Agency staff told the CQC they had not read care plans, did not have access to the electronic care recording system and relied on permanent staff to obtain information and complete documentation.
Officials witnessed agency staff who were unable to identify the names of people they were supporting.
Communal areas occupied by people at risk of falls were left unsupervised for periods of up to 15 minutes and call bells were observed ringing for up to 20 minutes without response.
On one occasion, a person assessed as being at high risk of falls attempted to stand independently while no staff were present, requiring intervention from a CQC inspector to prevent potential harm.
Inspectors found the home was in breach of regulations in relation to safe care and treatment, medicine management, staffing, dignity and respect, need for consent, person centred care, nutrition and hydration, safeguarding and management of the service.
Robinson said the council would address reliance on agency staff and said whilst it was a “difficult sector to operate and recruit in”, he would not “hide behind that as an excuse” for the failures.
Andrew Peck, the CQC’s deputy director for adult social care in the North West, said: “We’ve told leaders where it must improve, and we’ll continue to monitor the home closely to make sure people are kept safe while those changes happen.”
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