A care home in Rainham has been referred to Havering Council twice over safeguarding concerns, including a resident "exposing themselves".
Glebe House, which looks after older people with mental health and dementia care needs, has been rated 'requires improvement' overall - and 'inadequate' for safety - following its latest visit from the Care Quality Commission (CQC).
The report published on February 26 reveals that the home in Glebe Road was in breach of four legal regulations at the time of the inspection, relating to safe care and treatment, safeguarding, premises and equipment, and governance.
Inspectors carried out the assessment unannounced, visiting the care home three times between June and August 2025, following concerns raised by Havering Council.
Glebe House's rating for safety was downgraded from 'requires improvement' at the previous assessment to 'inadequate' - meaning residents were "not safe and were at risk of avoidable harm".
Issues were uncovered with the home's safeguarding systems during the first visit, especially in regards to a person inspectors saw "exposing themselves whilst their bedroom door was opened".
The report said that a staff member did not acknowledge this until the inspectors pointed it out, and that the deputy manager explained that it was a new concern, identified two weeks prior to the assessment.
The resident was diagnosed with the early stages of dementia in June 2025, however this was not mentioned in their care plan or risk assessment.
The report said: "On our second site visit, we reviewed the same person’s care plan and risk assessment and saw that they had not been updated.
"We also saw the person was still in the same situation, as their bedroom door was open and they were again exposing themselves and other people could see into their room.
"This meant their dignity and safety was not being maintained and protected.
"This showed that there had not been learning from previous safeguarding concerns, which we had identified during our previous visit."
On top of this, inspectors saw another person receiving personal care with their bedroom door open while they were fully naked.
These concerns led to CQC making two safeguarding referrals to the council, who then enrolled staff on training in safeguarding, dignity and respect following the inspection.
Other issues raised in the report included a faulty fire door, a hammer left on the floor in one of the downstairs bathrooms, broken and missing toilet seats and a side door being propped open with "a long plank of wood with nails protruding from it".
Back pressure in the home's water supply put drinking water at risk of becoming contaminated, while inspectors also noted that not all areas of the home were clean - including the bathroom floor which was found to be "dirty and stained".
Avenues London, which provides and runs Glebe House, said issues mentioned in the report such as the hammer and the fire door had "already been identified and addressed at the time".
An Avenues London spokesperson said: "Fundamental care and safety remain our prime concern.
"As an organisation, the safety and wellbeing of the people we support always comes first.
"Since the inspection, plans to strengthen systems, oversight and documentation have already been well underway.
"Glebe House has been operating for more than 20 years and has a long history of supporting people safely in the community.
"While we respect the role of the regulator, we do not fully agree that the report reflects the overall quality of care being delivered.
"We remain committed to continuous improvement and will continue to work constructively with the CQC while being open and transparent with families, professionals and commissioners."
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