A care home where a resident was seriously injured could be closed if it does not improve.

The Care Quality Commission (CQC) has dropped its rating for Two Rivers Care Home in Finchley, from good to inadequate - the lowest score - after inspectors visited in August and September.

The health watchdog gave the Long Lane home, run by Suncare Recovery, the lowest rating for its safety, effectiveness, care, responsiveness and leadership, putting it in special measures and giving it six months to improve.

The home in Long Lane, Finchley, supports 15 Asian women who have learning disabilities, physical disabilities, or are autistic, in three shared, 'supported living' houses.

Inspectors visited after a report that a resident had experienced "degrading" treatment, been put at risk and sustained a serious injury.

They said that at times people "did not receive safe care", with the report criticising "institutionalised practice".

Inspectors wrote : "People had blanket routines such as what they ate, what they did, and when they went to bed rather than look at what individuals wanted to do.

"Some staff were thoughtful towards people, but people were not always being treated as adults."

While people were given nutritious food, which they said they liked, inspectors said the home's routines meant people could spend a long time in bed, without drinks and alone.

Among a series of incidents, inspectors found a person who was at risk of choking and needed a specialist diet was being helped by staff to eat at pace and in an unsafe way.

In a medicine count, one person's medicines did not tally with what had been given, and the key and safe code for some people's medicines were not kept in secure places.

Faecal matter was found on a made bed and there were dents on the banisters and walls that meant they could not be cleaned.

Personal information was displayed on laminated posters in people's bedrooms, with incontinence items also on display.

One resident's video call to relatives was held in the lounge among other people, and toilet times were announced by some staff in front of other staff and people.

And staff were seen to wipe people's mouths after mealtimes "roughly" and without warning.

It noted that CCTV cameras were on at all times, even during personal care times, when staff were present in lounges, and when some people did not need monitoring.

It added the manager had not followed the provider's own policy when accessing footage remotely, making staff feel "overly observed".

Despite these, inspectors did not believe poor practice was the result of staff being "intentionally unkind", but due to a lack of training and support.

The report criticised "generic" risk assessments and care plans, with no system to follow up on incidents and accidents and whether staff had acted correctly.

Leaders had not ensured serious incidents were reported to CQC in a timely way, even though they had been warned about this at previous inspections.

However, residents said they were "happy" and people’s relatives were confident that they could raise issues with leaders, who responded well, and that the service supported people’s cultural and religious needs.

The report noted that the provider and managers had made some safety improvements and had started looking at staff skills and support, more time was needed.

The CQC has asked for an urgent action plan from the provider laying out how it will improve quality and safety.

The home will be reinspected within six months. If the home is still rated inadequate overall or for a key area, the CQC will begin the process of stopping the provider from running it.

Suncare Recovery was contacted but had not responded at the time of publication.