Background to this inspection
Updated
4 June 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of two inspectors, a specialist nursing adviser and two experts by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The two experts by experience had experience of caring for older people including those living with dementia.
Service and service type:
Beis Pinchas is a nursing home for up to 44 people from the Orthodox Jewish community. It provides nursing care and accommodation as one single package.
People in nursing homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
Our inspection was unannounced.
Our inspection process commenced on 12 February 2019 and concluded on the same day.
What we did:
Our inspection was informed by evidence we already held about the service including any statutory notifications. A statutory notification is information about important events which the provider is required to send us by law. The provider had completed a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
We spoke with 12 people who used the service and eight relatives.
We spoke with the registered manager, 14 care staff and three nurses.
We received feedback from two healthcare professionals.
We reviewed eight people's care records, including medicine records, five staff files that included recruitment, training and supervision records.
We checked staff rotas and other records related to the management of the regulated activity.
Updated
4 June 2019
About the service:
Beis Pinchas is a nursing home for up to 44 people from the Orthodox Jewish community. It provides nursing care and accommodation as one single package. At the time of the inspection there were 44 people using the service.
People’s experience of using this service:
The registered manager and management team demonstrated exceptional leadership which positively impacted people using the service and staff working at the home.
People using the service and those close to them were involved in how the home was run and were at the centre of all decision making.
All staff had clear roles and responsibilities and understood the values of the service and lived these values every day.
The management ensured that no one living or working at the home was disadvantaged because of their background, culture, disability or other protected characteristic.
People and relatives told us the registered manager and office and care staff were exceptionally caring and this was evident in the whole ethos of the home.
People received high-quality and person-centred care where staff knew people extremely well.
Everyone living at the home, including those people with high care needs or those who were living with dementia were encouraged to live their lives as independently as possible.
People were supported to identify and access activities that were meaningful and improved their wellbeing.
The home was a hub for the local community which meant people living there benefited from support groups and continued to be valued as vital members of the community.
Staff were well supported, and their views and opinions listened to and used to improve the care delivery.
Staff developed highly positive and trusting relationships with people and their relatives.
Staff were provided with equal and inclusive developmental opportunities to progress their careers with the provider.
People and relatives told us staff provided safe care. The provider ensured people's safety by involving outside organisations in promoting safety. People were protected from the risk of abuse, harm, poor care and neglect.
People were supported by sufficient numbers of staff who were suitably recruited, and knew the risks associated with people's needs and how to manage them safely.
People's needs were assessed before they moved into the home, and they received consistent, timely and effective care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were encouraged to live healthy lives with effective support from staff.
People's end of life care needs was met sensitively and people were encouraged to voice their wishes, aspirations and supported to live their dreams.
People and relatives were satisfied with how complaints were addressed.
Rating at last inspection:
At the last inspection in July 2016 this service was rated ‘Good’.
Why we inspected:
This was a planned inspection based on the rating at the last inspection. As a result of this inspection the rating remains 'Good'
Follow up:
Going forward we will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated ‘Good’. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk