We carried out a review of the data available to us about Butler House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Butler House, you can give feedback on this service.
Butler House is a respite centre for people with learning disabilities. They are registered for three people. At the time of the inspection three people lived at the home. The building is on two floors with stair access.
People’s experience of using this service and what we found
People we spoke with were extremely positive about the service and support they received. For example, one person said, “I love going fishing with [staff member] they are brilliant.” Staff were recruited safely, and sufficient staff were on duty to support people. Staff demonstrated a good understanding about safeguarding people from the risk of abuse and training was provided. Staff managed medicines according to national guidelines. There was a system to record and analyse any incidents that occurred and lessons learnt from them. Support for people was planned to ensure the persons needs and wishes were considered. Risk assessments were completed to support people retain their independence and receive care with minimum risk to themselves or others. Staff had focussed on positive risk taking to enable people to participate in activities of their choice within a risk framework. People were protected from the risks associated with the spread of infection. We found parts of the home were cluttered and presented a risk of accidents, in addition part of the communal area was being used inappropriately for laundry. We have made a recommendation about this. The registered manager assured us this would be rectified to ensure people were safe.
People received support with their healthcare and nutritional needs. They 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’s needs were assessed prior to them staying at Butler House. Detailed transition plans were developed to ensure people were comfortable moving into the home. The provider had appropriate arrangements to ensure staff received training relevant to their role. One staff member said, “Despite the pandemic there is an emphasis on training”. Staff felt supported by the management team.
Staff treated people with kindness, dignity and respect and spent time to ensure peoples individual needs and wishes were met. Our observations during the inspection were of positive and friendly interactions between staff and people.
The service had a complaints procedure which was made available to people they supported. People we spoke with told us they knew how to make a complaint if they had any concerns. Care was personalised to the individual and social stimulation was an important part of people’s lives.
Butler House had auditing systems to maintain ongoing oversight of the service and make improvements where necessary. Quality assurance processes ensured people were able to give their views of Butler House and improvements made when they were identified or suggested.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support:
• Model of care and setting maximises people's choice, control and independence.
Care and support had been developed around individual assessed needs. Staff worked in a way which promoted the persons independence. For example. People told us staff encouraged them to participate in their care and make choices where possible.
Right care:
• Care is person-centred and promotes people's dignity, privacy and human rights
Care support plans were person centred and ensured the individual and family were involved in the development and review of their plan as far as possible. Training and support for staff ensured human rights was at the heart of the delivery of care and support.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives
The ethos of the agency was to develop and target support which suited the individual and helped them live the best life possible.
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 30/06/2020 and this is the first inspection.
Why we inspected
This was a planned first inspection based on their registration.
We looked at infection prevention and control measures under the Safe key question. We look at this in all 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
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.