Archived: Butterley House Residential Home

Updated 22 May 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection visit took place on the 10 April 2018 and was unannounced. The inspection visit was carried out by one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Their area of expertise was with older people and people living with dementia.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We spent time observing care and support in the communal areas. We observed how staff interacted with people who used the service. We spoke with nine people who used the service and six relatives. We also spoke with three members of care staff, the registered manager and the provider and a visiting health care professional. We did this to gain people's views about the care and to check that standards of care were being met.

We looked at the care records for four people and we checked that the care they received matched the information in their records. We also looked at records relating to the management of the service, including medicine records, quality checks and audits and staff files.

Updated 22 May 2018

The inspection took place on 10 April 2018 and was unannounced. Butterley House Residential Home is a care home that provides accommodation with personal care and is registered to accommodate 37 people. The service provides support to older people who may be living with dementia. The accommodation is on the ground and first floor and there are two lounge areas, a dining room and an activity and reminiscence room. The home is on the outskirts of Ripley in a rural location and has a car park for visitors to use. Public facilities and transport services may not be accessible for all people due to the rural location.

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.