Restgarth Care Home

Date of assessment: 9 and 10 September 2026.
Restgarth is a residential home providing care and support for up to 32 older people. At the time of the assessment 14 people were receiving support from the service.
This assessment was carried out to check the provider had made improvements following our last assessment in March 2026 when we identified breaches of regulation relating to safe care and treatment, person-centred care and management of the service.
At this assessment we found the service had made some improvements. However, further work was required to continue to drive improvement and embed new processes. We identified repeat breaches of regulation relating to person-centred care and management of the service. The service was no longer in breach of the regulation relating to safe care and treatment.
People’s preferences were not always considered when staff were providing care. At certain times care was not person-centred and had been arranged for the convenience of staff.
There was no activity co-ordinator employed at the time of the assessment and activities were limited. However, staff arranged bingo sessions and word games when they were able to. A rear garden was not normally available for people to use although a garden party had been held during the summer. However, some people were able to use a seating area at the front of the building if they wanted to spend time outside.
Care plans and risk assessments did not always accurately reflect people’s needs and preferences. When needs changed, care plans had not been updated to help ensure they remained accurate. The manager told us they were aware of this and were working to ensure everyone had up to date information in place.
Risk assessments identified known risks and staff had guidance on how to support people safely. We identified some areas where risk assessments had not been developed or updated as needed. We were told by the manager this would be addressed.
People and relatives had been asked for their feedback on the service. Some relatives told us communication was poor and they were not always well-informed about their family members well-being and care plans.
Systems to monitor staff culture had failed to identify a task-based approach was sometimes used during the night.
However, planned care tasks, to help mitigate the risk of people developing pressure sores, were now carried out regularly.
There were enough staff to provide support. Recruitment processes were followed to help ensure new staff were suitable for the role. Staff received supervision and training.
The environment was clean and relevant safety checks had been completed. People’s rooms were furnished to reflect their tastes. Menus were varied and healthy. Any preferences relating to food choices were taken into account.
We have asked the provider for an action plan in response to the concerns found at this assessment.
This service has been in Special Measures since September 2025. The provider demonstrated improvements had 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.

Date of assessment: 25 March 2026 to 1 April 2026.
Restgarth is a residential home providing care and support for up to 32 older people, some of whom may be living with dementia. At the time of the assessment 17 people were receiving support from the service.
This assessment was carried out to check the provider had made improvements following enforcement action taken after our last assessment in September 2025 when we identified breaches of regulation relating to dignity and respect, need for consent, safe care and treatment, governance, staffing and recruitment. This resulted in the service being placed into special measures and we imposed conditions on the providers registration.
At this assessment the service had failed to make sufficient improvements, and we identified repeat breaches of regulations in relation to safe care and treatment and governance. An additional breach in relation to person centred care was identified. The service had made improvements in other areas and was no longer in breach of regulations relating to dignity and respect, need for consent, staffing and recruitment.
We again identified occasions when care had not been completed in line with care plans and guidance from external professionals. This had put people at increased risk of harm to their health and well-being. People did not always receive care in line with their preferences.
Auditing systems had been introduced but these had failed to identify areas for improvement.
However, there was now a consistent management team who were motivated to make the necessary improvements. Staffing levels were appropriate; staff were recruited safely and received training and supervision. Opportunities to take part in activities had increased.
In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this on our website after any representations and / or appeals have been concluded.
This service remains 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.

Date of inspection: 24 September 2025 and 1 October 2025

The service is a residential care home providing support for up to 32 older people some of whom may be living with dementia. This was the first inspection since the service had been registered with the provider.

There was no effective or consistent management at the service resulting in extremely poor oversight of people’s care. There was no manager in post. Managers from the provider’s 2 sister homes were supporting the service remotely but did not visit regularly. The deputy manager did not always have the time needed to carry out necessary managerial tasks such as reviewing care plans.

The provider had not established a good learning culture. Action taken when things went wrong did not mitigate the risk of recurrence. We identified examples of poor care which were repeated despite managers being aware of the shortfalls. Audits were not carried out to monitor the service.

Care plans and risk assessments were missing or had not been regularly reviewed to ensure they remained an accurate reflection of people’s needs.

There were staff vacancies at the service and staff numbers were not always sufficient to meet people’s needs. Staff were not recruited safely, lacked training and were not receiving support through regular supervision.

We identified breaches of regulations in relation to safe care and treatment, consent, dignity and respect, staffing, recruitment and management of the service.

This service has been rated inadequate and 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 use 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 has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.

We have asked the provider for an action plan in response to the concerns found at this assessment.