the provider was in breach of 5 legal regulations. These related to person-centred care, consent to care and treatment, safe care and treatment, good governance and staffing.

The service did not provide care which was safe, and risks were not being proactively identified and managed. Care records were contradictory, meaning information relating to the care people required was not always available for staff to follow. We identified a lack of effective monitoring and mitigation in relation to risks including arson, suicide, and fire safety. Guidance around the administration of medicines ‘when required’ and variable dose medicines was not accurate or detailed. Care plans and risk assessments were not always followed by staff.

Staffing levels were not always sufficient, and staff did not receive the training they required to provide a good service. The provider was not following the Mental Capacity Act 2005 when assessing people’s capacity and ability to make decisions. People were not always treated in a respectful and dignified way.

Governance and oversight were ineffective. There was an experienced acting manager in post who resigned following the first day of our inspection. Where audits were completed, we identified significant shortfalls in the quality of these audits, and they failed to identify the widespread and serious concerns we found. Where issues were identified, the provider did not always follow them up to ensure action was taken.

We sought immediate assurances from the provider to take action to significantly improve the service people were provided with. The provider was responsive and developed an action plan to address the improvements required.

This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.

Safe
Requires Improvement
Effective
Inadequate
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate

Questions prompted by these ratings

  • Safe: What changes have been made to medicines, staffing and safeguarding since this rating?
  • Effective: How are staff training, nutrition and health outcomes checked now?
  • Caring: How do staff protect privacy, dignity and each person’s choices?
  • Responsive: How are care plans, activities and complaints adapted to each resident?
  • Well-led: What has changed in management, checks and oversight since this rating?

These are questions for your visit, not a claim about conditions today.

Read Aston House's CQC record and reports.

Contains Care Quality Commission information under the Open Government Licence v3.0. Ratings and registration details can change after the date checked.

5 Questions to Ask on Your Visit

When visiting Aston House, consider asking...

  1. 1.What happens if my relative's care needs increase significantly -- will they have to move?
  2. 2.How do you handle concerns or complaints from families?
  3. 3.What does the monthly fee cover and what will cost extra?
  4. 4.How do you keep families informed about their relative's day-to-day wellbeing?
  5. 5.What happens if my relative is unhappy here?

5 Things to Look For on Your Visit

When you visit Aston House, look out for...

  1. 1.Do staff greet residents by name and stop to chat?
  2. 2.Are residents dressed, up and occupied, or sitting alone in front of a TV?
  3. 3.Does the home smell fresh and feel clean without being clinical?
  4. 4.Do residents look comfortable and at ease, or anxious and withdrawn?
  5. 5.Does the manager answer your questions openly or deflect?

Could the NHS fund Aston House's fees?

The average nursing home costs £1,535 per week. That's £79,820 a year. NHS Continuing Healthcare could cover all of it. No means test, no contribution from you.

Location

45 Hampton Park Road, Hereford, Herefordshire, HR1 1TJ

CQC Logo

Aston House

CQC overall rating

Inadequate

Assessment date: 16 January 2026

View full inspection report
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