Inspectors rated a Harpenden care home as "requires improvement" identifying a lack of staff and ineffective infection prevention control measures as a concern.
The Care Quality Commission (CQC) inspection report for Field House Care Home, on Townsend Road, was published this month.
Four of the five factors assessed by the report - Safe, Caring, Responsive and Well-led - were rated as 'requires improvement' by inspectors.
Only 'Effective' was rated as "good" in the report.
Issues with the home, which supports up to 35 people, were identified with the report stating "staff did not always provide respectful, dignified care".
It continued: "People's end of life care plans were not personalised.
"We observed a lack of meaningful activity during both our visits."
The report, published on Tuesday, November 7, also noted "the home lacked atmosphere with few homely features throughout" and that "the provider had not ensured there were enough staff for people to receive good quality care."
The findings of the report mean that the service has been rated as 'requires improvement' for two consecutive inspections, following its previous inspection in October 2019.
When approached for comment, Kerry John, managing director for Field House Care Home said: "We’re committed to providing quality care, and have a detailed improvement plan in place at the home.
"Since the inspection in early-October, we have refreshed training for our people to ensure our high standards are met.
"The local authority conducted a visit on October 26, and we were pleased it found that our interactions with residents were caring and attentive, and the home was well-staffed to deliver compassionate personalised care.”
Bupa also confirmed: "We acted immediately on the CQC's concerns, reviewing all care plans and making sure they are personalised to each resident’s needs.
"Field House care home is fully staffed, providing compassionate care with dignity and respect for our much-loved residents.
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"We’ve refreshed our training for resident care, particularly end of life care, which we continue run regularly.
"We’ve also refreshed our activities programme to provide meaningful and engaging activities for residents, to enjoy life in the home.
"We recently installed a new medication administration system, eMAR, for which our people are trained and confident in using."
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