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North Yorkshire care home is rated as Inadequate and placed into special measures by CQC

28 April 2016
Denison House Nursing Home
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The Care Quality Commission (CQC) has told Denison House Nursing Home in Selby, North Yorkshire that it must make improvements to protect the safety and welfare of people living there.

CQC carried out an unannounced inspection at the home in March this year to follow up on findings from the previous inspection in March 2015, which rated the service Requires Improvement. Inspectors found, during the latest inspection, that the providers had failed to deliver services that were safe, effective, caring, responsive to people’s needs and services that were well led.

Overall, Denison House Nursing Home has been rated Inadequate and has been placed into special measures.

The service was not proactive in ensuring the safety of residents, risk assessments were poor and did not detail information or instructions to prevent reoccurrence of incidents or mitigate future risks to people in the home. There was not enough skilled, qualified and experienced members of staff to ensure people’s needs were being met in a timely manner, and inspectors had concerns that some people may not have been receiving their medication as prescribed. Required safety checks were not always completed which meant people were exposed to avoidable risks, and inspectors found that the home’s environment was malodorous and unclean in places, and had not had suitable adaptations made to enable those with dementia to navigate the home independently. Inspectors were concerned that care was not being delivered in line with guidance under the Mental Capacity Act 2005, as capacity assessments and best interest decisions were not well recorded, and some people may have had their liberty unlawfully restricted. The provider did not employ robust systems to adequately monitor the quality of service being delivered and inspectors found evidence that the service had not been notifying the commission of incidents, as required by law.

A full report is available on this website.

Debbie Westhead, Deputy Chief Inspector of Adult Social Care in the North, said:

“The care we saw being provided at Denison House Nursing Home falls along way short of what we expect services to provide. It is unacceptable that the provider has failed to safeguard people from potential risk or implement effective systems to monitor the quality of care being provided.

“People are entitled to services which provide safe, effective, compassionate and high quality care and we have told the provider that the lack of identifiable improvement is unacceptable.

“We have been working with North Yorkshire County Council to ensure that people living at the home are not at undue risk. We will continue to monitor this care home. The service has been placed into special measures – and we are considering taking enforcement action and will report on this action when it is completed.”

Any regulatory decision that CQC takes is open to challenge by a registered provider/person through a variety of internal and external appeal processes.


For further information please contact CQC Regional Communications Officer Mark Humphreys on 0191 233 3519 or 07881656012. Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here. Please note: the press office is unable to advise members of the public on health or social care matters. For general enquiries, please call 03000 61 61 61.

Last updated:
29 May 2017

Notes to editors

All adult social care services inspected since 1 April 2015 that receive an overall rating of Inadequate will be placed into special measures by CQC. The regime is designed to make sure there is a timely and coordinated response to inadequate care and we will use it alongside our enforcement policy.


When a service is in special measures it is the provider’s responsibility to improve, seeking appropriate support from its own resources and from other relevant organisations. When we can, we will signpost providers to improvement support agencies.


Those services will be inspected again within six months. If a service demonstrates improvements and is no longer rated as inadequate for any of the five key questions we will take it out of special measures. If sufficient improvements have not been made and there remains a rating of inadequate for any key question or overall, we will take further action which may include cancelling the registration of that service.


More information can be found on our special measures process here:


Since 1 April, providers have been required by law to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily. This should be done within 21 days of publication of their inspection report. For further information on the display of CQC ratings, please visit: