Inspectors found previous issues had not been addressed and a high reliance on agency workers.
A Merseyside care home has been placed in special measures after inspectors raised concerns over safety.
Managing director Michael Hartey said an improvement plan was in place and changes had already been made. One of the four buildings operating, Brockleback House, provides specialist nursing care to autistic people and people with a learning disability. It can accommodate 28 people and 19 people were residing on the unit at the time of inspection.
The service had been rated as requiring improvement after an inspection in January and inspectors said it was "disappointing" actions from previous inspections had not been properly addressed, adding "swift improvements" were required to ensure people's needs were properly met.
The inspectors also found people were not always supported to make informed decisions about their care and were not always consulted before being provided with support.
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