CQC report explained · a residential care home
What the CQC found at Butterfly's Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected by personalised risk assessments, safeguarding procedures, safe recruitment and suitable staffing. Medicines were managed safely overall, but not all medicines received had been entered on the medicines administration record.
- Effective?
- Good
- Staff had suitable training, supervision and competency checks. People were supported with food, drinks, healthcare appointments and decisions about their care.
- Caring?
- Good
- Inspectors saw kind and dignified support. Staff understood people's non-verbal communication, respected privacy and promoted independence and choice.
- Responsive?
- Good
- Care plans reflected people's preferences, routines and changing needs. People were supported with activities, family relationships, holidays and opportunities to share their views.
- Well-led?
- Good
- The manager was visible and accessible, and staff described an open team culture. Audits, incident reviews and feedback systems were used to monitor safety and improve the service.
What inspectors found, February 2018
Rated Good; inspectors found kind, personalised care, with a small medicines recording issue and some concern about community access.
This was an unannounced, comprehensive inspection on 11 January 2018. One inspector observed care, spoke with the manager and staff, spoke with four relatives, and reviewed care records, recruitment files, training records and safety checks.
The home was rated Good in all five areas: safe, effective, caring, responsive and well-led. Inspectors said the home remained Good since the previous inspection in June 2016 and that all relevant standards were met.
Inspectors found a caring and well-trained staff team. Care plans were personal and regularly updated. Risks, medicines, staffing, food, healthcare, activities and complaints were generally managed well. One medicines record was incomplete, and a relative was unsure whether there was always enough staff for community activities.
Personalised care
Care plans were individual and kept up to date. They explained people's health, safety, routines and preferences.
“Care and support plans were personalised, regularly reviewed and accurately reflected people's care and support needs.” from the report
Kind staff
Inspectors saw staff supporting people in a kind and dignified way. Relatives were also very positive about the care.
“People were supported by staff in a kind, caring and dignified manner.” from the report
Choice and independence
People were involved in decisions about their care and daily lives. Staff supported independence while considering safety.
“People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible” from the report
Stable staff team
The home had an established staff team and did not need agency staff. Staff received training, supervision and competency checks.
“People received consistent care from a stable, established team of staff, without the need to use agency staff.” from the report
Open management
The manager was visible and approachable. Staff said they could raise concerns and suggest improvements.
“There was a positive, enabling culture.” from the report
Medicines records
needs fixingOne medicines stock check did not fully match the administration records. Some medicines received had been recorded in audit records but not on the medicines administration record, and the manager said this would be corrected.
“However, not all medicines received had been recorded on the MAR record but had been recorded within audits records when received.” from the report
Access to the community
minorOne relative was unsure whether there was always enough one-to-one staffing for walks, swimming and other community activities. Staff and the manager gave examples of community access, but said weather and the home's location could limit it.
“I am not sure there is always enough staff to enable them to do this.” from the report
- 01How do you now make sure every medicine received is recorded on the medicines administration record?
- 02How do you check that each person receives their planned one-to-one time outside the home?
- 03How often can residents go for walks, swimming or other community activities, and what happens when weather or staffing prevents this?
- 04How are changes in a person's health, communication or preferences recorded in their care plan?
- 05How can residents and relatives raise concerns, and how will they be told what action was taken?
This was an unannounced comprehensive inspection covering all five questions; the previous June 2016 inspection was also rated Good overall. This explanation was written from the published report of 3 February 2018 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's Care Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Registered with the Care Quality Commission on 27 January 2014.
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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35 live-in carers within about an hour of Essex
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 £1,020 to £1,260 a week. 25 can care for a couple. 10 years' experience on average.
“Not only was she professional, polite and efficient but she bought a lovely smile and laughter to my parents home.”
“She brought fun and stimulation into mums life.”
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.