Updated 20 March 2024
Autumn House Residential Home is a care home providing accommodation and personal care to older people, some of whom are living with dementia. We completed this assessment between 3 April and 9 May 2024. People were not supported in a person-centred way and risks were not safely managed. Adverse incidents were not always recorded in detail and the provider failed to ensure changes were implemented to prevent recurrence. The provider failed to implement effective systems to ensure people were protected from the risk of abuse or neglect. There were not always sufficient staff deployed. The provider failed to ensure staff received effective training and staff did not always understand how to meet people’s needs. People’s capacity to consent to decisions about their care and support had not always been assessed and the provider failed to identify restrictive practices. Medicines were not managed safely; people were at risk of not receiving or receiving too much of their prescribed medicines and from staff not understanding medicines related risks. The provider failed to ensure they had oversight of care quality and safety in the service; the lack of an effective governance framework meant they had failed to identify shortfalls we found during this assessment. This meant action had not been taken to drive improvement. The provider failed to embed a person-centred culture that enhanced people's quality of life. The provider and staff did not recognise how to promote people's rights, choices or independence. 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.