Butterflies In Romsey

Updated 22 November 2019

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 carried out 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 72 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.

Inspection activity started on 7 October 2019 and ended on 11 October 2019. We visited the office location on 7 October 2019.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 this information to plan our inspection.

During the inspection

We visited four people and one relative living in their home with their permission and spoke with three people and five relatives by telephone. We heard about their experience of the care provided. We spoke with seven members of staff including the registered manager, the deputy manager, and care workers.

We reviewed a range of records. This included four people’s electronic care and medication records. We also reviewed a variety of records relating to the management of the service, including audits and staff recruitment and supervision records.

After the inspection

The provider sent us information we requested in relation to staff training, contingency planning and end of life care.

Updated 22 November 2019

About the service

Butterflies of Hampshire is a domiciliary care agency. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene, medicines management and eating. Where they do we also consider any wider social care provided. At the time of our inspection, the service provided personal care and support to 48 people who lived in their own homes. The service operated two teams of staff, one staff team covered Romsey in Hampshire and the other staff team covered Weymouth and Portland.

People’s experience of using this service and what we found

People were supported by staff who were exceptionally kind and caring. Feedback about the caring approach of staff was positive. People were treated with dignity and respect.

People received person centred care from staff who developed positive, meaningful relationships with them. People told us staff communicated well with them and they felt at ease with them.

People and relatives said the service was safe. They were supported by staff with the skills and knowledge to meet their needs. Staff had regular training and felt confident in their role.

Risks to people’s health and wellbeing were assessed and mitigated. Environmental risk assessments were also in place, which identified and reduced any environmental risks to people and staff.

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.

People were encouraged to raise any concerns they had or make suggestions to improve the service they received.

There were improvements in how well-led the service was. Additional senior staff had been appointed and new quality systems had been implemented to monitor and improve the service for people.

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 Requires Improvement (published 19 September 2018) with two breaches of the regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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.