A care home in Bolton has been deemed 'inadequate' by inspectors - despite being told how to improve months earlier.
The CQC (Care Quality Commission) inspected Sunnyside Residential Home, on Adelaide Street, between June and July.
It followed 'multiple breaches of regulations' being discovered at the home during an inspection in March.
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Care provider Parfen Limited completed an action plan following that inspection, but when the CQC returned, the service was still found to be below par.
Sunnyside received an inadequate rating in the 'safe' and 'well-led' inspection areas.
It was also told that it 'requires improvement' in the 'effective', 'caring' and 'responsive' categories.
The overall rating was 'inadequate'.
The CQC says that rating is given when 'the service is performing badly and [we've] taken enforcement action against the provider of the service'.
The CQC highlighted:
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Repeated concerns about infection control practices
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The home failing to respond to a serious substantiated safeguarding incident
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Staff not being provided with specific training around supporting people with autism
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A person’s medication care plan being found in the car park
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Areas of the home being 'highly unhygienic'
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The fire exit staircase being covered in 'bird faeces'
"People were not always kept safe from the risk of harm," the report read.
"We identified appropriate steps had not been taken following a serious safeguarding incident. The local authority had requested the provider undertake a formal investigation into the incident and specialist training be identified and implemented for staff. Neither of these had been actioned.
"Medicine records had gaps and people’s medicines were not always stored safely; however, we found no evidence of impact on people and felt this was an issue around auditing and quality assurance.
"We found concerns within the environment and building relating to fire and legionella’s disease safety.
"In the home’s external areas, which could be accessed by people who use the service, we found significant levels of uncleanliness which could’ve potentially caused harm.
"People’s dependency to ensure the appropriate level of staffing had not been assessed for several months, although this had been started recently. Some staff had not received appropriate levels of supervision or training and the provider had not carried out appraisals with the management team.
"Infection control practice within the home had improved since our last inspection but remained unsafe."
It continued: "Records were not stored or disposed of securely, we found a person’s medication care plan in the car park, on arrival at the service.
"The provider had failed to display their most recent inspection report and rating both in the home and on their website."
Due to the result of the inspection, Sunnyside Residential Home remains in special measures - which means the CQC will re-inspect within six months to check for significant improvements.
If the provider has not made enough improvement within the six-month period and there are still inadequate ratings, the CQC can begin the process to cancel the home's registration.
A spokesman for Bolton Council said: "We are aware of the findings of the report and are working with both the provider and the CQC to address any concerns."
Parfen Limited did not respond to the Manchester Evening News' approaches for comment.
