A care home has been placed in special measures after staff failed to carry out rulings from an earlier inspection.
The Swallows Residential Care Home in Haverhill, Suffolk, has been moved from "requires improvement" to "inadequate".
Inspectors from the Care Quality Commission (CQC) said checks were prompted in relation to building security and standards of care.
A CQC spokeswoman said she was "extremely disappointed" at the findings.
The management at the home has been approached for comment.
The Swallows is an adapted residential care home currently providing personal care to 12 people aged 65 and over.
The CQC said people, including those living with dementia, were "not always safe and were placed at risk of harm".
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Inspectors said this was "due to the condition of the environment, poor infection control processes, medication management and lack of consideration of fire safety measures at the service".
They also found food management in the kitchen "wasn't always hygienic" and concerns had not been addressed despite an environmental health department visit.
Inspectors said the culture at the care home "didn't always respect people's privacy, confidentiality and dignity".
Fire safety checks were also not routinely completed, they found.
A previous report - published in July 2021 - found the care home required improvement, and the CQC found "a breach of Regulation 12 of the Health and Social Care Act", because "infection control processes were not adequate".
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