5 January 2021
During a routine inspection
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.