Butlers Mews Care Home

Updated 13 December 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of one inspector.

Service and service type

Butlers Mews Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Butlers Mews Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced on the first day of the inspection. We announced our intention to return to the home for the second day of the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people who used the service and 4 relatives about their experience of the care provided. We spoke with 16 staff, including the registered manager, a provider representative, 8 care staff, 2 activities staff. We also spoke with 2 catering staff, a member of the maintenance team, and a housekeeping staff member. In addition, we spoke with 4 external health and social care professionals who regularly visited the home.

We reviewed a range of records. These included 8 people’s care records and multiple medication records. We checked 3 staff recruitment files and training records and minutes of residents’, relatives’ and staff meetings. We also checked records relating to the management and safety of the home, including audits, policies and procedures and compliments received.

Updated 13 December 2023

About the service

Butlers Mews Care Home is a residential care home providing accommodation for persons who require nursing or personal care to up to 76 people. The service provides support to younger and older people who may live with dementia, physical disabilities or sensory impairment. At the time of our inspection there were 33 people using the service.

People’s experience of the service and what we found:

Staff understood how to recognise and report any signs of abuse and were confident senior staff would protect people, should this be required. The provider's systems for the recruitment of staff helped to protect people from harm. People were supported by enough staff to meet their needs.

People were supported to have the medicines they needed to remain well. We found one instance where a person’s medicinal cream had not been dated on opening. There was no evidence of harm to the person, and staff took immediate action to address this. Staff used their knowledge when managing infection, prevention and control. This helped to protect people from the risk of infection.

People’s needs were assessed and plans put in place to support them. Staff monitored people’s health needs and worked very effectively with other health and social care professionals so people would have timely support to access the healthcare services they wanted. People’s well-being was enhanced because the home had been adapted to meet their needs. Staff supported people to have enough to eat and drink so they would remain well. People had improved outcomes because of this. 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.

Strong bonds had developed between people and the staff supporting them, and people and staff spoke warmly about each other. People were involved in deciding what care they wanted. Staff worked in ways which promoted people’s independence, privacy and dignity.

People’s care plans reflected their individual histories, preferences and wishes. Relatives were invited to contribute to their family member’s care plan reviews, so people’s needs would continue to be met as their needs changed. The registered manager planned to use the review process to further expand people’s care plans. Staff took people’s communication and sensory needs into account when caring for them. Systems were in place to manage any complaints received. Relatives told us they would be comfortable to raise any concerns, but had not needed to. People were supported to enjoy a range of activities at the home and in the community. Relatives felt listened to and supported at the end of their family member’s lives.

People, staff and relatives were complimentary about how the home was managed and told us there was an open and constructive culture at the home. The registered manager and provider checked the quality of care and where actions were identified improvements were driven through. Staff were supported to understand how they were expected to care for people. The registered manger had developed good links with health and social care professionals which had a positive impact on people’s care. The registered manager was planning to develop further links with the local community to benefit people living at the home.

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

Rating at last inspection

The service was registered with us on 07 June 2023 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.