A council-run home care service has been told it must make improvements after an unannounced inspection raised concerns.
Scotland's social care watchdog, the Care Inspectorate, graded East Lothian Council's Domiciliary Care housing support and care at home services as '2 – weak' for quality of care and support.
The grade is the second lowest possible, and it is the second consecutive inspection where the service has been awarded this grade for quality of care.
A spokesman for the Care Inspectorate said: "We inspected this service in December last year and found concerning gaps in all aspects of the service.
"At the time we said improvements were required.
"Our most recent inspection was completed this month and while progress has been made in some areas, a number of outstanding concerns remain.
"We have informed the service of the areas it must take action on.
"These include ensuring service users' needs and personal plans are up to date and respond to changes in service users' needs.
"The service must ensure all service users have a written plan in place that clearly describes their preferences, their support and care needs and how these will be met, taking into account any associated risks.
"Medication management should also be reviewed and staff practice audited.
"We remain committed to working with the service to ensure it improves, and will be inspecting again soon to check on progress, however, if we do not see evidence of significant improvement we will not hesitate to take further action.
"Everyone in Scotland has the right to safe, compassionate, good-quality care which meets their needs and respects their rights. Anyone with concerns can contact our helpline on 0345 600 9527."
Notes to Editors
The full inspection report can be viewed here: http://www.scswis.com/berengCareservices/html/reports/getPdfBlob.php?id=268003