A housing support service could close following another scathing inspection report.

Baxter View, located on Garshake Road, Dumbarton, received an unannounced four-day inspection in August and the report has now been published raising concerns about missed medication and shut-off water.

The Care Inspectorate visited the complex, run by charity Cornerstone, on August 13, 14, 15 and 16 and inspectors were "very concerned about aspects of the care being provided."

The report published on October 1, states that the August inspection failed to meet four requirements which were issued at the previous inspection in November last year.

Following this, the complex was served with an improvement notice on August 29 which revealed that they risk having their "registration cancelled" if they do not fulfil key aims by November 25.

READ MORE: Dumbarton sheltered housing complex served improvement notice

The service provides housing support to over 18 tenants with learning disabilities, autism or acquired brain injuries living in their own homes.

The report rated the complex as 'unsatisfactory' in every assessed area, including whether it supports people's well-being.

The inspectors spoke with six people using the service, family members, staff, management and professionals before looking at documentation, observing daily life and reviewing surveys.

Amongst the highlighted issues was out-of-date guidance for staff responses to stress and distress which meant staff response was inconsistent.

Examples given in the report of this event included turning off water and locking away personal items, rooms or places.

It reads: "Restrictive practice was widely used in terms of people being 'told' to go back to their flats, areas and possessions being locked away. Two people had access to water in their own homes turned off by staff.

"Some restrictions meant that people had to leave their flats and go outdoors to alert staff that they required support with personal care or to flush their toilet."

Another issue cited in the document was a 'concerning number of medication errors'.

There were several occasions of medication not being available, some incorrect doses and some missed medications.

One example given was a resident who had missed multiple doses of short-term antibiotics on more than one occasion.

The document stated: "This issue was further impacted by the high ratio of agency staff who were working at the service. We could see that the local health and social care partnership had offered staff training and that the service had been completing inductions and observations for agency staff.

"However, concerns regarding medication and effective monitoring remained high."

Further concerns include poorly recorded documentation, welfare and safety, gaps in staff training and out-of-date care plans.

Hazel Brown, chief executive of Cornerstone, said: “We have received the recent report from the Care Inspectorate which follows on from their inspection on Baxter View in August 2024, and have taken immediate steps to meet the requirements outlined.

"The health, wellbeing and safety of all the people we support is an absolute priority for Cornerstone and we are disappointed by the gradings which fall well below our exacting standards. We take the report findings very seriously and are committed to making the necessary improvements within the specified timelines.

"We are working closely with the Care Inspectorate, West Dunbartonshire Health and Social Care Partnership and multi-disciplinary professionals to resolve issues promptly and effectively and ensure the delivery of an agreed, robust action plan with sustained improvements.

"Leadership changes and significant additional staff training are already impacting positively, helping us to deliver safe, person-centred care supported by appropriate care planning, risk assessment, medication and audit processes.

"We are committed to working collaboratively to achieve compliance with all regulatory requirements and will use the recommendations of the report to help us improve; delivering enhanced opportunities and well-being outcomes for the people we support in close consultation with them, their families, our colleagues, partners and our Board."