Background to this inspection
Updated
13 August 2021
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 so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Butterhill Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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
This inspection was unannounced. We telephoned the provider from outside the home to find out the COVID-19 status in the home and discuss the infection, prevention and control measures in place.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete 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. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We spoke with five members of staff including the registered manager, the deputy manager, a senior healthcare assistant, a healthcare assistant and the cook. We also spoke with one professional who regularly visits the service.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two 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
13 August 2021
About the service
Butterhill Care Centre is a residential care home providing personal and nursing care to 13 people aged 65 and over at the time of the inspection some of whom were living with dementia. The service can support up to 28 people in one adapted building.
People’s experience of using this service and what we found
Systems in place to learn and improve care were not always effective. Although there was no risk of harm, the systems had had not identified the missed recordings we found. Following the inspection, the registered manager took action to address the errors.
People were supported by staff trained to recognise and report on potential harm or abuse. Staff were safely recruited and responded to people’s needs timely and effectively. We found people’s medicines were managed effectively. The registered manager had an environmental action plan to help effectively prevent and control infection. Lessons were learnt when things went wrong.
Managers and staff shared a positive culture which was person-centred, and they were open and honest when things went wrong. Staff and managers were clear about their roles and responsibilities. The provider encouraged people to share their views on the service and worked in partnership with other health and social care professionals to meet people’s needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 12 October 2019).
Why we inspected
We received concerns in relation to staffing levels, staff practice in relation to personal protective equipment (PPE) and the environment. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe section of this full report.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has remained the same. 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 Butterhill Care Centre on our website at www.cqc.org.uk.
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.