I've spent the last two days trying to set my old watch up (series 4) for my mum. I literally tried everything but tonihht I Finally got it
I don't know what part was the winner in the end but these are the things is did
°Made sure iphone is up to date
°Put both on charge
°Signed out of icloud in media and purchases then deleted the watch app
°restarted watch
°signed back into icloud media and purchases and re installed app
° changed language to Portuguese and country to Afghanistan on watch
°paired manually to watch app
°left both on charge the whole time
Somehow along the way something worked and it's currently installing latest update to the watch.🤞