We carried out a review of the data available to us about Butterfly's Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Butterfly's Care Home, you can give feedback on this service.
Butterfly’s care home (Bromley Road) is a care home for up to nine people for adults who have a learning disability, physical disability and complex care needs. At the time of our inspection, there were nine people living in the service. The service is located in Colchester, Essex and is split over two joining bungalows. Each person has a single room and there is a communal bathroom, shower room, kitchen, dining room and lounge. There is a rear enclosed garden at the back of the bungalow with level access. There is parking available at the service as well as on street parking.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
The service has a registered manager. ‘A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At the last inspection, the service was rated Good overall with requires improvement in Safe. At this inspection, we found the service remained Good in Effective, Caring, Responsive, Well Led and improvements had been made within the Safe domain.
The service was safe. The provider’s recruitment processes ensured that appropriate checks were carried out before staff commenced employment. There were sufficient numbers of staff on duty to meet the needs of people and keep them safe from potential harm or abuse. People’s health and wellbeing needs were assessed and reviewed to minimise risk to health. The service had a good management and monitoring structure in place for medication.
The service was effective. People were cared for and supported by staff who had received training to meet their needs. The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough as to ensure they maintained a balanced diet and referrals to health and social care services was made when required.
The service was caring. Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people’s preferences. Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed decisions.
The service was responsive. People and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were supported to follow their interests and participate in social activities. The service responded to complaints received in a timely manner.
The service was Well Led. The service had systems in place to monitor and provide good care and these were reviewed on a regular basis. The registered manager told us that current systems and processes where being updated and improved.
Butterfly’s is a small care home providing personal care and support for up to nine people with a learning disability. On the day of our inspection there was seven people living at the service
There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were well cared for, relaxed and comfortable with staff. People and their relatives were complimentary about the staff team and the quality of care people received. People were cared for by a motivated, caring and well trained staff team. Staff understood how to identify people at risk of abuse and were aware of local safeguarding protocols for reporting any concerns they might have to the relevant safeguarding authorities.
There were shortfalls in the management of people’s medicines and these had not been identified by the medicine audits. This meant we could not be assured that people always received their medicines as prescribed.
Staff had been provided with sufficient guidance and information within care records. Care and support plans were personalised regularly reviewed and accurately reflected people’s care and support needs. This included an assessment of their health care needs and the planning of personalised activities which reflected people’s autonomy and choice about how they lived their daily lives.
People’s likelihood of harm was reduced because risks to people’s health, welfare and safety had been assessed and risk assessments produced which guided staff in how to mitigate these risks and keep people safe from harm. The provider’s recruitment procedures demonstrated that they operated a safe and effective recruitment system. However, we found some shortfalls in the management of people’s medicines. Management audits did not identify the shortfalls that we found and we were not assured that people had received their medicines as prescribed.
The culture of the service was open, inclusive, empowering and enabled people to live as full a life as possible according to their choices, wishes and preferences. The management team provided effective leadership to the service and enabled people to air their views through assessment and planning and regular review of their care as well as satisfaction surveys, one to one and group meetings. This meant that people were consulted and involved in the planning and in the continuous improvement of the service they received.
During this inspection we identified a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.