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CQC report explained · a residential care home

What the CQC found at Butlers Mews Care Home

Goodpublished 13 December 2023, 2 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm, and inspectors found enough suitable staff. One person's medicinal cream had not been dated when opened, although staff took immediate action and there was no evidence of harm.
Effective?
Good
People's needs were assessed and staff worked well with health and social care professionals. People were supported with food, drink, healthcare, mobility and their legal rights.
Caring?
Good
Staff had developed strong relationships with people and treated them with kindness, dignity and respect. People were involved in everyday decisions about their care.
Responsive?
Good
Care plans reflected people's histories, preferences and interests. People were supported with communication, activities, relationships, complaints and end-of-life care.
Well-led?
Good
Inspectors found an open and constructive culture. Managers checked the quality of care, listened to people and staff, and worked well with health professionals.
The latest report, explained

What inspectors found, December 2023

Butlers Mews Care Home was rated Good; inspectors found kind, safe care, with one medicines labelling issue and some care plans still being developed.

This was the first inspection since the home registered in June 2023. One inspector visited on 14 and 16 November 2023. The first visit was unannounced and the return visit was announced.

Inspectors spoke with 7 people, 4 relatives, 16 staff and 4 visiting health and social care professionals. They reviewed care records, medicines records, recruitment and training files, meetings, audits and other safety records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People were protected, treated with kindness and involved in their care. Inspectors found one cream had not been dated when opened, but staff acted straight away and there was no evidence of harm.

What inspectors praised
  • Enough suitable staff

    Inspectors found enough staff to meet people's needs. Recruitment checks helped protect people from harm.

    “The provider ensured there were sufficient numbers of suitable staff.” from the report
  • Good health support

    Staff monitored people's health and worked closely with health and social care professionals. This helped people receive timely support.

    “The provider worked exceptionally well within and across organisations to delivery effective care, support and treatment.” from the report
  • Personalised activities

    Staff used people's histories and interests to plan activities. People could take part in social activities, trips, reminiscence and one-to-one time.

    “Staff took time to find out what was important to people and used this knowledge to support them to maintain their well-being through a range of activities.” from the report
What inspectors were concerned about
  • Cream opening date not recorded

    minor

    One person's medicinal cream had not been dated when it was opened. Inspectors said this could increase the risk of it being used after its disposal date, although there was no evidence of harm and staff acted immediately.

    “We found one instance where a person's medicinal cream had not been dated on opening.” from the report
  • End-of-life care plans being developed

    minor

    The manager planned to create separate end-of-life care plans so important information would be easier for staff to find. Families should ask whether this work is now complete.

    “The registered manager intended to develop separate care plans so this information was easily accessible to guide staff.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure every medicinal cream is dated when it is opened?
  2. 02Have the separate end-of-life care plans been completed, and how are relatives involved in them?
  3. 03How are relatives invited to contribute when care plans are reviewed or people's needs change?
  4. 04What activities and community links are currently available for the person who would be moving in?
  5. 05How do you use feedback from the new surveys, meetings and suggestions box to improve care?

This was the first comprehensive inspection of the newly registered home and all five ratings were assessed. This explanation was written from the published report of 13 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Butlers Mews Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. December 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Butlers Mews Care Home →

  2. June 2023

    Registered with the Care Quality Commission on 7 June 2023.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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