CQC report explained · a residential care home
What the CQC found at Butterfly House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Staff understood safeguarding and risk management. Care plans and risk assessments were detailed and regularly updated, medicines were managed safely, and infection control arrangements were in place.
- Effective?
- Good
- Staff had relevant training, supervision and support. The person's dietary and healthcare needs were met, and staff followed best-interest and least-restrictive principles.
- Caring?
- Good
- Inspectors saw staff speaking kindly and treating the person with dignity. Staff encouraged the person's independence and involved them and their relative in decisions.
- Responsive?
- Good
- Care plans included the person's preferences, life history and important relationships. Staff adapted communication, supported activities and social opportunities, and had a complaints procedure.
- Well-led?
- Good
- The registered manager and staff showed a person-centred approach. Audits, staff supervision, competency checks and feedback processes were used to monitor and improve care.
What inspectors found, November 2021
Butterfly House was rated Good; inspectors found safe, kind and personalised care, with recruitment and building work still ongoing.
This was the first inspection since the home registered in 2019. One inspector visited on 9 November 2021, met the person living there briefly, and received feedback from a family member, two health professionals and four staff.
The inspectors reviewed care plans, risk assessments, staff recruitment and supervision records, medicines records, and management documents. They also checked infection prevention and control measures, including the home's readiness to manage COVID-19 and other infections.
All five areas were rated Good: safe, effective, caring, responsive and well-led. Inspectors found staff understood the person's needs, encouraged independence and choice, managed medicines safely, and worked with health professionals. The person had personalised care, social activities and access to a complaints process.
Personalised support
Care plans recorded the person's preferences, life history and important relationships. Staff involved the person in daily choices, activities and care planning where possible.
“The person's records included details of life histories, wishes and preferences.” from the report
Promoting independence
Staff encouraged the person to wash, dress and do more for themselves. The person's support focused on building skills, choice and independence.
“The person's independence was promoted.” from the report
Kind and respectful staff
Inspectors observed friendly and kind interactions. Feedback from family and health professionals was also positive about the care and attention given.
“We observed staff sitting with the person and speaking with them in a friendly and kind manner.” from the report
Good risk management
Staff understood the person's risks and updated care plans regularly. Building changes had been made to make the environment suitable and safe.
“Behaviour risk assessments, behaviour monitoring records and care plans were detailed and contained up to date information.” from the report
Health and professional support
Staff supported access to healthcare and worked with external professionals, including psychology services. The home also maintained a Health Action Plan.
“Where needed, staff supported the person to access community healthcare professionals such as the GP and psychology.” from the report
Recruitment was ongoing
minorThe home was still recruiting to maintain consistency of care. Families may want to ask about the current staffing team and how continuity is being maintained.
“Recruitment was ongoing to maintain consistency of care.” from the report
Building work was continuing
minorExtension work was taking place during the inspection. A safety plan and risk assessments were in place, but families should ask how this affects the person day to day.
“There was a plan in place to ensure the person and staff were safe during current extension building works.” from the report
Dental appointment pending
minorStaff monitored oral care, but a dentist appointment was still being arranged at the time of inspection.
“A dentist appointment was in the process of being made.” from the report
- 01How many staff currently work at the home, and how are you maintaining consistency while recruitment is ongoing?
- 02How is the current extension building work affecting the person living here?
- 03What progress has been made in arranging the dentist appointment?
- 04How will my relative be involved in care planning, menu choices, activities and daily decisions?
- 05How would you support my relative's particular communication needs, preferences and risks?
This was the first inspection of the newly registered care home and covered all five CQC questions, including infection prevention and control; one person lived at the home at the time. This explanation was written from the published report of 27 November 2021 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.
Every inspection of Butterfly House
Each visit the CQC has published, newest first, back to the day the home was registered.
- November 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2019
Registered with the Care Quality Commission on 5 February 2019.
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.
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What to check when you visit
At least 100 live-in carers within about an hour of Dudley
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,230 a week. 88 can care for a couple. 10 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
“Knowing Mum was in Corina's care made an enormous difference to us and we knew she was in safe hands.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.