A Londonderry care home is failing to meet basic safety standards less than two years after faeces was found on the floor of the premises, it can be revealed.
Greenhaw Lodge Care Centre has been handed two failure to comply notices by health watchdog the Regulation and Quality Improvement Authority (RQIA).
It comes after inspectors found residents had been going without medication, and were sharing medication.
The home offers specialist care for people with dementia, those at end of life and alcoholics, and charges in excess of £1,000 a week for a place in its specialist dementia unit.
The RQIA visited the home on February 25 and identified a number of failings in the governance arrangements and management of medication, prompting it to issue formal proceedings.
The failure to comply notice said: "We found that some patients had not received their medicines as prescribed which is essential to ensure that their health and welfare is not being compromised."
It added: "It was noted that 15 out of 20 patients sampled had been without one or more doses of their prescribed medicines within the last 28 days.
"The nurses had not recognised that medicines not being available for administration had the potential to adversely affect patient care. There was evidence that one patient's medicine had been used for another patient as they had no supply of their own.
"There was evidence that medicine administration records were not completed accurately.
"The medicines overstock cupboards were unlocked, very disorganised and the treatment room required cleaning."
Among the measures the home has been ordered to put in place include staff training and the implementation of processes to better manage medication in the home. Management has been given a deadline of the end of April to meet the requirements.
In June 2018 the RQIA uncovered a series of lapses in basic hygiene levels. Management of the home was summoned to an urgent meeting with the RQIA after the visit, but no enforcement action was taken.
A later inspection in June last year highlighted further concerns about the environment in the home.
A spokesman from the home said: "Senior management are committed to working in partnership with the RQIA to ensure all actions required to comply with regulations are implemented within the allocated timeframe."