INSPECTORS who made an unannounced inspection of a Rainhill nursing home found there was no registered manager in post.

The Care Quality Commission team visited Ranelagh Grange Care Home, in Stoney Lane, in August as part of the ongoing monitoring of the facility.

Though rated 'good' in three key areas - effectiveness, caring and responsiveness - by inspectors, it still requires improvement in both safety and leadership, and it was considered as 'requiring improvement' overall.

The inspectors' report noted that although a registered manager was not in place at the time of the visit, her registration was confirmed following the inspection.

This comes after a CQC report in May recorded that the home had been banned from admitting any more residents after a number of regulations were broken.

During the latest visit, it was found that while improvements had been made in the management of residents' medication, there were some concerns that staff had failed to properly monitor outcomes, register allergies and administer medicine at the correct times in the case of one person. This was in breach of Health and Social Care Act regulations.

They also found that the manager had provided training for all staff in applying creams, self-assessments and care plans were completed, and a chart had been produced and put in place which recorded the use of fluid thickener.

The CQC report of the August visit, published last week, states: "There were systems in place for monitoring the quality of the service and making improvements. However, despite improvements made in relation to the management of medicines we found some checks failed to identify other concerns.

"Although we received confirmation from the manager during and following the inspection that they had acted upon the concerns, we need to be assured that the improvements are sustained.

"We recommend that the service strengthens the current systems in place for checking on people's medication to ensure that people always receive their medication safety."

A CQC report in May 2016 said the home - which accommodates people with physical disabilities and dementia - had been banned from admitting any more residents after regulations were broken. The latest report says many of these issues have now been addressed.