What Jeremy Crawford, Unofficially Says
Jeremy Crawford answered the question of what is running water.
To the question:
... Is this only from natural running water, or any water that move?
Jeremy answered:
A body of running water from any source can harm a vampire.
He then clarified, when asked about water elementals:
A water elemental is a creature, not a body of running water (a stream, a river, a waterfall, or the like).
http://www.sageadvice.eu/2016/04/26/vampire-in-running-water/
How it applies
So, based on that, If you can get enough water out of the decanter that it is stream or river like for your DM, then you're good. But even with the clarifications it is a DM call. I personally think 1 foot x 1 foot of moving water is enough to count as a body of running water.
I, personally, would give the vamp a dex save (DC 15??) to see if he can dodge it before it hits him.
One-time thing
I interpret your quote to mean that the "Command Word" is for activation. It doesn't specifically say that you have to use your action to keep moving it, much like you don't have to command a mount with your action.
There are some spells that specifically require using your action or bonus action to continuously move it each turn, such as animating moving illusions with silent image or major image, or moving spell effects around such as with spiritual weapon or Bigby's hand. The flying carpet doesn't specify anything like this (in the same way that those spells do) so there is no reason to think that further actions are needed beyond the initial "command".
If it was intended to work this way (moving it with an action each turn), it would make the flying carpet kinda useless, especially compared to the spell fly or a flying mount (such as via find greater steed, for example) since you wouldn't be able to do anything else but fly. As pointed out by @T.J.L., larger carpets with many on it wouldn't necessarily suffer this problem as only one of them needs to be "driving" with their action.
I'm also reminded of a Beast Master ranger's animal companion, which can be told to move to different positions via commands which require no action. Of course, the flying carpet doesn't specify, so that could be considered an argument to claim that it does require an action since it doesn't say "no action required by you", but I think this is better taken as setting a precedent for verbal commands not requiring actions, and besides, the flying carpet also doesn't say that it does require your action.
Also pointed out by @Premier Bromanov:
[T]here is a distinction between "Command Word" and spoken directions. Whereas the Command Word is coupled with an action and spoken directions are not, and are also generic.
Best Answer
The answer is right there in your question.
The action used to unstop the item and say its command word are one and the same. And because it specifically states that the water pours out after the word is spoken, you must once again spend the activation action in order to reengage the effect.