Butterley House

Updated 30 January 2021

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 Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was completed by two inspectors

Service and service type

Butterley House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider did not complete the required Provider Information Return. This is information providers are required to send us with key information about the service, what it does well and improvements they plan to make. We took this into account in making our judgements in this report. We spoke with health and social care professionals and reviewed information they shared with us. We used all of this information to plan our inspection.

During the inspection

We spoke with eight members of staff including the registered manager, two team leaders, the two senior care workers, three care workers and the chef. We reviewed a range of records. This included eight people’s care records and multiple medicine records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records shared with us. We contacted by telephone two GP practices, five relatives and a further two staff which included the chef.

Updated 30 January 2021

About the service

Butterley House is a residential care home providing personal and nursing care to 14 people aged 65 and over at the time of the inspection. The service can support up to 37 people.

The accommodation is provided over two floors. The upper floor has bedrooms, toilet and bathing facilities. The downstairs also has bedrooms and toilet and bathing facilities with the addition of communal spaces, a conservatory, a lounge and a dining space.

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

The provider had made many improvements however some were not yet fully embedded to provide us with assurances to support sustainability.

People received personalised care in a homely environment. Areas of the home had been refurbished to ensure spaces were suitable for people to use. People were encouraged to make choices how they wished to spend their day, and these were promoted.

There were sufficient staff to support people and new staff had been recruited in accordance with safe recruiting processes. Staff felt supported and received regular supervision for their role. Staff had received training to enhance areas of care and understanding of some long-term health conditions. Staff had requested further training to develop their individual skill and in relation to end of life care.

People were supported to remain safe. Staff understood how to raise a safeguarding alert or concern. Any received had been investigated and any outcomes shared, this meant people the provider continued to make improvements to peoples safety. . Risk assessments had been completed to ensure measures were put in place to mitigate the risks. Referrals were made to obtain health and social care advice and we saw this was recorded and followed. Medicines were managed safely to ensure people received their prescribed medicine.

Care plans had been developed to ensure all aspects of people’s care was individualised and reflected people’s choices and preferences. Relationships had been maintained through the use of technology and a visiting pod on site.

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 supported this practice.

People enjoyed the dining experience and were given opportunities to be involved in the menu planning. Staff ensured peoples dignity was being respected and showed this through offering choices and understanding people’s needs.

The provider had developed a range of audits which were now being used to ensure quality was maintained and drive further improvements. The registered manager ensured we received notifications regarding incidents or events. There was a complaints policy and relatives felt able to raise concerns and were confident these would be addressed.

The provider had worked in partnership with health and social care professionals to ensure the environment and the care being delivered was in line with current guidance or best practice. Through these interactions, lessons had been learnt.

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

Rating at last inspection (and update) - The last rating for this service was Inadequate (published 27 August 2020), and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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 coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Butterley House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. We will work with the local authority to monitor progress. If we receive any concerning information we may inspect sooner.