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Inspection on 07/06/05 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 7th June 2005.

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 an exemplary quality of care and service to those living at Beis Pinchos. The inspectors received numerous praises about the home from the service users, their relatives, as well as healthcare professionals. Those who used the service were treated with respect and dignity and were offered a very wide range of activities both within the home and externally. All staff working in the home were very committed and enthusiastic about their jobs. The home had a very high number of staff on each shift, as well as forty four volunteers, a number of whom were visiting the home each day. All staff working in the home were fully aware of Jewish customs and religious practices. Staff have also received good training to ensure that the needs of those living in the home were fully met. Service users were provided with very varied meals and all requests were promptly met. Despite the size of the home, there was a homely feel and all those who lived in the home received adequate support. The healthcare needs of those who lived in the home were fully met by a dedicated team of nurses and healthcare assistants. All appropriate health and safety checks were in place.

What has improved since the last inspection?

Since the last inspection the home has established some links with a Jewish Care home in Holland, which specialises in caring for people with dementia. The idea of this partnership is to exchange ideas, training; lectures and visits to further improve the care for those diagnosed with dementia. The home has also reviewed its fees; following the recent media coverage about other care homes in the country. New exercising equipment, as well as nursing beds have been purchased. The home has also got a newly built mortuary to conform to Jewish religious observance. A new communication system has been introduced for staff to ensure that all staff working in the home are fully aware of any changes in relation to care provided to service users accommodated in the home. Keyworkers have also started producing monthly reports about each service user that has been allocated to them.

What the care home could do better:

The home must ensure that recruitment practices are tightened. It is further suggested that written complaints receive written responses and as part of a continuing quality assurance programme complainants satisfaction with the management of their complaint is surveyed. There is also room for improvement in medication practice - the accurate recording and accounting of medication is essential to evidence that the prescribers instructions are being followed.

CARE HOMES FOR OLDER PEOPLE Beis Pinchos Nursing Home 2 Schonfeld Square London N16 0QQ Lead Inspector Robert Sobotka Announced Inspection 7 June and 5th July 2005 at 9:30am th 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 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 G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Beis Pinchos Nursing Home Address 2 Schonfeld Square, London, N16 0QQ Telephone number Fax number Email 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 Agundas Israel Housing Association Mrs 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 G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Minimum Staffing Notice. Date of last inspection 30th November 2004 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 G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days. On the first day the inspector (Mr Tim Weller, Regulation Manager) visited the home to speak to service users, the manager, proprietor and staff. He also reviewed documentation kept in the home relating to complaints conducted a brief tour of the premises and randomly reviewed the medication system. The second visit was carried out by Mr Robert Sobotka (Lead Inspector). The inspector spoke to a number of service users, some relatives, staff working in the home, the Registered Manager and the Proprietor. In addition he conducted the tour of the premises and reviewed a number of documents maintained by the home. A number of people living in the home, members of staff working there, as well as other health/care professionals have been asked to complete pre-inspection questionnaires, comments from which have been included in this report. What the service does well: The home provides an exemplary quality of care and service to those living at Beis Pinchos. The inspectors received numerous praises about the home from the service users, their relatives, as well as healthcare professionals. Those who used the service were treated with respect and dignity and were offered a very wide range of activities both within the home and externally. All staff working in the home were very committed and enthusiastic about their jobs. The home had a very high number of staff on each shift, as well as forty four volunteers, a number of whom were visiting the home each day. All staff working in the home were fully aware of Jewish customs and religious practices. Staff have also received good training to ensure that the needs of those living in the home were fully met. Service users were provided with very varied meals and all requests were promptly met. Despite the size of the home, there was a homely feel and all those who lived in the home received adequate support. The healthcare needs of those who lived in the home were fully met by a dedicated team of nurses and healthcare assistants. All appropriate health and safety checks were in place. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 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. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 7 The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 8 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 Standards Statutory Requirements Identified During the Inspection Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 9 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 standard(s) 1, 2, 3, 4. Those who lived in the home received all the necessary information to make an informed choice about moving into the home. The home had a good assessment system in place. The needs of those living in the home were being met. EVIDENCE: The home had an exemplary Statement of Purpose and the Service User’s Guide in place. It contained all necessary information and in addition the brochure was attractively designed and included photographs of members of staff, some of the service users and visitors engaging in culturally appropriate activities and religious observances, as well as comments from residents, their relatives and members of pubic. Each person had an individual contract, which included fees payable and outlined service provided and terms and conditions. There have been some new admissions to the home since the last inspection. The home manager appropriately assessed each person, so that the needs of each person could be met. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 10 Having spoken to the service users, their relatives and staff working in the home, the inspector was satisfied that health and emotional needs of those living in the home were being met. At the time of this inspection, the home did not provide intermediate care. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 11 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 standard(s) 7, 8, 9, 10, 11. The home was appropriately meeting the healthcare needs of its service users. Existing medication systems needed to be improved to address inaccuracies identified. EVIDENCE: Each service user accommodated in the home had a written care plans. The inspector viewed four care plans, which were chosen at random. Care plans viewed were well written and they were reviewed on a regular basis. Documents included actions needed by care staff to ensure that all healthcare, social and personal needs of those who lived in the home were taken into account. As part of this inspection, questionnaires were sent out to the health and care professionals. Fourteen comment cards were returned; all but one showed that the respondents were satisfied with the overall care provided to service users within the home. Comments on the cards included: - “Brilliantly run”, - “Excellent care provided”, - “Excellent service”, - “I think that the nurses at Schonfeld Square provide an excellent standard of care for their clients. They are caring, efficient and communicate very well with Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 12 our surgery. If I had an elderly relative, I would be happy for them to be left in their care.” The home has recently purchased some new nursing beds. The registered manager advised that in due course all beds would be replaced with specialist equipment, which would benefit both service users and staff attending to them. Each person living in the home was registered with a General Practitioner. They were also able to access any specialist healthcare facilities which they may require. The home is also commended for the management of MRSA and ensuring that service users are protected from flu. During the inspection, the registered manager gave an example of the home participating during the winter months in the flu prevention programme, which proved to be a great success. All accidents and incidents were well recorded. The registered manager produced periodic evaluation to monitor falls management within the home. The home employs a high number of nurses. They are provided with additional training to further enhance and develop their knowledge of nursing practices. Only registered nurses are authorised to administer prescribed medication to service users. Medication stocks and administration records were examined during this inspection and minor inaccuracies in accounting and recording were identified. In order to evidence that medication is administered as prescribed accurate record keeping is essential. Staff working in the home were seen to treat service users with dignity and respect. Service users’ wishes in relation to personal care were also respected. 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 a lecture on cancer. Relatives are able to stay with a service user for as long as they wish. Since the last inspection, the home built a morgue at the rear of the garden. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 13 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 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. EVIDENCE: The home provides a very wide range of activities. There were 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. 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 service users are given a copy of the home’s brochure. The inspector received seven comment cards from service users’ relatives. Everyone who responded stated that they were happy with the way the home is run and the quality of care offered to their relatives. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 14 Some of the comments from the relatives were as follows: - “The overall care is excellent”, - “Staff attitudes to residents and visitors are unfailingly positive”, - “Beis Pinchos appears to be run very well. My mother has been resident for over 2 years and the care is exemplary.”, - “The care in Schonfeld Square care home is outstanding. All staff are friendly and show both skills and compassion with residents. The atmosphere is that of a personal home, not institutional, and I am impressed on each visit.” 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 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. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 15 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 standard(s) 16, 18. Service users are protected from abuse. Complaints are few however a more comprehensive system for responding to them is suggested. EVIDENCE: Staff spoken to at the time of the inspection were aware of adult protection issues and the home had appropriate policies and procedures to ensure that those living in the home were protected from abuse. The home receives very few complaints about the service it delivers. However, a complainant had put their complaint in writing on more than one occasion but had not received a response in writing. It was verbally evidenced by the home that action was taken in relation to the complaint, however it is reasonable to expect that correspondence is acknowledged. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 16 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26. Those who live in the home benefit from a homely, comfortable, clean and safe environment. EVIDENCE: The premises are located 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. With the exception of some corridor areas where minor aesthetic work was required to bring the wall finish up to standard, 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 activity and there are three lounges where service users can meet relatives. Lighting in communal areas is sufficiently bright and positioned to facilitate reading and other activities. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 17 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 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. 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 G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30. Those who live in the home continue to benefit from a dedicated and well trained staff team. Staff recruitment practices required improvement. EVIDENCE: The inspector was satisfied that the home had appropriate staffing levels to meet the needs of the current service user group. Staff spoken to and those who returned inspection comment cards to the inspector were very happy and proud to work in the home. Staff morale continues to be high. Since the last inspection, the home employs two nurses during each night shift. There is also an additional nurse on call at all times. The home has a large volunteer pool, who spend time with service users every day. As part of this inspection, staff personnel files were examined. One of the files for a new member of staff did not contain all information required by law. This was brought to the attention of the registered manager, who took appropriate action immediately. The home was able to evidence that all staff (nursing, care and domestic staff) receive very comprehensive training. The management have a commitment to ongoing training and development. All new staff undergo a comprehensive induction 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 Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 19 offered by the home. All staff received mandatory training as well as any training identified within their personal development plan. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 37, 38. The service is run by a competent manager who ensures that the needs of those living in the home are met. Appropriate health and safety checks were in place. EVIDENCE: Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 21 The home manager had recently been Registered by Commission as fit to manage the home. She is a registered nurse and was competent. The inspector received positive comments from service users, staff and one Health and Social Care Professional (via pre-inspection comment card) about the way the manager runs the home. The registered manager, must however obtain the relevant qualification in management by the end of 2005. 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 user. The inspector viewed team-meeting minutes, which covered a wide range of topics discussed amongst the team. All staff received regular supervision. 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 are circulated to all living in the home on a quarterly basis, after which the comments are analysed by the home management and action taken. Supervision and appraisal systems were in place. Staff working in the home benefit from a wide variety of courses/lectures offered to enable them to carry out their job effectively and in a professional manner. Additional support is offered to those staff who do not use English as their first language. Staff were aware of their roles, responsibilities and lines of accountability. The home had appropriate policies and procedures in place. Health and safety records kept in the home were well maintained. The home had appropriate insurance cover in place. Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 22 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 4 3 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 3 3 4 x x 3 2 3 Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 23 No 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 9 Regulation 13(2) Requirement The registered person must ensure that adequate systems are in place for the robust recording of the administration of medication. The registered person must ensure that complaints investigated are appropriately recorded to evidence action taken. The registered person must ensure that all parts of the home are appropriately decorated and maintained to a consistent standard. The registered person 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. The registered manager must obtain relevant qualification in management by the end of 2005. Timescale for action 31 August 2005 2. 16 22 31 August 2005 3. 19 23(d) 31 August 2005 4. 29 7, 9, 19 31 August 2005 5. 31 9(2)(b)(i) 31 December 2005 Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Beis Pinchos Nursing Home G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Gredley House 1-11 Broadway 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 G56 G06 S7351 Beis Pinchos NH V221054 070605 Stage 4.doc Version 1.20 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!