Staff at an Ilkeston care home referred to elderly residents as 'psychotic', 'unkempt' and 'attention seeking', according to a report.
Workers at Ashford Lodge Nursing Home used the 'derogatory language' on handover sheets, an inspection by the Care Quality Commision (CQC) said.
The health watchdog, which assessed the home on January 18, detailed that staff also described residents as 'kleptomaniac' and 'vacant' - all "outdated" language that "did not promote a positive culture", inspectors found.