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 felt safe and staff understood safeguarding and individual risks. Medicines were managed safely, although the service had previously needed to introduce extra checks after medicine errors.
- Effective?
- Good
- Staff had training, competency checks and a thorough induction. People were supported with food, health appointments, communication needs and decisions about their care.
- Caring?
- Good
- Staff knew people's preferences and treated them with dignity and respect. People were involved in decisions and supported to maintain relationships and build independence.
- Responsive?
- Good
- Care plans recorded people's needs, routines, preferences and communication needs. People could choose activities and access the community, but end-of-life planning was not yet fully developed.
- Well-led?
- Good
- Inspectors found the home well managed, with regular audits, staff meetings and opportunities for people and staff to give feedback. The management team showed a focus on learning and improvement.
What inspectors found, April 2019
Butterfly's Care Home was rated Good; inspectors found safe, caring and personalised support, but end-of-life planning needed development.
Two inspectors visited the home and spoke with four people, two relatives and four staff. They observed care and checked care plans, medicines records, recruitment files, training records and quality checks.
The home supported up to nine adults with learning disabilities. Eight people lived there at the time. Inspectors found that people were safe, treated with dignity and supported to make choices and become more independent.
Staff knew people well, supported their health and medicines, and helped them take part in activities. One environmental risk involving wardrobes was dealt with immediately.
All five areas were rated Good, so the overall rating remained Good. This was the same overall rating as at the previous inspection, published in May 2016. Inspectors recommended developing end-of-life care plans.
Safe staffing and medicines
Recruitment checks had been completed and there were enough staff to meet people's needs. Inspectors found that medicines were stored, given and checked safely.
“Medicines continued to be managed safely. Systems were organised and people were receiving their medicines when they should.” from the report
Kind, individual care
Staff understood people's likes, dislikes and communication needs. Inspectors saw respectful interactions and meaningful relationships between staff and people.
“Staff knew people well and had developed meaningful relationships with them.” from the report
Choice and independence
People helped shape their care, activities and surroundings. Staff encouraged people to do more for themselves and supported them to make their own decisions.
“People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible” from the report
Activities and community access
People took part in activities inside and outside the home, including community trips and exercise. Activities had been changed in response to people's views.
“People were able to follow a variety of interests and activities both internally and externally to the service.” from the report
Inspectors raised no specific concerns in this report.
- 01Have end-of-life care plans now been completed for each person, and how are their wishes recorded and reviewed?
- 02Have all staff received the end-of-life training that was identified as needed?
- 03What checks are now carried out after medicine rounds to prevent further medicine errors?
- 04How do you check that wardrobes and other furniture remain securely attached and safe?
- 05How are people's views about activities recorded and used to update the activities rota?
This was a planned inspection covering all five CQC questions, with the report stating that the home and the care provided were both looked at. This explanation was written from the published report of 3 April 2019 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 3 years: the service has held its Good rating throughout.
- April 2019Goodcurrent 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
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Most charge £1,020 to £1,260 a week. 25 can care for a couple. 10 years' experience on average.
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