Butterfly Days Limited

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We reviewed 3 quality statements under this key question; Freedom to speak up, Governance, management and sustainability and Learning, improvement and innovation. Following concerns raised by the Local Authority the provider had reviewed and improved their governance systems. This process is ongoing, but we found processes now supported the registered manger to effectively oversee the service provided. People were complimentary about the way the service was managed, and how approachable the office-based managers were. The provider promoted an open and inclusive culture which sought the views of people receiving a service, their relatives, and staff working for them. The provider worked in partnership with external social care professionals to improve the quality and safety the of care delivered.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider valued and listened to the views of staff. Staff told us they were encouraged to contribute their ideas about what the service did well and what they could do better during regular meetings with their managers and fellow co-workers. A member of staff said, “I feel I could raise any concerns that I have, and I could speak freely.” Another member of staff said, "I feel able to voice my concerns or to tell the office if something is worrying me.” The service had a complaints policy which detailed how people could raise concerns if they were dissatisfied with the service they received and the process for dealing with their concerns.

The provider promoted an open and inclusive culture which sought the views of people using the service, their relatives, and staff who worked for them. Regular team meetings supported feedback from staff. People using the service could provide feedback when their care was reviewed or by regular surveys.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

This inspection was carried out following concerns regarding the service provided. The provider had taken action and worked with external professionals to improve the service provided, in particular the oversight of the service. It was clear from feedback we received from the managers and staff they had a clearer understanding of their roles and responsibilities in relation to assessing, monitoring and managing the quality and safety of the service provided to people. A member of care staff said, “There have been changes to the rota and better communication from the office has settled things. Good place to work, I feel supported and encouraged to progress.”

The registered manager had developed an action plan to manage improvements and implement lessons learnt from incidents. This supported them to ensure planned improvements took place to a set timescale. These improvements now need to be embedded into the culture of the service. Office-based managers showed an understanding of the importance of learning lessons and continuous monitoring to ensure person-centred and safe care. The registered manager was implementing a new audit programme to ensure audits were used to identify any themes and trends. An electronic system was used to plan and oversee care visits. Feedback from people demonstrated that this was working well with staff making calls on time and staying the required amount of time. There had been no missed visits in the 3 months preceding our inspection.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

It was clear from the feedback we received from managers and staff they recognised the importance of learning lessons and continuous improvement to ensure they maintained person-centred and safe care for people they supported.

The registered manager used regular feedback from a variety of sources to drive improvement. Staff could attend team meetings in person or by video call. The use of audits to identify themes and trends was supporting improvements.