Four Seasons’ Amelia House in York has been rated Inadequate following an inspection by the CQC.
The home, which is registered to provide care for up to 81 elderly people, was previously rated Requires Improvement.
Debbie Westhead, Deputy Chief Inspector of Adult Social Care in the North, said: “It is disappointing that there has been a further deterioration. Worryingly there were too many examples of unsafe care.”
Inspectors of the service found one person had fallen three times in the previous month as a result of their lap strap in their wheelchair being left unfastened.
The acting home manager said the staff member involved was an agency employee and had not been aware of the need to fasten the strap.
Inspectors found measures had also not been put in place to prevent falls at the service’s dementia nursing unit.
The CQC said it had made six safeguarding referrals to York Council and would be monitoring the outcome of the investigations.
Four Seasons said it was “sorry” that Amelia House had fallen below the standards that it expected its homes to provide.
The provider said it had carried out a “comprehensive programme of improvements” at the service, which was being overseen and supported by its regional manager.
Measures have included hiring an experienced home manager and recruiting staff to reduce reliance on agency and temporary bank staff.
Four Seasons said it had also reviewed staff deployment procedures to ensure that there was always the right number of carers and skills mix on duty.
The spokesperson added: “We have the right systems and processes in place to support a high standard of care, but they were not being used properly. We have been reviewing care plans and records to ensure they are kept up to date and are rigorously followed, along with correct use of equipment such as sensor mats where appropriate.
“We are supporting staff with training, including in dementia care and to reinforce our policies and procedures to maintain quality of care. We are continuing to work to bring the home to the standards we expect to provide.”
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