The running of a Girvan nursing home has been criticised in a lengthy report by a watchdog body.
Ainslie Manor in the town's Stranraer Road, which caters for 45 older people, including those with dementia, was rated as 'weak' in three key categories.
The findings were revealed following an unannounced visit on May 9 and 10 by two inspectors from the Care Inspectorate.
During the two day investigation they spoke to residents, their families and staff.
In their detailed 12-page report, published this week, the inspectors said: "Whilst we identified some strengths these were compromised by significant weaknesses.
"The service needs to improve on people's experiences in the care home.
"There was a need to develop the skills and knowledge of staff to improve outcomes for people living with dementia.
"The management of medication needs to be improved to ensure that people's health needs are supported safely and effectively."
The 'weak' grades were given to the home's support for wellbeing, its leadership and its staff team.
The home's care and support for residents, setting, and facilities were described as adequate.
The inspection report added: "We had concerns that the principles of respect, dignity and choice were not fully promoted.
"People did not always experience compassionate care and support and there were instances when staff engagement with people was poor.
"Staff spoke over people's heads, did not always acknowledge people when they were in the room, or wait for a response to questions asked. This could make people feel isolated and ignored.
"Resident comments included 'activities are a bit thin on the ground', 'the garden is off limits, unless you have staff with you', and 'I'd like to go a walk or bake, but don't get a choice to do that here'."
The inspectors also found gaps in health and safety records which they said raised additional concerns over the homes 'quality assurance systems'
Ainslie Manor, which is run by Cumloden Nursing Homes Ltd, was given until July 6 to improve medication management, staff training and recruitment.
There was, however, some praise for the home from the two inspectors.
They said: "There were plans for improving access to the garden. We saw some redecoration had been done, [and] there were also plans for replacing flooring.
"This will ensure that people benefit from high quality facilities.
"The manager was responsive when we highlighted any areas of concern within the environment.
"There was a willingness to improve facilities for the outcomes for the residents."
A spokesperson for Ainslie Manor said:"The Care Inspectorate report does not paint the full picture of life at Ainslie Manor Nursing Home.
"We pride ourselves on caring for the needs of our residents and to enhance their lives. We have had no concerns from residents or their families and relatives, therefore we are disappointed with the findings from the latest inspection.
"We have already sought action to rectify the key concerns from the inspection. We worked on updating the process of medication audits and scheduled extra dementia training for our staff.
"We will continue to work with the Care Inspectorate to ensure that we can deliver quality care that meets the needs, rights and choices of our residents."
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