CQC position summary · prepared for Prestige Care Group
Six of your nine homes are rated Good — the one governance question CQC keeps asking hasn’t moved in a year
Built from the live CQC record for Prestige Care Group’s nine registered homes across the North East — the register you are personally named on as Nominated Individual at seven of them, not a generic sector read.
The 30-second read
Position6 of 7 rated homes hold Good. The seventh, Middleton Manor, is Requires improvement — up from Inadequate nine months earlier. Two homes have never been inspected.
The anchorMiddleton Manor’s Well-led rating has come back Inadequate on both of its last two assessments, September 2025 and again this June — the one key question that hasn’t moved while the rest of the home improved.
The exposureMerlin Manor was re-inspected 8 days before this note — Good overall, Safe the one question still below it. The estate’s ratings now span from 8 days old to roughly 4.5 years old.
The 30 minutesWe can see the published position across all nine homes. We can’t see what’s changed at Middleton Manor since June, or which never-inspected home CQC reaches first — that’s the call.
Book the 30-minute walkthrough
The estate’s published position
Nine homes carry your name as CQC-registered Nominated Individual, run across eight separate registered provider entities from one head office in Ingleby Barwick, Stockton-on-Tees. Every figure below is the live record on cqc.org.uk, checked 11 August 2026.
Registered homes
9
across 8 separate registered providers, one head office
Rated Good (of rated)
6 / 7
one Requires improvement; zero Outstanding
Never inspected
2
22% of the estate; the national nursing-home figure is 18.5%
Under enforcement
0
no enforcement recorded on any assessment on file
| Home | Provider | Current rating | Last rated visit | What it means |
|---|
Middleton Manor Care Centre
Darlington |
Prestige Care (Middleton) Limited |
Requires improvement · 48% |
9 Jun 2026 (63 days) |
Well-led rated Inadequate for the second assessment running |
Merlin Manor Care Centre
Hartlepool |
Prestige Care (HM) Limited |
Good |
3 Aug 2026 (8 days) |
The estate’s newest rating; Safe is the one key question still below Good |
Parkville & Roseville Care Centres
Middlesbrough & Ingleby Barwick |
Prestige Care Ltd / Prestige Care (Roseville) Ltd |
Good · 74% each |
19 & 22 Aug 2024 (~2.0y) |
All five key questions Good at both homes |
Sand Banks, Yew Tree Care Centre & West Lodge
Redcar & Crook — 3 homes |
3 separate registered providers |
All Good |
Feb 2022 – Feb 2023 (~3.5–4.5y) |
CQC’s July 2023 desk reviews found no evidence a reassessment was needed at that time |
Riverdale Manor & Yew Tree Grange
Bedale & Redcar — 2 homes |
Prestige Care (Riverdale) Ltd / Prestige Care (Yew Tree) Ltd |
Not yet rated |
— |
Registered Feb 2026 (under 6 months) and May 2024 (just over 2 years) — still awaiting a first inspection |
The estate’s most current test
Merlin Manor · 8 days old
against Middleton Manor’s Requires improvement, published 63 days ago — the estate’s ratings currency spans from days to years
The stuck key question
Well-led · Inadequate, twice running
Middleton Manor’s overall rating rose from Inadequate to Requires improvement between assessments; Well-led did not move
What’s changing under you
The six shifts from the guide you downloaded are the rules Riverdale Manor and Yew Tree Grange’s first inspections — and every re-assessment across the estate — will be scored against.
Judged, not scored
Continuous assessment
Single set of standards
Local, risk-based scheduling
People’s experience weighted higher
Provider self-assurance data
The pattern
Middleton Manor is the only home in the estate with two consecutive Single Assessment Framework ratings on file, which makes it the clearest read on what actually moves between visits and what doesn’t.
Middleton Manor — overall score
48%
National nursing-home average
69.6%
Against 1,313 nursing homes nationally with a current Single Assessment Framework score, 29.7% of which rate below Good.
| Key question | Middleton Manor, Jun 2026 | What the inspectors scored |
|---|
| Safe | Requires improvement |
Infection control, involving people to manage risks, and medicines optimisation all scored 2 of 4 |
| Effective | Requires improvement |
Assessing needs, consent to care, and delivering evidence-based care all scored 2 |
| Caring | Requires improvement |
All five caring statements scored 2 of 4 |
| Responsive | Requires improvement |
Person-centred care and equity in experience both scored 2 |
| Well-led | Inadequate |
5 of 7 scored statements at 1 of 4 — governance and shared direction & culture both carry a recorded breach |
This is the second Single Assessment Framework rating running with Well-led at Inadequate — the prior assessment, published 10 September 2025, scored it the same way.
This table is most of what we’d walk through live — the 30-minute walkthrough starts from it.
Show what inspectors recorded at Middleton Manor · 2 strengths · 2 watch items
□ STRENGTH
Safeguarding (scored 3). Inspectors recorded that safeguarding systems had improved, incidents were investigated and reported to the Local Authority and CQC where applicable, and the provider worked with people and healthcare partners on what being safe meant to them.
□ STRENGTH
Workforce equality, diversity and inclusion (scored 3). The report notes an equality and diversity policy in place, with staff describing an inclusive, fair culture — for example, being able to adapt shift patterns for religious practices.
⚠ WATCH
Governance, management and sustainability (scored 1, recorded breach). The report notes shortfalls identified at the previous assessment remained at this one, action plans were not effective, and audits were either ineffective or insufficient to identify the issues inspectors found.
⚠ WATCH
Freedom to speak up (scored 1). Inspectors recorded that the provider had not displayed the Inadequate rating from the previous assessment on its website as legally required, and a relative said they had only recently discovered the home had been in special measures.
The honest blind spot. We can see the published pattern across all nine homes, and exactly which statements kept Middleton Manor’s Well-led at Inadequate in June. What we can’t see from outside is what’s changed inside the home in the roughly nine weeks since, or how ready Riverdale Manor and Yew Tree Grange’s evidence is for the first visits CQC’s local, risk-based scheduling could call at any time. That’s the gap the call closes.
What we’d work through together
Not a homework list — the agenda for the 30 minutes.
1. What’s changed at Middleton Manor since the June assessmenttime-sensitive
2. Whether the same governance gaps sit anywhere else across the seven homes you’re named ontime-sensitive
3. Evidence readiness at Riverdale Manor and Yew Tree Grange ahead of a first visittime-sensitive
4. What kept Merlin Manor’s Safe question below Good in the estate’s newest ratingongoing
5. Bringing the three oldest ratings up to a comparable evidence standardongoing
6. One consistent way to capture governance evidence across eight registered providersongoing
Show what each item turns on
1
What’s changed at Middleton Manor since the June assessment
Depends on what the home’s own evidence shows has moved on governance and leadership since the report published.
Priority
2
Whether the same governance gaps sit anywhere else across the seven homes you’re named on
Depends on how consistently audits and action-plan follow-through are run home to home.
Priority
3
Evidence readiness at Riverdale Manor and Yew Tree Grange ahead of a first visit
Depends on what each home’s current records already cover versus assume.
Priority
4
What kept Merlin Manor’s Safe question below Good in the estate’s newest rating
Depends on the statement-level detail behind August’s report, once it’s published in full.
Ongoing
5
Bringing the three oldest ratings up to a comparable evidence standard
Depends on what’s changed at Sand Banks, Yew Tree Care Centre and West Lodge since their last rated visit.
Ongoing
6
One consistent way to capture governance evidence across eight registered providers
Depends on which systems each home actually uses day to day.
Ongoing
Inspection-ready before the inspector, across nine homes
Middleton Manor’s Well-led question and two never-inspected homes are two different clocks running on the same estate. GreenM connects fragmented evidence across a group so it reads cleanly against the quality statements, rather than assembled the week a visit is confirmed.
In 30 minutes: the six items above, narrowed to the three that matter first.
