Garsewednack Residential Home

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Date of assessment: 7 October to 12 October 2026.
Garsewednack Residential Home provides care and support for up to 21 older people. At the time of our assessment, 20 people were using the service.
This assessment was carried out to check the provider had made improvements following our last assessment in February 2026 when we identified breaches of regulation relating to safe care and treatment, premises and equipment and the management of the service.
At this assessment we found the breaches of regulation relating to safe care and treatment and premises had been met. However there remained a breach of regulation for management of the service and we identified a new breach of regulation relating to staff training.
A new manager had been recently employed and had applied for registration with the Commission. They had identified areas for improvement and were making changes at the home. This included introducing a new electronic care planning system and developing a new schedule for auditing all aspects of the service.
However, there were gaps in staff training; while the manager and provider were aware of the gaps no action had yet been taken to address these. Staff responsible for administering medication had not undergone competency checks. Records to monitor staff training and supervision were out of date or had not been developed.
Processes for completing person-centred mental capacity assessments required improvement. People had a healthy and varied diet and access to outdoor spaces and fresh air. However, opportunities for meaningful activities and gentle exercise were not always sufficient.
Care plans and risk assessments had been updated and now provided a better overall view of people’s needs. Where people had specific health conditions staff had appropriate guidance to support them.
People and relatives were kept up to date with any changes. Relatives told us the communication had improved and they were able to speak with the manager or seniors if they needed to.
Feedback from all stakeholders was positive. Everyone had confidence the changes being implemented were positive and would improve people’s experiences. The provider and manager responded positively to our feedback. They took action to address a number of concerns during and following the assessment, including employing a contractor to investigate the hot water supply issue and identifying training providers.
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.

People's experience of this service

People and relatives were positive about the care and support provided. Relatives were confident their family members were safe and well cared for. Comments included, “The best thing to be honest is the staff, they are all friendly and kind and [relative] is happy there”, “There is nothing that the staff won’t do for the residents, they really try their hardest” and “It was a massive thing for my spouse for their parent to go into a care home. [Manager name] understood our concerns about this and it was all sorted and we have had peace of mind from day one. The home have been there for us and have never made us feel that we are taking up their time.”
People were able to make basic day to day choices about where they spent their time and when they went to bed and got up. Shower and bath rotas had been removed and people were now able to choose when they showered or had a bath.