Updated 9 July 2026
Date of assessment: Wednesday 15th July 2026 – Thursday 23rd July. Butterley House is a residential care home providing personal and nursing care to 34 people, aged 65 and over at the time of the inspection. The service can support up to 37 people. The accommodation is provided over two floors. The upper floor has bedrooms, toilet and bathing facilities. The downstairs also has bedrooms and toilet and bathing facilities with the addition of communal spaces, a conservatory, a lounge and a dining space.
We previously inspected Butterley House in November 2025, where the provider was rated requires improvement for the key questions of safe and well led, and found to be in breach of the legal regulation relating to safe care and treatment. The provider sent us an action plan following this and addressed the concerns we identified. . Whilst we found improvements with regards to safe care and treatment, Governance continued to be a concern.
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.
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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.