Butlers Mews Care Home

People's experience of the service and what we found: Staff understood how to recognise and report any signs of abuse and were confident senior staff would protect people, should this be required. The provider's systems for the recruitment of staff helped to protect people from harm. People were supported by enough staff to meet their needs. People were supported to have the medicines they needed to remain well. We found one instance where a person's medicinal cream had not been dated on opening. There was no evidence of harm to the person, and staff took immediate action to address this. Staff used their knowledge when managing infection, prevention and control. This helped to protect people from the risk of infection.

People's needs were assessed and plans put in place to support them. Staff monitored people's health needs and worked very effectively with other health and social care professionals so people would have timely support to access the healthcare services they wanted. People's well-being was enhanced because the home had been adapted to meet their needs. Staff supported people to have enough to eat and drink so they would remain well. People had improved outcomes because of this. 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.

Strong bonds had developed between people and the staff supporting them, and people and staff spoke warmly about each other. People were involved in deciding what care they wanted. Staff worked in ways which promoted people's independence, privacy and dignity.

People's care plans reflected their individual histories, preferences and wishes. Relatives were invited to contribute to their family member's care plan reviews, so people's needs would continue to be met as their needs changed. The registered manager planned to use the review process to further expand people's care plans. Staff took people's communication and sensory needs into account when caring for them. Systems were in place to manage any complaints received. Relatives told us they would be comfortable to raise any concerns, but had not needed to. People were supported to enjoy a range of activities at the home and in the community. Relatives felt listened to and supported at the end of their family member's lives.

People, staff and relatives were complimentary about how the home was managed and told us there was an open and constructive culture at the home. The registered manager and provider checked the quality of care and where actions were identified improvements were driven through. Staff were supported to understand how they were expected to care for people. The registered manger had developed good links

with health and social care professionals which had a positive impact on people's care. The registered manager was planning to develop further links with the local community to benefit people living at the home.

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