Hammersmith & Fulham
Safeguarding Adults Board

Organisational abuse

Organisational abuse includes neglect and poor care practice within an institution or specific care setting such as a hospital or care home, for example, or in relation to care provided in one’s own home.

This may range from one off incidents to on-going ill-treatment.

It can be through neglect or poor professional practice as a result of the structure, policies, processes and practices within an organisation.

Examples of organisational abuse include:

  • discouraging visits or the involvement of relatives or friends
  • run-down or overcrowded establishment, authoritarian management or rigid regimes
  • insufficient staff or high turnover resulting in poor quality care
  • abusive and disrespectful attitudes towards people using the service
  • inappropriate use of restraints
  • lack of respect for dignity and privacy
  • failure to manage residents with abusive behaviour
  • not providing adequate food and drink, or assistance with eating
  • not offering choice or promoting independence
  • misuse of medication
  • failure to provide care with dentures, glasses or hearing aids
  • not taking account of individuals’ cultural, religious or ethnic needs
  • failure to respond to abuse appropriately
  • interference with personal correspondence or communication
  • failure to respond to complaints

Contact the Care Quality Commission (CQC) on 03000 616 161 if you are concerned about potential abuse or neglect in a professional care setting, in addition to raising a safeguarding concern.