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Liverpool nursing home could be closed down after inspectors found a number of failings including a vulnerable resident being left covered in wet food, visitors able to enter all rooms with security codes and potentially unsafe medicines administered. Finch Manor Nursing Home in Dovecot is run by Lotus Care. It provides nursing or personal care support to people living with dementia or other complex health needs. There were 82 people living at the home at the time of the most recent inspection. The Care Quality Commission (CQC) recently carried out a comprehensive inspection of the home to follow up concerns found in a previous visit and investigate new concerns. A number of safeguarding incidents were reported to CQC by both the provider and the local authority which raised concerns about people’s safety and the management of the service. Following the latest inspection, the service has again been rated as inadequate overall. It received an inadequate rating for all five key areas that were inspected, which assess how safe, effective, caring, responsive and well-led the service is. The watchdog says it has also taken 'additional action' which will be reported on when legally able to do so. The last CQC report said that its last five inspections of the home had continually identified serious concerns with the safety and quality of the service provided for people. There continued to be multiple breaches of the regulations which continued to place people at significant risk of avoidable harm, it said. At the recent inspection, inspectors found a range of failings that put residents at risk of potential harm. This included the fact that incidents of neglect weren’t always reported to the CQC as required. This meant the CQC didn’t have a true picture of the amount of serious and significant failings in people's care. Visitors to the home were given the security codes to freely access all areas of the home including people's bedrooms. This meant people weren’t protected from unwanted visitors and the risk of possible abuse. Inspectors spoke with the chief executive officer about this and on the second day of inspection, action had been taken to address this. Accidents and incident of a similar nature kept repeating at the home. This indicated to inspectors that the system in place to learn from and prevent injuries, care failures and safeguarding events happening again was not robust. This meant people continued to be exposed to preventable harm. The care provider couldn't be sure staff were suitable to work at the home as satisfactory pre-employment checks weren't always completed. Medicines were also managed poorly. When some people’s medicines changed following discharge from hospital or a medical appointment, staff didn’t adhere to these changes and people sometimes received too many medicines. Inspectors found that the atmosphere at the home was not dementia-friendly, with confusing signage, clinical rather than homely rooms and not enough tables and chairs to support all residents to ear meals together. This meant people were missing out on valuable socialising opportunities. The CQC found that Finch Manor staff didn’t always recognise or respond to people's basic needs. For example, one person sat in the lounge all morning and staff did not speak or check on them until lunch. CQC inspectors had to request a blanket for them, as they were cold. They also found that residents were not supported to have maximum choice and control of their lives and their legal right to consent to make decisions about their care and treatment had not been supported in line with legal requirements. Karen Knapton, CQC deputy director of operations in the north, said: “It was worrying to find that the same level of poor care has remained at Finch Manor Nursing Home since our last inspection. We found leaders had still not taken action to address our serious concerns around people’s safety and the quality of the care being provided. This is why we have taken further action against them which we’ll report on when we’re legally able to do so. “We saw there weren’t enough staff, and people who needed urgent help were waiting too long to have their call bells answered putting their health at risk. Safety equipment to help people clear their airways if they started choking, wasn’t always available even though some people had been identified as being at a risk of choking. “Medicines were also managed poorly, including diabetic residents being given insulin without checking whether it was safe to do so, and people running out of medications because the home had forgotten to order more. This placed people at serious risk of harm. “It was concerning that poor systems meant they didn’t learn from accidents and incidents of a similar nature like these to prevent them from happening again." She added: “The home relied heavily on agency staff to support the service which hampered efforts to build a consistent team who knew how to work well together for the benefit of people living there. People told us some agency staff didn't speak English well, so didn’t understand their needs and how to support them. “The care provided wasn't person-centred and didn't always respect people’s dignity. For example, one person's door was left open while they were partially undressed. Another person sat for 20 minutes covered in wet food during lunch before staff assisted them in changing. “We have told Finch Manor Nursing Home to make immediate, rapid and widespread improvements and will monitor them closely to make sure people are safe while this happens. If this doesn’t happen we won’t hesitate to take further enforcement action which can include closing them down.” Lotus Care was approached for a response.