Background to this inspection
Updated
10 September 2020
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 as part of our Thematic Review of infection control and prevention in care homes.
Inspection team
The inspection was carried out by one inspector and an assistant inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the provider 48 hours' notice of the inspection. This was due to the COVID-19 pandemic to ensure we had prior information to promote safety.
What we did before the inspection
Prior to our visit we requested and reviewed information from the service. We also reviewed information we had received about the service since the last inspection. The provider had completed a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with the relatives of three people who used the service about their experience of the care provided. We spoke with five members of staff including the nominated individual, the registered manager and care workers. We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three 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.
Updated
10 September 2020
About the service
Butterflies C\re and Support Ltd is a care agency. The service supports people receiving personal care in their own home. At the time of the inspection, three people were receiving support with personal care. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
There had been improvements to the quality monitoring processes at the service since our last inspection. However, these processes needed time to be embedded at the service to ensure the improvements could be sustained
People felt safe receiving care from the staff at Butterflies. Staff received up to date and appropriate training for their roles and there were enough staff to provide care in a timely and person-centred way. People’s medicines were managed safely, and staff supported people following the government guidelines in relation to reducing the spread of infection.
People were involved with their care, received care in a person centred way, and felt able to approach the management team with any concerns they had.
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 rating at the last inspection conducted on the 25 November 2019 was Requires improvement (report published 16 March 2020) there were multiple breaches of Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. 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.
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Why we inspected
We carried out an announced comprehensive inspection of this service on 25 November 2019. Breaches of legal requirements were found around safe care and treatment, staffing and governance. The provider was issued with a warning notice. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-Led which contain those requirements.
The ratings from the previous comprehensive inspection undertaken in November 2019 for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained Requires Improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Butterflies Care & Support Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service