Garsewednack Residential Home

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Inadequate

• Caring

  Requires improvement

• Responsive

  Requires improvement

• Well-led

  Inadequate

Our view of the service

Date of assessment: 2 September 2025 to 30 September 2025. Garsewednack Residential Home is a care home, providing accommodation for up to 21 people who require personal care. The service specialises in providing care to adults over 65 years living with dementia. At the time of our assessment, 16 people were using the service.

This assessment was prompted by information of concern received in relation to infection prevention and control, environment, staffing, people’s care needs not being met, medication, visiting arrangements, and complaints.

We identified the provider was in breach of 6 legal regulation relating to consent, dignity and respect, safe care and treatment, safe environment, governance, and recruitment.

Although during our site visit we found that staff as individuals were kind and caring to people, there were several examples where people’s home was disrespected and their dignity disregarded.

The service were not acting in accordance with the Mental Capacity Act 2005.

The registered manager and provider did not ensure that the property was well maintained, suitable for the purpose of use and was free from odours that are offensive and unpleasant.

The provider could not be assured their systems and processes were robust and identified issues with the safety and quality of the care.

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 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 the Care Quality Commission 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.

People's experience of this service

We spoke with 3 people living at the service and 6 relatives to help assess and understand how people’s care needs were being met.

Some people were unable to verbally provide feedback on their experience of the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spend time in the communal lounge and dining room, as well as visiting people in their rooms. We observed people spending their day how they wanted to within the lounge and caring interactions between staff and people. We also identified someone’s dignity and privacy not being maintained. For more information, see the kindness, compassion and dignity quality statement.

People told us they felt safe using the service, and relatives told us their loved ones were safe. Most relatives shared positive views about the care provided. Comments included, “What I like about this place is small and its close family feel. I also like that staff are very familiar with resident’s needs,” and “We have no issues and we liked the home very much, would have no problem to recommend it to people who need care”.

Despite this positive feedback, our assessment identified concerns with the quality of the service. These issues may have impacted people’s overall experience.