The Joseph Rowntree Housing Trust has been fined £163,185 by Leeds Magistrates’ Court following the death of a 98-year-old man.
The CQC brought the prosecution against the Trust after finding it had failed to provide safe care and treatment at Lamel Beeches in York.
Resident Alfred Colley died in 2015 after fracturing his hip twice following falls.
Debbie Westhead, CQC’s Deputy Chief Inspector for Adult Social Care said: “It is clear that the provider in this case had failed to keep safe the frail people in its care. They had not ensured that the bed rails were being safely used. Risk assessments were not suitable, staff had not been trained and they had not taken action to deal with the risks which had been identified.
“This was avoidable. We know that Mr Colley had fallen out of bed, or become trapped in the rails a number of times – but still too little was done to keep him safe.
“Taken together, the provider’s poor governance and leadership at the home led to unsafe care and treatment on the part of its employees and it is for this reason that we have taken action in this case. If we find that a care provider has put people in its care at risk of harm, we will always consider using those powers to the full to prosecute those who are responsible.”
This is the fifth prosecution that CQC has brought against providers since inheriting special enforcement powers from the Health and Safety Executive and local authorities in April 2015.