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Inspection on 23/01/06 for Beis Pinchos Nursing Home

Also see our care home review for Beis Pinchos Nursing Home for more information

This inspection was carried out on 23rd January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides exceptionally good quality of care to all people staying at Beis Pinchos Nursing Home. All service users spoken to expressed their satisfaction with the quality of care offered and the condition of the premises. The home appropriately addresses nursing and other healthcare needs of those living there, as well as the needs of the service users with clinical diagnosis of dementia. Service users are treated with dignity and respect and each person receives highly personalised treatment in the home. Those who use the service were treated with dignity and respect. The staff team consists of well-trained and committed professionals led by a strong and enthusiastic management team. The home had a very high number of staff on each shift, as well as large number of volunteers from the local Orthodox Jewish community, who offered additional support in the home, such as supporting service users in activities, helping with feeding during mealtimes and enabling service users in meeting their cultural needs. All staff working in the home were aware of Jewish customs and religious practices. The home also provides an excellent range of meals to the service users. All meal offered were Kosher. The premises were homely and attractively decorated.

What has improved since the last inspection?

Since the last inspection, some areas of the building, which required improvements, have been redecorated. There was also evidence that all complaints were followed up immediately and appropriate action was taken by the registered manager and/or the proprietor. Recording of medication administered to service users has also improved. The home has made a good progress in staff obtaining their NVQ qualifications and the in-house NVQ assessor has been employed. Staff spoken to during this inspection stated that they were happy with the new improvements made in the home by the registered manager, such as development of new documents and introduction of a fist aid bag, which allows nurses working in the home to deal with any emergencies without unnecessary delays.

What the care home could do better:

The home`s recruitment practices required improvement, this related to the organisation obtaining references for staff prior to staff being offered employment in the home. Some of the service users care plans required photograph of a service user, as required by law. The inspector was also informed that the registered manager was in the process of obtaining her NVQ Registered Managers Award, which was due to be completed by the end of July 2006.

CARE HOMES FOR OLDER PEOPLE Beis Pinchos Nursing Home 2 Schonfeld Square London N16 0QQ Lead Inspector Robert Sobotka Unannounced Inspection 23rd January 2006 11:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beis Pinchos Nursing Home Address 2 Schonfeld Square London N16 0QQ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8802 7477 020 8809 7000 Agudas Israel Housing Association Eileen Gabb Care Home 43 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (35) of places Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Minimum Staffing Notice Four (4) named service users under the age of 65 years to be accommodated in the home, including one (1) service user with learning disability needs. Up to 35 Beds for Nursing Care Date of last inspection 7th June 2005 Brief Description of the Service: Beis Pinchos Nursing Home provides specialist care services for older people from the Orthodox Jewish Community. The complex of Schonfeld Square is owned by Agudas Israel Housing Association and is a purpose built property. Beis Pinchos is a dually registered care home for 43 older people including 8 places for people with dementia. The home is based in the London Borough of Hackney on the border of Stoke Newington and Stamford Hill. It is in the midst of the largest Orthodox Jewish Community in Europe. Schonfeld Square is easily accessible by public transport and is near kosher shops and several parks. Beis Pinchos offers a wide range of religious and culturally appropriate services and activities to both service users and the well established Orthodox Jewish Community in the immediate area. The home takes referrals from throughout the UK and abroad and is currently operating the waiting list. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this unannounced inspection was to check the home’s compliance with the National Minimum Standards for Care Homes for Older People and The Care Homes Regulations. The inspection took place over 1 day (late morning, afternoon and early evening). The inspector spoke to a number of service users, staff working in the home and in the manager’s absence (she was on annual leave) the Chief Executive, Mrs Ita Symmons. In addition, he conducted the tour of the premises and reviewed a number of documents maintained by the home. What the service does well: The home provides exceptionally good quality of care to all people staying at Beis Pinchos Nursing Home. All service users spoken to expressed their satisfaction with the quality of care offered and the condition of the premises. The home appropriately addresses nursing and other healthcare needs of those living there, as well as the needs of the service users with clinical diagnosis of dementia. Service users are treated with dignity and respect and each person receives highly personalised treatment in the home. Those who use the service were treated with dignity and respect. The staff team consists of well-trained and committed professionals led by a strong and enthusiastic management team. The home had a very high number of staff on each shift, as well as large number of volunteers from the local Orthodox Jewish community, who offered additional support in the home, such as supporting service users in activities, helping with feeding during mealtimes and enabling service users in meeting their cultural needs. All staff working in the home were aware of Jewish customs and religious practices. The home also provides an excellent range of meals to the service users. All meal offered were Kosher. The premises were homely and attractively decorated. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 6. The home had a good admission system in place and all service users were appropriately assessed prior to them moving into the home. The needs of those living in the home were being met. The needs of those service users who were offered intermediate care were also appropriately addressed. EVIDENCE: As part of this visit, the inspector checked care plans of 3 service users, who have moved to the home since the last inspection visit. There was evidence that each person was appropriately assessed by the registered manager prior to the placement being offered. Following the review of the care plans kept for each service users, discussion with the service users, staff working in the home and direct and indirect observation, the inspector was satisfied that the health and emotional needs of those living in the home were being met. One of the service users staying in the home was referred for intermediate care. Their needs were being appropriately met. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. Good care planning systems were in place, however the registered manager must ensure that each care plan contains a photo of a service user. The home was appropriately meeting the healthcare needs of its service users. Medication systems were satisfactory. EVIDENCE: Each person living in the home had a written care plan. As part of this inspection, 4 randomly chosen care plans were viewed. All documents seen were well written and contained comprehensive information on service users, including how their needs should be met. There was evidence that care plans were reviewed on a monthly basis, or more often when required. Documents included actions needed by care staff to ensure that all healthcare, social, cultural and personal needs of those who lived in the home were taken into account. Appropriate risk assessments were also in place. As previously mention, the registered manager must ensure that each care plan contains a photograph of a service user. The home had appropriate specialist nursing equipment in place. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 10 Each person living in the home was registered with a General Practitioner. Service users were also able to access any specialist healthcare facilities, when needed. All accidents and incidents were appropriately recorded and there was evidence that periodic evaluation was carried out by the management team to monitor and reduce a number of falls and any other accidents/incidents. At the time of this inspection, the home was employing 9 nurses. One member of a nursing team told the inspector that she was very pleased to work in the home and it was the best home she has ever worked in. Nursing staff are provided with additional training to further develop and enhance their knowledge of clinical practices. Medication systems were satisfactory and there has been an improvement in recording medication administered to service users. The standard in relation to medication is now met. Only registered nurses were authorised to administer prescribed medication to service users and regular medication audits were taking place. The inspector received a wide range of positive comments from the service users living in the home. They said that they could not ask for a better quality of care. One service user said that he was receiving the best treatment and lived in better conditions that he was ever used to. Service users were also full of praises for staff working in the home, including the registered manager and the proprietor. They said that staff always had time to listen to them and that they were being treated with utmost dignity and respect. There was a relaxed atmosphere in the home. The death of a service user is handled according to Jewish law. Staff have received training in palliative care to ensure that service users received appropriate attention and pain relief. Staff have also attended lecture on cancer. Relatives are able to stay with a service user for as long as they wish. The home has got a morgue at the rear of the garden. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Those who use the service benefit from an excellent range of activities. Service users are helped and supported to take exercise choice and control over their lives. Service users enjoyed food provided in the home. EVIDENCE: The home provides a very wide range of activities to those living in the home. There was a large number of volunteers from the local community who facilitated some of the activities. Each service user had a lifelong learning document in their file. The home had a minibus, which is used for outings. Activities programmes are given out each Sunday for the forthcoming week to each service user. Activities programmes are also displayed throughout the house. Activities usually start at 10.15am and finish at around 9pm. Those who spoke to the inspector said that they were very happy with what was on offer. There were also specialised activities for people diagnosed with dementia and Alzheimer’s disease. On the day of this inspection, service users were seen being actively supported by staff working in the home and volunteers to participate in hand crafting sessions and sing-alongs, as well as attending daily prayers in the home’s Synagogue. Maintenance of family involvement is very much part of the Jewish ethos of the home. There were no restrictions on visits and relatives and friends of the Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 12 service users are given a copy of the home’s brochure. Relatives of the service users are always welcome in the home. Most service users’ finances are handled by their relatives, which is traditionally accepted. Service users are encouraged to bring their own possessions, as agreed on admission to the home. Those who lived in the home had access to their records, in accordance with the Data Protection Act. All meals provided by the home are Kosher and are cooked to meet traditional Jewish cuisine. The kitchen conforms to the Jewish laws. The inspector and the proprietor joined service users for a lunchtime meal, which was well presented, nutritious and tasty. All meat, fruits, vegetables and dairy products are delivered to the home on a daily basis. There is an alternative meal offered to the service users as well as a vegetarian option. Any other requests and special diets are also catered for. Menus are provided in large print. Kitchen staff are supplied with a list of service user’s birthdays. Mealtimes were unhurried and service users had an option of eating on their own or in company of others. On the day of this inspection, the inspector observed at least 6 different types of dishes being served to service users. Although communal dining is encouraged, room service was offered to those who preferred to eat in their own company. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Complaints were appropriately handled by the home. Service users were protected from abuse. EVIDENCE: The home had a good complaints system in place. There was a written evidence that all complaints were acknowledged and that appropriate action was taken to resolve any complaints. The complaints folder showed that any concerns brought to attention of the registered manager/proprietor were dealt with promptly and efficiently. The home had an appropriate adult protection policy and staff working in the home were aware of adult protection issues and have received relevant training. The inspector was also satisfied that this issue was high on the agenda of the proprietor and she has discussed it with the service users living in the home. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 25, 26. Service users benefit from a homely, comfortable, clean and safe environment. EVIDENCE: The premises are situated in the heart of Stoke Newington. The home is situated in Schonfeld Square, which is purpose built and has won some architectural awards. Service user bedrooms are located on three floors. All bedrooms have en-suite facilities and are similar in design. There are 3 quiet lounges and a larger lounge on the ground floor, where most of the activities take place. There is also a synagogue. The proprietor informed the inspector that there were plans to build a new synagogue and also a day centre facilities at the rear of the building. The premises were well maintained. The third floor accommodates 8 service users with dementia. All communal areas were spacious. The main lounge is used for a variety of specific social, cultural and religious activities and there are three lounges Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 15 where service users can meet relatives. Lighting in communal areas is sufficiently bright and positioned to facilitate reading and other activities. The inspector viewed a random selection of bedrooms on each of the floors. All bedrooms have en-suite facilities and an additional sink unit housed behind the cupboard doors. There are 6 communal bathrooms, one with a Parker bath, which is on the first floor. All bathrooms were clean, tidy and hygienic. They were pleasantly decorated and the flooring was in good condition. The home had an adequate provision of aids and adaptations in place to assist service users with physical disabilities. The home has a lift, grab rails in corridors and communal areas. There are call alarm systems in all rooms. Alarm system and the lift are serviced on regular basis. All rooms had a bed, a built-in wardrobe and a further wardrobe, a chest of drawers and a table and chair. All bedrooms were kept closed and were lockable. Rooms viewed by the inspector were clean and in good decorative order. Service users spoken to stated that they were very happy with their bedroom and the general cleanliness of the home. The home had appropriate laundry facilities. Sluicing facilities were also in place. The home was clean and hygienic at the time of the inspection. Appropriate clinical waste disposal arrangements were in place. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Service users are supported by well-trained and competent staff. Staff recruitment practices required improvement. EVIDENCE: The home continues to provide high quality of care to those living at Schonfeld Square. Staffing levels continue to be high. There are always at least two registered nurses on duty, in addition to a nurse on-call. The home also employs a large number of care assistants, many of whom have relevant professional qualifications. As previously mentioned service users told the inspector that they were properly looked after and staff treated them with dignity and respect. The home has also got a large number of volunteers, who spend time with service users every day. The requirement from the last inspection that all staff files must contain all information required by law remains unmet. One of the staff files viewed did not contain references. This issue was discussed with the proprietor. It was noted that all have were in receipt of enhanced Criminal Records Bureau checks. Staff continue to obtain their NVQ Level 2 or above qualification. The inspector was informed that at the time of this inspection 60-70 of care staff were in the process of completing or had completed their NVQ training. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 17 The home was able to evidence that all staff working in the home (nursing, care and domestic staff) receive a very comprehensive training. The management have a commitment to ongoing training and development. All new staff undergo a comprehensive induction programme based on the TOPPS induction programme. The programme includes religious observances and orthodox Jewish laws and customs. Once completed the induction pack is signed by the registered manager. All members of staff spoken to stated that all training offered is of a very high quality and they felt valued due to the fact that the organisation considers staff training and development as a vital factor contributing to the excellent quality of care offered by the home. All staff received mandatory training as well as any training identified within their personal development plan. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33. The home is managed to a very high standard with the service users’ interest and needs treated as priority. EVIDENCE: The standard relating to the registered manager was not fully assessed on this occasion, as she was an annual leave when this inspection took place. Based on the previous inspection, as well as comments from the service users and staff, the inspector was satisfied that the home is appropriately managed. The inspector was informed that the registered manager was in the process of obtaining her NVQ Registered Managers Award and it was anticipated the she would obtain the qualification by the end of July 2006. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 19 It was transparent that the management approach of the home (this includes the Responsible Individual) created an open, positive and inclusive atmosphere. This was reflected by the high staff morale, members’ of staff commitment to providing excellent quality of care to service users. Regular team meetings take place, minutes from which were available for inspection. The home is commended for its quality assurance and quality monitoring systems. Monthly person in control visit reports viewed evidenced that the Responsible individual is very committed to ensuring that the views of those who used the service are obtained. Views of relatives and staff are also sought. In addition relatives and residents meetings are held on a regular basis. Service user questionnaires and circulated to all living in the home on a quarterly basis, after which the comments are analysed by the home management and implemented. The home was appropriately insured for its purpose. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x 3 3 3 STAFFING Standard No Score 27 4 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 4 x x x x x Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 7, 9, 19 Requirement The organisation must ensure that all information listed in Schedule 2 of the Care Homes Regulations is maintained and that staff are only employed once all the necessary checks have been carried out. (Previous timescale of 31/08/05 was not met.) The registered manager must obtain relevant qualification in management by the end of 2005. (Previous timescale of 31/12/05 was not met.) The registered manager must ensure that each care plan contains a photograph of a service user. Timescale for action 01/03/06 2. OP31 9(2)(b)(i) 31/07/06 3. OP7 17(1)(a) Sch 3.2 15/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 22 No. Refer to Standard Good Practice Recommendations Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beis Pinchos Nursing Home DS0000007351.V275530.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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