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St Nicholas Care Home
Nursing Care
11 July 2024
Randomlight Limited
176 beds
Rating history
- Oct 2019
- Nov 2021
- Mar 2023
- Oct 2023
- Apr 2025
Improved from Inadequate to Good in 2025. CQC has rated this home 5 times since 2019.
Source: CQC inspection reports. Contains CQC data licensed under the Open Government Licence v3.0.
Costs and who runs this home
Run by Randomlight Limited, which runs 2 care homes in England: 1 rated Good and 1 Requires Improvement.
Average care home fees in the North West: £882 a week for residential care and £1,196 for nursing care (2024-25 averages). Self-funders usually pay more. See our care home costs guide.
- NHS-funded Nursing Care pays £267.68 a week to the home towards registered nursing care for eligible residents (2026/27). A quoted fee may already exclude it.
- This home lists dementia care, which usually costs more than standard residential care. See dementia care home costs. NHS Continuing Healthcare may apply where someone's needs are primarily health needs.
- 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 St Nicholas Care Home
St Nicholas Care Home is a nursing home in Sefton, providing personal and nursing care for older people, people living with dementia, autistic people and people with a learning disability. The findings from the most recent CQC assessment are set out below.
St Nicholas Care Home provides personal and nursing care for up to 176 people, and 62 people were living there at the time of assessment, including older people, people living with dementia, autistic people and people with a learning disability. The CQC found significant improvement since an earlier inadequate rating, with no ongoing breaches of regulations. Refurbishment had made the environment more homely, care plans were detailed and person centred, and people were supported to make decisions, learn and take part in community activities.
Inspectors found staff kind, attentive and respectful, though some staff turnover and reliance on agency workers led to occasional delays in care. Some residents felt food quality could improve, and a new chef was working to develop menus. The service is no longer in special measures.
Source: CQC assessment, 16 April 2025
Specialist Care
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 21 September 2026. This is a check of published information, not a visit to the home.
- Registered service
- Care home service with nursing
- Registered capacity
- 176 places — this is not a vacancy count
- Registration checked
- Registered · L30 2RG
Registered care categories
Caring for adults over 65 yrs; Dementia; Learning disabilities; Mental health conditions; Physical disabilities; Sensory impairment.
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: .
Assessment published 16 April 2025. Assessment date recorded: 11 July 2024.
Read CQC's assessment overview
The following is CQC's published account of its assessment, published 16 April 2025. References to “we” mean CQC. It describes findings at that time.
Date of Assessment: 12 February to 10 March 2025. The service is registered to provide personal and nursing care for a maximum of 176 people. 62 people were currently living at the service including older people, people living with dementia, autistic people and people with a learning disability. We assessed the 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. We undertook this assessment following concerns about poor care. At our last inspection the service was rated inadequate, with multiple breaches of regulations. At this assessment, we found people did receive safe care and there were several sustained improvements. The service was no longer in breach of any regulations. Extensive refurbishment had been undertaken, and the environment was much more homely. Improvements were ongoing. Care plans were detailed and person centred. There was an improved understanding how to effectively support people with a learning disability and autistic people. People were supported to make informed decisions about their care and had ample opportunities to engage in activities and learning opportunities both at home and in their local community. Systems had improved to ensure there was learning from events which occurred at the service. The provider demonstrated a commitment to continuous improvement though improved governance systems. People received their medicines as prescribed and were supported to attend medical appointments when needed. This service has been in Special Measures since 18 October 2023. The provider demonstrated improvements that have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
- Safe
- Effective
- Caring
- Responsive
- Well-led
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 St Nicholas Care Home, consider asking...
- 1.What specific dementia training do staff receive and how recently?
- 2.How do you support a resident who becomes distressed or confused?
- 3.How does the home keep a record of a resident's life history and personal preferences?
- 4.How do you involve families as dementia progresses and communication becomes harder?
- 5.What happens when a resident's dementia reaches an advanced stage?
5 Things to Look For on Your Visit
When you visit St Nicholas Care Home, look out for...
- 1.Is the environment calm, uncluttered and easy to navigate?
- 2.Do staff speak to residents with patience and dignity, even if they repeat themselves?
- 3.Are there memory cues around the home -- photos, familiar objects, clear signage?
- 4.Do residents seem settled and safe, or agitated and unsupervised?
- 5.Is there meaningful activity happening, or are residents just sitting quietly with nothing to do?
Could the NHS fund St Nicholas Care Home'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
21 St. Nicholas Drive, Bootle, L30 2RG

St Nicholas Care Home
CQC overall rating
Assessment date: 11 July 2024
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