Archived: Butterflies In Andover

Updated 8 January 2022

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.

Inspection team

The inspection was completed 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.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

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 service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with one person who used the service and five relatives about their experience of the care provided. We spoke with members of staff including the registered manager and five care staff.

We reviewed a range of records. These included three people’s care records and multiple medication records. We looked at five 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 8 January 2022

About the service

Butterflies in Andover is a domiciliary care provider. At the time of this inspection 24 people received personal care support from the service. The service supported older people, some of who were living with dementia, within their own homes.

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

The service was not always well led. Staff did not always feel supported by the registered manager however relatives we spoke with were happy with the service provided.

There were systems in place to monitor the quality and safety of the service provided, however these were not always effective or clear how they were being used to measure, or improve, the quality of the service provided.

Relevant recruitment checks were conducted before staff started working at the service to make sure they were of good character and had the necessary skills. However, for some staff further checks were required to obtain a full employment history.

Not all staff received regular support and one to one sessions or supervision to discuss areas of development and to enable them to carry out their roles effectively. Training in manual handling was provided on line at present while the service was looking for a new trainer to provide practical training.

People using the service and their relatives, told us they felt safe. Staff understood and followed guidance to enable them to recognise and address any safeguarding concerns about people.

There were plans in place for foreseeable emergencies. Risks concerned with people’s health care and the environment were assessed and reduced as far as was practicable.

People were supported to take their medicines safely. Staff were provided with training and checked to ensure they were following correct procedures.

Staff had the skills and qualities and skills to deliver effective care and staff felt supported by the training offered. People were supported with their nutritional needs when required.

Staff contacted healthcare professionals when they had concerns about people’s health and wellbeing.

People were treated with kindness and compassion. Staff were able to identify and discuss the importance of maintaining people’s respect and privacy at all times.

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. Policies and systems in the service supported this practice.

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

Rating at last inspection

This service was registered with us on 24 August 2020, and this is the first inspection.

Why we inspected

This was a planned inspection.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

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