The 14 tenants at the housing support unit at Station Court, Todlaw, Duns, are not receiving the level of care and support expected and changes are being made.
A Care Inspectorate visit to the unit in September concluded that the quality of care, support, management and leadership was weak, while the quality of staffing was good.
Inspectors reported “serious concerns with regards to how the service is operated”.
“From our sample of the nine support files from the Duns service, we identified many concerns with regards to the risk assessment not being reviewed.
“All had out of date support plans and support protocols, many of which are a necessary need for people, some with their health deteriorating.”
Gillian McConnell, of Community Integrated Care who run the service said: “Providing the highest standards of care and support is our number one priority, and we take the findings of this report very seriously.
“As soon as we received the Care Inspectorate report, we took immediate action – implementing a robust plan of action to resolve all issues identified.
“We have updated training and development to all colleagues, improved our documentation, introduced better systems to monitor and improve quality, and continued recruitment for more colleagues.
“We believe that the issues identified in the report will be resolved by early January, and are in close liaison with the Care Inspectorate and council to reassure them these service deficits are being quickly and satisfactorily addressed.
“We would like to apologise for not delivering the high standards that we expect of ourselves. We are committed to understanding how and why things went wrong, and to ensuring that these issues will not be repeated in the future.”
The supported houses opened in 2007 and became home to former Marchmont House residents when the Sue Ryder home closed.
Community Integrated Care (CIC) were awarded the care contract by Scottish Borders Council and NHS Borders, and a council spokesperson said: “CIC has advised us that they are actively responding to address the recommendations in the report.
“We will be closely monitoring the implementation of their remedial action plan and overall service quality in the coming weeks to ensure the care delivered to people using the service meets the agreed standards as set out in the contract with CIC.”