You are here

We are carrying out a review of quality at Beis Pinchas. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 19 August 2016

This inspection took place on 12 and 15 July and was unannounced. At our previous inspection in April 2015 we found breaches of regulations relating to the management of medicines and safe care and treatment. At this inspection, we found that the provider had made improvements and was now meeting these regulations.

Beis Pinchas is a care home with nursing, which is registered to provide accommodation to up to 44 people. At the time of our inspection the service was fully occupied. The service provides support to older men and women from the Orthodox Jewish community. Beis Pinchas is a four story, purpose built building with communal facilities including a day centre, dining room, sensory room and a newly built spa area. There was a large synagogue which is also used by the local community. It shares facilities with the supported living service next door, which jointly forms Schonfeld Square Care Home. All rooms have an ensuite shower, and each floor has shared bathrooms with lifting baths and hoists.

The service had 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.

The building was clean throughout, well decorated and well maintained, and provided a safe and accessible environment. Communal areas were large, bright and airy, and featured a computer room, an indoor sensory garden and a large dining area. A 24 hour security guard ensured people were safe.

Risks to people were appropriately assessed and plans were in place to manage these risks. Care plans for people had detailed information about their needs, wishes and life histories, and provided staff with enough information to deliver personalised care. The provider had recently introduced an electronic care notes system which ensured that important information was seen by and recorded by staff, and allowed long term trends in people’s health and needs to be observed. This system aided the delivery of co-ordinated care, for example by automatically generating information to be handed to hospital in the event of an admission. The same system was used to record people’s wishes about end of life care. Medicines were safely stored and administered by the nursing staff, who provided strong and confident leadership.

The provider took care to ensure that meals were of a high quality, nutritious and compliant with Jewish law. People who needed support from staff to eat received this with patience and dignity. Where people were at risk of malnutrition, staff assessed this and recorded people’s food and fluid intake and monitored people’s weights appropriately. Staffing levels were adequate to meet people’s needs, and the service also benefitted from a team of volunteers who provided additional support to people. There were robust and safer recruitment processes in place for staff, and processes in place to ensure that nursing staff were appropriately registered. We noted that the provider had difficulty retaining staff in some cases, which was a source of dissatisfaction to some people we spoke with.

There was a comprehensive and varied activities programme in place, this included visits out to places of interest and typically six activities a day in the communal areas of the building, including talks, exercise groups and music. These were well attended and very popular with people who used the service. Many of these activities were based around Jewish culture and beliefs, which was integral to the way the service was run, and showed strong links with the local community. Staff received frequent training and instruction on how to meet people’s cultural needs. People were dressed appropriately in their chosen clothes and their dignity and privacy were respected. Staff u

Inspection areas

Safe

Good

Updated 19 August 2016

The service was safe.

The environment was well-maintained, free from hazards and secure. Risk assessments gave adequate information on how to manage risks to people, and there were personal emergency evacuation plans in place.

There were adequate numbers of staff, who had been recruited in line with safer recruitment processes.

Medicines were safely stored and administered by nursing staff.

Effective

Good

Updated 19 August 2016

The service was effective.

Staff received extensive training and supervision to ensure that they had the appropriate skills to carry out their roles, which was monitored and managed effectively.

The provider was meeting its responsibilities to ensure people had consented to their care, and that when they may not be able to do so their capacity was assessed and the staff acted in people's best interests. The provider had appropriate authorisations in place for when people may be deprived of their liberty.

Food was served with care and consideration in line with Jewish dietary requirements, and was of a good quality. People's weights and food and fluid intakes were monitored when necessary. People were supported to attend health appointments and maintain good health.

The building was well designed to meet the needs of older people and people with dementia.

Caring

Good

Updated 19 August 2016

The service was caring.

People told us that they were treated with kindness and respect by staff.

There was a rich and varied programme of activities which was popular with people who used the service and was culturally appropriate. Staff were informed about people's needs around religious holidays.

People had end of life care plans, which clearly stated their views and wishes around death.

Responsive

Good

Updated 19 August 2016

The service was responsive.

A new electronic care notes system had been implemented which allowed clear and relevant information to be added to people's records. There was sufficient information available on people's care needs, likes, dislikes and daily routines.

There was regular engagement with people who used the service and their relatives and the provider had acted on people's comments and suggestions.

People knew how to complain and were confident the provider would take complaints seriously. Complaints were recorded and investigated appropriately.

Well-led

Good

Updated 19 August 2016

The service was well led.

The registered manager had detailed and robust systems of audit. The registered manager and Chief Executive were closely involved in the running of the service, and ensured a positive, caring culture.

Regular team meetings ensured that staff were aware of people's needs and the provider's policies and requirements. A detailed action improvement plan had been implemented since our last inspection.