An inspection into a Fylde coast care home has revealed how an unregistered nurse worked there during a shift.
Tudor Manor, on Clifton Drive, South Shore, was inspected on March 11 by the Care Quality Commission (CQC), and told it required action to be taken in two areas.
The inspectorate found action was needed in “safeguarding people who use services from abuse” and “management of medicines”.
The CQC revealed a nurse, who was not registered with the Nursing and Midwifery Council (NMC), had stepped in to cover for someone when they fell ill the weekend before the inspection.
The report said: “This situation was not managed appropriately.
“The person who covered the shift was no longer registered with the Nursing and Midwifery Council (NMC). Anyone not registered with the NMC cannot practise as a nurse or midwife. This means the home had been staffed without a registered nurse during that shift.”
Inspectors also said some residents may have suffered “unnecessary pain” because a medicine round took three-and-a-half hours to complete.
People were “at risk” of not receiving their medicines at the right time, and one person received pain relief medicine two hours later than prescribed. The round started at 9am on the day of the inspection, but it took staff until 12.30pm to complete.
Although the report noted the routine was carried out in “an organised and unhurried way”, it said it took too long.
It said: “Managers told us they were planning to recruit an extra nurse to support the morning medicines round, as it was complex and often took a long time to complete.
“However, the length of this medicines round meant people were at risk of receiving their medicine two hours later than prescribed, so there was a risk they might have suffered unnecessary pain.”
However, despite being told to take action in town areas, the inspectors also observed good care practices, and people were having their nutritional needs met. The people spoken to at the home said they were happy and enjoyed living there.
Care records were also being maintained, recording care delivery, hygiene support and food intake. The home met six out of the eight standards inspected.
A spokeswoman for the home said: “Nothing is more important to us than the health, safety and wellbeing of those we support.
“We can confirm the CQC conducted an inspection of our home three weeks ago.
“While we were pleased with the positive feedback that we received, we were also given clear guidance for improvement.
“We immediately implemented a full action plan to ensure we addressed this area swiftly and completely.
“We look forward to our next inspection and demonstrating the significant improvements made. This is what the residents and their relatives deserve.”
A Blackpool Council and Blackpool Clinical Commissioning Group spokesman said the situation at the home is being monitored, adding: “The home is responding to the criticisms levelled by the CQC and is working to an action plan to address the shortcomings highlighted in the CQC’s report.”