Staff at Clifton House in Birmingham did not help until health inspectors asked, the watchdog says.
Inspectors visited the residential home on Clifton Road, which provides care for 39 people mostly with dementia, on 5 October and said the service requires improvement.They wrote: "People's privacy, dignity and independence were not always respected.
Inspectors also raised concerns that best practice was not being followed for two people receiving end-of-life care and that patients were not being supported to take part in activities. "People did not receive support to follow their interests or take part in meaningful daily activities. We observed people sitting around with no meaningful activities or engagement from staff for extended periods."
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