Butterfly House

Updated 12 January 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

Butterfly House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under 1 contractual agreement dependent on their registration with us. Butterfly House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This first visit to the service was unannounced. The people living at the service were all out. The second visit was announced as we wanted to be sure the people and staff were at home to speak with us.

We attempted to visit the service on 22 November 2022 and returned on 24 November 2022. We had a telephone meeting with the registered manager and spoke with relatives on 5 December 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used information gathered as part of monitoring activity that took place on 22 June 2022 to help plan the inspection and inform our judgements. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

The inspection

We met the 4 people who lived at Butterfly House. Where people were unable to talk with us, we used observation to help us understand their experience of using the service. We had phone or email contact with 3 relatives for their feedback about the service.

We met or spoke with the registered manager, the team leader and 3 members of care staff. We reviewed a range of records. This included 4 people’s selected care and medication records. We looked at 2 staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including policies and procedures.

The provider gave us online access to their care records and sent us training data and quality assurance records. We contacted a professional who worked with people at the service but did not get a response.

Updated 12 January 2023

About the service

Butterfly House is a residential care home providing accommodation with personal care for up to 4 people with a learning disability or autistic people. At the time of this inspection there were 4 people using the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People’s experience of using this service and what we found

We observed that people were relaxed and happy at Butterfly House. Relatives were positive about the care people received. A relative told us, “[Person] has a full life and is loved and cared for.”

Right Support:

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service partially supported this practice. We made a recommendation about review processes where people were being restricted or where decisions were made in their best interest.

Staff supported people to take part in activities and pursue their interests in their local area and to interact online with people who had shared interests.

Staff enabled people to access specialist health and social care support in the community.

The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs.

Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.

Right Care:

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

The service had enough appropriately skilled staff to meet people’s needs and keep them safe.

People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.

Right Culture:

Staff placed people’s wishes, needs and rights at the heart of everything they did.

Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.

People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.

People and those important to them, were involved in planning their care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection

This service was registered with us on 10 October 2020 and this is the first inspection.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of right support, right care, right culture.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.