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A care home provider has been served with a waning after inspectors uncovered a catalogue of failings.
The Care Quality Commission (CQC) raised serious concerns about safety, safeguarding, leadership and the overall quality of care at Manor Park Care Home on Victoria Road in Keighley.
The CQC said: "We have taken action to serve a warning notice to Mr Olu Femiola for failing to meet the regulation in relation to good governance at Manor Park care home."
When the inspection took place on September 3 and 7, the institution, which cares for people with mental health issues, was home to 19 residents.
It received an overall ranking of 'requires improvement', with one category (well-led) deemed 'inadequate'.
Several safety regulations breached
The CQC report found the provider was in breach of legal regulations in relation to staffing, safeguarding and safe care and treatment.
Inspectors said: "The provider did not have a proactive and positive culture of safety based on openness and honesty.
"They did not listen to concerns about safety and did not investigate or report safety events.
"Lessons were not learnt to continually identify and embed good practice."
However, one resident commented: "I like it here.
"It is safer."
'Strong malodour' present in some areas
Inspectors found that, despite staff following the correct measures, the care home did not always assess or manage the risk of infection well.
The report said: "There were concerns about the overall cleanliness of the service, including communal areas, equipment and people's bedrooms.
"There was also a strong malodour in some areas of the service."
Essential hand-washing items were not always available in bathrooms.
Residents left with little to do for long periods
While the CQC noted some positive feedback about the caring nature of staff, inspectors also observed missed opportunities for meaningful engagement with residents.
Most people spent long periods sitting in communal areas with little to do, and the activity board had not been updated since July 2026.
The report said: "People were not encouraged to be physically active, and we observed prolonged periods where people were disengaged in communal areas."
Accidents not managed effectively
Inspectors said accidents and incidents were not effectively managed, with incident forms often marked as complete without evidence of management review.
The report stated: "We highlighted details of concerning incidents that had occurred the provider was not aware of.
"There was no evidence of management oversight to identify themes, trends or common risk factors.
"For example, one person was experiencing an increase in falls and not all the actions that had been identified to mitigate the risk had been addressed."
The CQC also identified shortfalls in staff training, supervision and development.
The training matrix showed poor compliance with mandatory training, including essential topics such as mental health, dementia and learning disabilities.
Staff did not receive regular supervision or competency assessments to support their development.
Poor medication management
Medication management was described as "not robust."
Staff relied on a handset to check and administer medication rather than regularly reviewing medication administration records.
Protocols for "as required" (PRN) medications were in place, but staff did not know how to access them, and there was no documentation to support why PRN medication had been given.
Leaders lacking in 'experience and credibility'
The report also highlighted a lack of leadership and governance.
The provider and registered manager were the same person, and there was no evidence they had completed recent training to ensure they were competent in their role.
The CQC said: "The provider did not have inclusive leaders at all levels who understood the context in which they delivered care, treatment and support, or who embodied the culture and values of their workforce and organisation.
"Leaders did not have the skills, knowledge, experience and credibility to lead effectively, and they did not do so with integrity, openness and honesty."
In response to the assessment, the provider has submitted an action plan and said they are recruiting a new registered manager and nominated individual to help drive improvements.