Residents at an Aberdeen care home were left almost naked after a shower and without their dentures at mealtimes, according to a watchdog report.
The Care Inspectorate report revealed staff at Banks O’ Dee in Torry were not aware of how some pensioners wanted to be treated if they fell seriously ill and needed to be resuscitated.
Inspectors issued their findings following an unannounced visit in September.
The watchdog returned this January, where it found that none of the seven proposed improvements it asked for had been made.
The Care Inspectorate has released the findings from that visit which showed how residents’ plans for palliative or end of life care were not always accurate.
The report said: “The service used a high level of agency and temporary staff and there was a potential for residents’ wishes regarding active resuscitation not being complied with.”
During the visit, it was noticed a resident had been wheeled from the shower to their bedroom on a commode and left “only partially dressed, with a towel covering their groin”.
Another pensioner had spent 14 hours in bed as no one was available to help them get up.
When the watchdog asked staff about the issue, they were unable to confirm when the resident had last eaten.
A requirement, made on November 22, was failed to achieve after inspectors became aware of a number of “unwitnessed falls or injuries” and were present to see a resident fall in the late evening.
It added: “There were no staff present within the area at the time. This is the
second serious fall this resident had had in recent months.
“There was the potential that this fall could have been prevented or harm reduced.”
Those living at the care home were spending “prolonged periods” alone.
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In addition, three of the five fall-sensor mats which were tested were faulty.
And inspectors noted a “significant number” of residents had lost valuable items including hearing aids, dentures and glasses.
The report said it prevented them from being able to communicate fully and meant one person had to avoid their favourite foods as they were unable to chew properly.
Staff morale was noted as “poor” and “high turnover of staff and a significant number of last-minute absences” meant the facility “relies heavily” on agency and temporary staff.
A spokesman for Four Seasons said: “We regret that our concerns are reflected in the Care Inspectorate report.
“Four Seasons has been engaging with the council and other care providers to see if there is another operator interested to take on the home.”
Aberdeen City Health and Social Care Partnership has confirmed plans are in place to relocate its 49 residents if a new provider cannot be found.