Butterley House

“The provider did not have effective governance systems in place to ensure the quality and continuity of care, and there was a lack of learning and analysis from accidents and incidents. The provider did not always keep accurate records, with fluid charts containing inaccurate information about people’s level of fluid intake. We were not assured the provider had effective systems of governance in place to keep people safe. The concerns relating to a lack of effective governance were identified during our previous inspection in November 2025 and the provider had not made improvements in this area. As a result of these concerns, the provider was found to be in breach of the legal regulation relating to governance.”

“In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.”

“We found there had been improvements in the quality of care plans and risk assessments. Care plans were now detailed and reflected people’s care needs and risks. The provider ensured there were enough trained staff on shift to keep people safe. Staff were approachable, caring and had a good rapport with people. The care home was clean and tidy. Fresh meals were prepared and catered for people’s dietary requirements.”

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