10 April 2018
During a routine inspection
Butterley House Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection there were 36 people using the service.
At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. However, we found the service needed to make improvements to medicine management systems which meant ‘Is this service safe?’ was now ‘requires improvement’.
People felt safe and were protected from harm and abuse. Staff were knowledgeable in safeguarding people and knew how to respond if they had any concerns. Risks to people were assessed, managed and reviewed to minimise potential harm. The provider had safe recruitment processes in place. Lessons were learnt from when mistakes happened.
Staff had the knowledge and skills needed to carry out their roles and received training and support to be enable them to care for people well. People were supported to maintain a balanced diet and enabled to maintain good health. The environment met people’s needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. When people were not able to make decisions about their care and were being restricted, the provider ensured this was authorised legally.
People were supported by staff who were respectful and kind towards them. Staff knew people well and cared for them in a dignified manner. People’s privacy was respected and their independence promoted. People’s diversity was recognised and promoted by the staff; people were supported to follow their religious beliefs and to maintain important family relationships and visitors were made to feel welcome.
People were involved in the assessment and planning of their care. The staff responded to people’s changing needs and they received support that was individual to them. There were opportunities for people to participate in activities they enjoyed. People could raise any concerns or complaints and were confident their concerns were acted on. The staff and registered manager were approachable and listened to what people wanted to say.
Quality assurance systems were in place to monitor the service and drive improvements. There was a positive culture within the home and staff felt supported by the management team.
Further information is in the detailed findings below.