Butts Croft House

New systems introduced had brought about improvements in the management of medicines, infection control and the administrative practices of the home. However, the new quality assurance systems needed to be fully implemented and embedded to drive improvement and maintain standards in other areas of the home, such as risk management and care planning.

Staffing levels kept people safe and staff understood their responsibility to report any concerns about people or poor practice by other staff. Staff received the training needed to provide effective support and the provider encouraged staff to take further training to meet their specific responsibilities.

Staff understood people's individual nutritional needs and snacks and drinks were readily available to encourage people to eat and drink. Where people were unwell or lost weight, medical advice was routinely sought and followed.

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 but improvements needed to be made to evidence people's mental capacity to consent to their care had always been assessed effectively.

Staff promoted a homely environment and relatives spoke of a friendly and welcoming atmosphere in the home. People's privacy and dignity was maintained, and staff treated people with respect. Improvements were being made to ensure people had opportunities for engagement in different activities in the home and there were plans to extend the activities further.

The provider and management team were responsive to the feedback provided during our inspection and were open about the further improvements that were still to be made.

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