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Tottle Brook House
Nursing Care
2 October 2025
Elysium Healthcare No. 4 Limited
5 beds
Rating history
- Feb 2026
First inspected by CQC in 2026, rated Outstanding.
Source: CQC inspection reports. Contains CQC data licensed under the Open Government Licence v3.0.
Costs and who runs this home
Run by Elysium Healthcare No. 4 Limited, which runs 13 care homes in England: 1 rated Outstanding, 7 Good, 1 Requires Improvement, 1 Inadequate and 3 not yet rated.
- 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.
- 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 Tottle Brook House
Tottle Brook House, in Nottingham, is a purpose-built service offering accommodation with personal care for up to five people with a learning disability or autism, each with their own flatlet and access to shared communal areas and a garden. The CQC rated the home Outstanding overall, with particularly strong findings for how caring and responsive the service is.
Inspectors found people received exceptionally person-centred care from a skilled, compassionate staff team who knew them well and supported their independence, choices and goals. People were protected from abuse, risks were managed safely, and staff worked closely with families and external professionals. Leadership and governance were found to be strong, ensuring people's rights, dignity and quality of life were fully respected.
Source: CQC assessment, 10 February 2026
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
- 5 places — this is not a vacancy count
- Registration checked
- Registered · NG8 6QN
Registered care categories
Learning disabilities.
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 10 February 2026. Assessment date recorded: 2 October 2025.
Read CQC's assessment overview
The following is CQC's published account of its assessment, published 10 February 2026. References to “we” mean CQC. It describes findings at that time.
Date of assessment 11 November 2025. We announced our visit to the provider, to ensure they could prepare people for our visit.
Tottle Brook House is a purpose-built service, with people living in their own flatlets on site. The service has shared communal facilities, and an accessible, well maintained garden area. The service is registered to provide accommodation with personal care, for a maximum of 5 people. On the date of our assessment, 5 people were living at Tottle Brook House.
The assessment was completed by 1 inspector and 1 Expert by Experience. Experts by Experience are people who have lived experiences of a specific service type and who engage with people to obtain their views of the care and support they receive.
The service has a registered manager in place.
An assessment has been undertaken of a specialist service that is used by autistic people or people with a learning disability.We have 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.
The service provided exceptionally tailored care, support and treatment from a compassionate, trained staff team, who were skilled, knowledgeable, and able to meet people’s needs. Managers ensured that staff had relevant training, regular supervision and appraisal. If restrictive practices were used, there was a reporting system in place and there were comprehensive reviews to try and reduce the use of these practices.Staff fully understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005.
Staff supported people with recognised models of care and best practice for people with a learning disability or autistic people. Leadership was excellent, and governance processes helped the service to keep people safe, protect their human rights and provide good care and support. The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.The model of care and setting fully maximised people’s choice, control and independence. Care provision was exceptionally person-centred, ensuring people’s dignity, privacy and human rights were fully respected.
The service had built up a positive partnership approach, to ensure people were supported by a fully wrap-around care team. Feedback we received from all partners was positive. With external teams praising the approach of the management and staff team.
- 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 Tottle Brook House, consider asking...
- 1.How many qualified nurses are on duty overnight and at weekends?
- 2.How do you manage a resident's relationship with their GP and hospital team?
- 3.What is your approach when a resident's condition deteriorates quickly?
- 4.What additional charges apply beyond the weekly fee?
- 5.How do you approach end of life care and involve families in those decisions?
5 Things to Look For on Your Visit
When you visit Tottle Brook House, look out for...
- 1.Is the nursing station visible and staffed, or hard to find?
- 2.Do staff respond promptly when a resident needs attention?
- 3.Are call bells answered quickly or left ringing?
- 4.Does the home feel calm or rushed and understaffed?
- 5.Are residents' medical records and care plans visible and up to date?
Could the NHS fund Tottle Brook 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
Calverton Drive, Strelley, Nottingham, Nottinghamshire, NG8 6QN

Tottle Brook House
CQC overall rating
Assessment date: 2 October 2025
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