An elderly man was left sitting in his vest and underpants in the common area of a south Liverpool care home.
Another woman's underwear was exposed as staff used a hoist to move her without giving care to do it in a dignified way.
The incidents were seen by inspectors during a visit to Cressington Court Care Home by the Care Quality Commission (CQC) in February this year.
Inspectors wrote in their report: "On the first day of our inspection we found one person sat in the communal lounge at around 9.30am wearing just a vest and underwear with bare feet."
They added: "Later that day we observed staff hoisting a person into a chair. The person was wearing a skirt and the position of the hoist strap meant that the person's skirt moved and exposed her underwear. Staff did not communicate with the person whilst they were hoisting them to offer any reassurance, nor did they attempt to preserve their dignity by placing a blanket over their legs. These concerns represent a breach of the regulations in relation to dignity and respect."
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After a catalogue of errors were seen during the inspection the home in south Liverpool, which cares for 44 people including those with dementia , was placed in special measures.
Some of the most worrying issues surrounded a lack of hygiene, with a faeces stained toilet seat and a dirt and damp discovered in rooms, including a makeshift kitchen.
How the service was rated
Is the service safe? Inadequate
Is the service effective? Inadequate
Is the service caring? Inadequate
Is the service responsive? Requires Improvement
Is the service well-led? Inadequate
Undignified, unhygienic and unsafe
There were a worrying list of issues with the service, including a failure to properly safeguard residents, dangerous storage of hazardous materials and a dirty kitchen.
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Below is a list of some of the most distressing finds at the care home service:
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In February 2019 a safeguarding issue had been raised by a resident but CQC inspectors found that, despite being obliged to investigate and report the issue, nothing had been done about the incident in the weeks between the report and the inspection.
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Inspectors found four examples of safeguarding incidents in three months that the care home had failed to report to the CQC.
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Boiler room full of hazards, including combustible materials.
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A makeshift kitchen was found to be dirty and unhygenic. Inspectors noticed the room was dirty, as was the single sink, the bin, fridge, bain-marie and cutlery tray.
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General cleanliness of the home was poor, floors were dirty with dust and ingrained dirt.
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There was a non-slip mat in the ground floor wet room and its underside was covered in black mould.
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A communal toilet on the first floor was very dirty. The underside of the seat was stained with faeces and/or urine. The walls were stained with liquid marks.
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Staff were seen ignoring one resident who was clearly anxious, shouting "where am I?" and "where are you?" for 30 minutes.
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Medicine wasn't always administered when it should have been or was administered incorrectly.
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Records were not checked to ensure residents were being cared for to their specific needs; this included chocking assessments not being followed up and mattresses for pressure sores set at the wrong setting.
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Not all staff had recent safeguarding training or were considered competent and safe.
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Senior staff were described as "out of touch with the scale and seriousness" of the failings identified by the CQC.
What the care home have to say
This was the first inspection of Cressington Court Care Home since Lotus Care Ltd., took over in December 2017.
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A spokesman from Lotus Care for Cressington Court said: "When we took over it was a very difficult period of time, there was no hand over and as such it meant starting with a blank sheet of paper.
"We have rapidly put in place processes to ensure that the same standard of dignity that we have across our organisation is realised within this home.
"We have a very clear, robust action plan put in place and given to the CQC and also shared with Livverpool City Council and our senior management team is working very hard and working with specialists to make sure we are compliant when there is the next inspection."
You can read the full CQC report here .
