Results of a Care Quality Commission (CQC) inspection has found improvements are needed at a Maidenhead nursing home.
An inspection of St Mark's Nursing Centre in St Mark's Road, which was carried out on November 1 last year, found it 'required improvement' in three of five Government standards assessed.
These were quality and suitability of management, caring for people safely and protecting them from harm, and providing care, treatment and support that meets people's needs.
The CQC found all standards were met for standards of staffing and also for 'treating people with respect' and involving people in their care.
A spokeswoman for the Bupa-run centre said: "The health and wellbeing of our residents is our absolute priority.
"We took immediate action by improving our medication management systems and reviewing all residents’ care plans.
"All staff are completing further dementia specialist training and renewing their medication training."
Three nurses were suspended while their care practices were investigated. One has now returned to work and two have been dismissed.
Admissions to the home, which were suspended in October, are now fully open.
Care in the Henley unit is provided by Bupa's own staff and an unnamed NHS trust.
The report's evidence is about Bupa's care but also took into account how its team worked with trust staff.
The report stated that people were 'not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not maintained'.
It also found people were not protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to manage medicines.
It stated: "The provider did not have an effective system in place to identify, assess and manage risks to the health, safety and welfare of people using the service."
Inspectors also found that care and treatment was not planned and delivered in a way that was intended to ‘ensure people's safety and welfare’.
The spokeswoman for the centre added they will put in 'whatever resources are needed' to ensure high standards of care are achieved and maintained.
Cllr David Coppinger, cabinet member for adult services and health, said: “St Mark’s Nursing Home continues in its efforts to comply with the standards required by the CQC.
“The council has noted good progress so far and we will continue to work with the home and the Windsor, Ascot and Maidenhead Clinical Commissioning Group to improve those standards that were identified as requiring action.”
The review was published on January 18.
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