Butterfly's Care Home

Updated 3 February 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 checked 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 comprehensive inspection took on the 11 January 2018 and was unannounced.

This inspection was carried out by one inspector.

Prior to our inspection, we reviewed information available to us about the service, such as notifications that had been sent to us. A notification is information about important events, which the provider is required to send us by law.

Prior to our inspection, the provider completed a Provider Information Return (PIR). 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. Due to technical difficulties, not all of the information we requested was received but was provided during the inspection.

Because people using the service were not able to fully describe their experience of living in the service, we observed interactions between staff and people. Following our site visit, we spoke with four people’s relatives.

During our inspection, we spoke with the registered manager and three members of staff. We reviewed care records for three people who used the service, reviewed three staff recruitment files, staff training records, meeting minutes and quality and safety monitoring audits.

Updated 3 February 2018

Butterfly’s (Alresford) is a residential care home registered to provide personal care and accommodation for up to five people with learning disabilities and on the autism spectrum. The service is a bungalow located in Alresford, Essex. Each person has a single room with ensuite facilities and there is a communal bathroom, kitchen, laundry, dining room and lounge. There is a rear enclosed garden at the back of the house with level access. At the time of our inspection there were five people living at the service.

This comprehensive inspection took on the 11 January 2018 and was unannounced.

At the last inspection in June 2016, the service was rated Good overall.

At this inspection, we found the service remained Good as all relevant standards were met.

People and their relatives were complimentary about the staff team and the quality of care received. A motivated, caring and well-trained staff team cared for people. Staff understood how to identify people at risk of abuse and aware of protocols for reporting any concerns they might have.

Staff had been provided with sufficient guidance and information within care planning records, staff meetings and supervision support.

Care and support plans were personalised, regularly reviewed and accurately reflected people's care and support needs. This included an assessment of their health care needs and the planning of personalised activities, which reflected people's autonomy and choice about how they lived their daily lives.

People's likelihood of harm was reduced because risks to people's health, welfare and safety had been assessed and risk assessments produced to guide staff in how to mitigate these risks and keep people safe from harm.

Medicines were managed safely and the provider's recruitment procedures demonstrated that they operated a safe and effective recruitment system.

The culture of the service was open, inclusive, empowering and enabled people to live as full a life as possible. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

There were a number of quality and safety monitoring audits to help ensure the service was running safely, effectively and to plan for improvement of the service.