A troubled Lancashire care home has been found to be unsafe for residents with some having unexplained injuries.
It also requires improvements in all other areas.
The home can support up to 40 people across two separate units, including providing dementia care.
The inspection found the safety of the care home to be inadequate, with the report saying: “one person had sustained a skin tear during personal care” which added that their care records were not updated and safeguarding processes not adhered to.
It added that another person had “unexplained bruising” and staff had failed to follow procedure.
The care home has a troubled history, having received 'require improvement' on three separate occasions and 'inadequate' in one instance in inspections dating back to 2016.
Regarding the January visit, inspectors had received whistle-blowing information after the inspection regarding the way a staff member “handled people during personal care and allegations of physical harm to a service user.”
They then “raised a safeguarding alert to ensure people's safety and the allegations were investigated in line with the local safeguarding authority's processes.”
The last inspection found the safety required improvement, meaning it has since deteriorated.
Additionally, the inspection found that the home “failed to ensure people's medicines were managed in a safe way.
“People did not always receive their medicines as prescribed which placed them at risk of avoidable harm.
“One person had not received their medicines for five consecutive days because staff had failed to ensure their medicines were available.
“Another person had a long standing history of refusing their medicines, staff failed to inform the person's GP who was responsible for prescribing the medicines.”
Staff did not always follow safe procedures when administering medicines and the manager could not evidence robust action had been taken following two outbreaks of infection disease last year.
However, the inspection noted that: “Relatives and staff told us staffing levels were consistently good.
“A relative told us, "There are always plenty of staff around. I have never had any issues finding staff, managers or nurses. Nurse call bells are answered in good time.”
In some cases, relatives reported that staff are “compassionate and caring”, but inspectors said staff did not always assist enough with personal care needs, such as “we observed a person was supported to shower and staff did not assist them to brush their hair leaving them to look unkempt.”
Some positive feedback was given, such as: “Staff had regular meetings with the senior management team.
“Staff told us they were satisfied with the support they received from the registered manager. “Comments included, "People, staff and relatives are encouraged to be involved in the way the home is run. The manager has an open-door policy. Improvement ideas are well received."
The care home did not respond to a request for comment.