About the service: Butterfly's is a care home providing personal care and support for up to nine adults with a learning disability. On the day of our inspection there was eight people living at the service.

The service had been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. ‘Registering the Right Support’ CQC policy.

People’s experience of using this service:

¿ People and their relatives made positive comments about the care provided at Butterfly’s Care home.

¿ Most environmental risks in the service had been identified and mitigated. One issue highlighted during the inspection was dealt with immediately by the service.

¿ Staff were recruited safely, were visible in the service and responded to people quickly.

¿ People were given choice and supported to be independent. They were treated with dignity and respect.

¿ Staff knew people well and had developed meaningful relationships with them.

¿ People could take part in a range of activities which promoted their wellbeing.

¿ People's health was well managed and there were positive links with other services to ensure that individual health and nutritional needs were met.

¿ People received their medicines when they needed them.

¿ End of life planning required further development. We have recommended that the service consults a reputable source to further develop end of life planning.

¿ People, their relatives and professionals made positive comments about the management team at Butterfly’s care home.

Rating at last inspection Rating at last inspection: Good (report published 26 May 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained good overall.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If we receive any information of concern, we may inspect sooner.

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

This inspection took place on the 22 April 2016 and was unannounced.

Butterfly’s is a small care home providing personal care and support for up to nine adults with a learning disability. On the day of our inspection there was nine people living at the service

There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were well cared for, relaxed and comfortable with staff. People and their relatives were complimentary about the staff team and the quality of care people received. Everyone we spoke with including relatives told us that all the staff and the registered manager showed them exceptional compassion and empathy and that staff gave them time and listened to them. People were cared for by a motivated, caring and well trained staff team. Staff understood how to identify people at risk of abuse and aware of protocols for reporting any concerns they might have.

Staff had been provided with sufficient guidance and information within care records. Care and support plans were personalised regularly reviewed and accurately reflected people’s care and support needs. This included an assessment of their health care needs and the planning of personalised activities which reflected people’s autonomy and choice about how they lived their daily lives.

People’s likelihood of harm was reduced because risks to people’s health, welfare and safety had been assessed and risk assessments produced which guided staff in how to mitigate these risks and keep people safe from harm. Medicines were managed safely and the provider’s recruitment procedures demonstrated that they operated a safe and effective recruitment system.

Staffing ratios were sufficient to enable staff to be responsive to people’s changing needs and preferences. This allowed for people go out on trips, both as a group and individually, and to experience well-paced and attentive care.

The culture of the service was open, inclusive, empowering and enabled people to live as full a life as possible according to their choices, wishes and preferences. The management team provided effective leadership to the service and enabled people to air their views through regular review of their care, meetings and their involvement in the planning of their care.