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
- Inspectors found suitable recruitment checks, enough staff, managed risks and good systems for medicines. They did find one missing entry on a medicines administration record.
- Effective?
- Good
- Staff received training, induction, supervision and appraisals. People were supported with food, drinks, healthcare, activities and decisions about their care.
- Caring?
- Good
- Staff were observed to be kind, respectful and compassionate. People and relatives were involved in care planning and people's privacy, dignity and independence were supported.
- Responsive?
- Good
- Care plans were detailed, personalised and updated when needs changed. People were supported with their interests and activities, and complaints were dealt with through the home's procedures.
- Well-led?
- Good
- The registered manager was visible and knew people well. Regular audits, staff handovers and communication systems were used to monitor care and share information.
What inspectors found, December 2017
Rated Good; inspectors found kind, person-centred care and improvements to medicines management, although one medicines record was incomplete.
This was an unannounced inspection on 6 November 2017. One inspector spoke with people, staff and the registered manager, observed care, and checked care files, medicines records, audits, policies and staff records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable recruitment checks, detailed care plans, kind support and regular checks on the quality of care.
The previous inspection in April 2016 found a breach about medicines records. The home had introduced monthly medicines audits and had addressed the earlier shortfalls. However, one medicines administration record still did not show that medicine had been given on 5 November 2017.
Enough trained staff
Inspectors found enough staff to meet people's assessed needs. Extra staff were used when people went into the community.
“There were sufficient numbers of staff on duty to meet people's assessed needs and when people accessed the community, additional staff were deployed.” from the report
Kind and respectful care
Staff were observed supporting people in a kind and compassionate way. People were treated with dignity and had choices about their daily routines.
“Our observations during the inspection showed staff to be kind, caring and support people in a compassionate manner.” from the report
Personalised support
Care plans included people's preferences, strengths and independence. They gave staff detailed guidance about how each person wanted their care delivered.
“These were fully person centred and gave detailed guidance for staff so that staff could consistently deliver the care and support the people needed, in the way each person preferred.” from the report
Improved medicines systems
The home introduced monthly medicines audits after the previous inspection. Most of the records checked had no gaps or omissions.
“Since the last inspection I now carry out monthly audits on every persons Medication record sheet including doing a stock count.” from the report
One missing medicines entry
needs fixingOne person's medicines record did not show that medication had been administered on 5 November 2017. The registered manager said the staff member's competence would be reassessed.
“We did however find on one person's Medication Administration record sheet (MAR) that on the 5 November 2017 staff had not recorded that medication had been administered.” from the report
- 01What checks are now made to ensure every medicine dose is recorded correctly?
- 02What was the outcome of the staff member's medicines competency reassessment?
- 03How often are medicines audits completed, and how are any actions checked?
- 04How are care plans and risk assessments updated when a person's needs change?
- 05How are staffing levels adjusted when people go into the community?
This was an unannounced inspection covering all five areas, and it found improvements in Safe after a previous medicines breach; the other areas remained Good. This explanation was written from the published report of 6 December 2017 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.
- December 2017Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: Requires improvementEffective: 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.