The Care Quality Commission (CQC) has called for nearly half the care homes in the South East of England to improve, after inspectors found homes “smelling of urine”.
Figures released to the BBC over an 18-month period show 44% of homes in Kent, Sussex and Surrey were rated inadequate or requiring improvement.
One inspection said a person had gone a month without a bath or a strip wash. Another found residents often had no toilet paper and another described a strong odour of urine.
The report also found that fewer than 1% of homes were classed as outstanding.
The quality of care homes in the South East was recently placed under the spotlight over deaths at the Orchid View home, in West Sussex.
In October 2013 a coroner ruled 19 residents died after “sub-optimal care”, with five of them suffering “neglect”.
Orchid View in Copthorne, which was run by Southern Cross, closed in 2011.