CARE HOMES FOR OLDER PEOPLE
South Chowdene Care Home Chowdene Bank Low Fell Gateshead Tyne & Wear NE9 6JE Lead Inspector
Mrs Eileen Hulse Key Unannounced Inspection 09:15 26 and 27th July 2007
th 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 South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 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. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service South Chowdene Care Home Address Chowdene Bank Low Fell Gateshead Tyne & Wear NE9 6JE 0191 491 0861 0191 482 1423 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) Barchester Healthcare Homes Ltd Mrs. Carol Locker Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42), Physical disability (4), Sensory impairment of places (2) South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The Service may be from time-to-time admit persons under the age of 65 in the OP category 14 June 2006 Date of last inspection Brief Description of the Service: South Chowdene is a purpose built home set in its own grounds and it is situated in a residential area of Low Fell in Gateshead. It is registered to accommodate up to 40 older people who require nursing care. All bedrooms in the home provide en-suite toilet facilities, and access between floors is available by stairs or passenger lift. Corridors and doorways are wide enough to accommodate wheelchair users and appropriate equipment and aids are provided for those people who need assistance. There is a public house, shops, library and churches close by, and a regular bus service runs to Gateshead town centre and Newcastle. There is easy level access into the home from both the front and rear entrances and car-parking facilities are provided. The garden provides a sensory and herb garden, lawned areas with a pleasant water feature and provides pleasant sitting areas for the people who live there. The home has a conservatory that opens onto a sheltered garden and paved areas that are easily accessible. The bathrooms and communal WC’s have handrails and lifting equipment for service users requiring assistance and facilities are appropriate for the people who live there. The weekly fees are £498:00 to £578:00 per week depending upon care needs. Additional charges are made for hairdressing, newspapers, chiropody and personal items such as toiletries. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced key inspection to the home. It took 10hrs 30mins to complete over a two day visit to the home and was carried out as part of the annual inspection programme. The Registered Manager was present throughout the visit and some time was spent with her looking at systems they have in the home, such as care planning, staffing levels, staff training, administration of medication. All communal areas of the home were looked at. Time was also spent talking with service users and their visitors to get their views about the home. How care staff help and support service users was also observed throughout the two visits. Information about the quality of life and care received by service users was collected using a system called ‘case tracking’. This involves following the care and experience of a group of service users by looking at care plans, talking with people, sampling records such as assessment records, complaint records, medication taken by service users and their records. Discussions took place with other staff members who were on duty at various times throughout the visits. The judgements made are based on the evidence made available during the two visits made to the home and from details obtained from the home before the visit was made. This gave up to date information about the home to include within the report. During the visit comments from service users, their families and other visiting professionals gave some insight on what it is like to live in the home and included: ‘Best thing we ever done was bring (relative) here’ ‘I have been in a number of homes in a professional capacity and South Chowdene is the one I would choose to live in’ ‘This is a fabulous home all round’ ‘It’s not home but it’s definitely the place when you cannot live on your own’ What the service does well:
The home makes sure that all prospective service users and their families have the information they need before deciding to move in. Their needs are assessed so that the home knows they can meet the needs before the service user moves in. Good healthcare arrangements are available with district nurses and other healthcare specialists visiting the home when requested. The quality of food is good and service users likes and dislikes are taken into account and they can choose from a number of options on the menu what they would like to eat. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 6 The staff team are caring and committed and offer all service users the help they need in a dignified caring manner. All staff receive good training and this helps people to know they will be well looked after regardless of their various needs. The home is clean and generally well looked after and provides a comfortable and homely place for service users to live in. Service users and their families have made many positive comments about the home and the service they receive and a good range of activities are offered that give service users the choice of how they spend their days. 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. The summary of this inspection report can be made available in other formats on request. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 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 South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home uses a good assessment and admission process and gives prospective service users detailed information that makes sure people have the information they need to make an informed choice about moving into the home. EVIDENCE: All service users are given an information pack prior to moving into the home. It contains the home’s Statement of Purpose and information on the terms and conditions of the residency. There is also a resident’s admission agreement that explains in detail the services they can expect to receive and what it will cost to live there. Part of the assessment process involves a pre admission visit to the service users home or hospital by the home’s Manager to complete an assessment that will determine if the home can meet all of the persons care needs. The
South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 9 information is made available to people in various formats to suit their needs such as large print and on audiocassette. This information can also be requested from the company head office in other language formats. Prospective service users are given the opportunity to visit the home with their families or friends or to stay for a meal with other service users living there. Following the visits the service user is then contacted to arrange an admission day that is suitable to them. The home were advised to give prospective service users this information in writing and to give an explanation why an admission could not take place. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have a plan of care that staff can follow to meet their needs. However, further information needs to be included, without this detail staff cannot be sure that the needs of service users are being met at all times. Service users have access to all healthcare facilities and good medication procedures ensure that the health and wellbeing of service users is met safely. EVIDENCE: The care plans are organised and well laid out and this helps to access information quickly. In depth pre admission assessment details include mobility and dexterity, communication, tissue viability and nutrition. Risk assessments are detailed and give guidance to staff and a brief life history helps staff to get to know the person. This information is used to form the basis of the care plan and reviews are held regularly to update the person’s care needs.
South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 11 However, monitoring and evaluation of the care is not recorded and therefore staff cannot be sure that the care needs recorded are still in place or that any changes have been made to the original plan of care. Dates and service users or their representative’s signatures are not evident throughout the care plan and therefore it does not confirm that service users are made aware of the content of their care plan. The healthcare arrangements are accessible to all service users regardless of their needs. All service users have their choice of GP following admission into the home and there are 6 nurses employed to carry out any medical care. The home have qualified staff on duty 24 hours a day but other healthcare professionals are brought into the home when they are required and this includes diabetes nurse, Parkinson nurse, dietician and speech therapist. Service users who have to attend hospital appointments are escorted by a member of staff and use the home’s own transport. For service users who attend appointments on a regular basis, a community Matron comes into the home to assess further medical needs. The home follows a detailed policy and procedure on the administration of medication. Medication administration records in place for individual service users are well maintained and up to date and a medication audit confirmed the records and medication were correct. Controlled medication was also checked against the controlled drugs register and was also correct. Medication is held securely within a locked room and nursing staff have the responsibility for administering medication. Staff were observed administering medication during the visit and this was carried out in line with the home’s procedures. Service users made the following comments regarding their health needs: ‘Any problems I have with my health is rectified immediately’ ‘Every residents needs are well catered for’ ‘Everybody is so helpful and very supportive’ Observation showed a very caring staff team. Service users were treated with respect at all times and called by their preferred name. Staff were also observed knocking on bedroom doors before entering showing that the privacy of service users is respected. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Daily routines are flexible, a good range of activities are made available and families and friends can visit anytime and this enables service users to make choices on how they prefer to spend their days and to have visitors at a time suitable to them. Service users are offered and receive varied and nutritious meals that contribute to their general well being and health. EVIDENCE: The home employs an activity organiser who has worked at the home for the past 6 years. Activities are organised for service users on an individual basis, apart from some activities such as bingo, which is for a number of people. Risk assessments are carried out on activities. The information includes who had taken part, what the activity was and monitoring to show if the service user had enjoyed taking part. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 13 A weekly plan of activities taking place is on show on the main notice board so that people can plan and choose the activities they wish to take part in. Service users are also given an individual plan every week. All church denominations visit the home to give either church services or Holy Communion. Any service user coming into the home whose faith is not currently included then the activities organiser contacts the responsible person. In discussions with service users and families they were positive about the home activities and their comments included: ‘I do like to join in with anything going on and particularly the church services’ ‘It’s a lovely sociable and homely place and everybody makes you welcome, there is always something going on’ ‘My (relative) has joined in more socially since she came here than ever before’ ‘Every time I visit the people living there are always busy doing something’ (Name) is always organising something for us to do, good job there are people like her’ Service user meetings are held every three months, recorded minutes show they are encouraged to voice their opinions and to say what changes they want in place. Customer satisfaction surveys are sent to all service users and their families, direct from the company. The last survey was carried out in June 07 and in the majority of the areas covered was rated as good. The home have a mini bus for their use only and this is used for shopping to the Metro Centre, outings and anywhere service users ask to go to. During the visit, a meal was taken with the service users. The day’s menu was on a stand at the door of the dining room. Tables were well set and the meal was hot, tasty and wholesome. Service users chatted with each other throughout the meal and were given sufficient time to sit and enjoy their meal without being hurried. Some service users required help with their meal. This was given by staff in a sensitive and dignified way for the service user. During the meal service users made the following comments: ‘The meals are always lovely, never had a bad meal yet’ ‘If you don’t like what is offered you can always have something else’ ‘We get different food everyday, I don’t know how they cope with us lot’ ‘The food is fabulous and after all it’s what we do most of the time eat’ ‘The meals are spot on especially the breakfasts’ South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home have a detailed complaints procedure that is made available to each service user and their representative. This ensures service users have the information they need to make a complaint should they be dissatisfied with the service. There are robust adult protection procedures that help to protect service users should an abuse situation arise or be suspected. EVIDENCE: An easy to understand complaints procedure is made available in a variety of formats such as audio, large print and if requested in different languages from Head office. All service users are given this information following admission and further copies are placed in the entrance to the home so that the information is always made available. The complaints procedure includes the name, address and phone numbers of the company head office and the Commission for Social Care Inspection. No persons currently living in the home are using advocacy services but the information is available should they need this service. Suggestions and complaints made about the service are documented including who the complaint was made by, time and date of concern or complaint, who it
South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 15 was passed to, to be dealt with and following the investigation if the complainant was happy with the outcome. The POVA (Protection of Vulnerable Adults) procedures are in the home and accessible to the staff and all of the staff team apart from two recently recruited staff, have received protection of vulnerable adults training from the Local Authority, the company training department and an outside training company Care Alliance. All staff regardless of their role in the home receive POVA training. The home have received no POVA issues to date and this information is monitored by completing forms on a monthly basis that are then sent to company headquarters. Discussions with service users highlighted should they have a concern or a complaint they were confident it would be dealt with and comments included: ‘If I had a complaint I would go to the Manager, she is marvellous, she treats everybody the same’ ‘There is never anything to complain about in here but I would tell the office if I wasn’t happy’ ‘I haven’t got anything to complain about but I know who I would talk to about it, the staff really care in this home’ ‘I have never needed to complain but the home have told me how to should I need to’ South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is accessible for the people who live there and it is furnished and decorated to a high standard. Service users bedrooms are personalised and homely and all areas of the home are clean and odour free so that service users have a comfortable and pleasant place to live in. EVIDENCE: South Chowdene is a purpose built property with accommodation provided over two floors. Service users have single bedrooms with en-suite facilities and bedrooms are accessible to meet their mobility needs. They are furnished and personalised with photographs, ornaments and other personal possessions to suit their individual choice and tastes. The home has hoisting equipment and other adaptations and equipment to aid the moving and handling of service users who have a physical disability.
South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 17 Service users and their relatives had lots of positive comments about the home and they included the following: ‘We have everything we want here’ ‘I have a very pleasant bedroom, you are welcome to have a look’ ‘The gardens are lovely and its nice to sit out and its company as well’ ‘The laundry service is wonderful, my (relative) has never lost one item of clothing’ There are two mechanical assisted baths and two shower rooms and seven of the en-suite bedrooms have baths installed. The Manager explained that there is another un-used bathroom that is to be adapted to another use but no decision has been taken on the future purpose of this room. The home has detailed maintenance records that are held and completed by the permanent maintenance member of the staff team. The home has an open plan lounge that is divided into three separate areas to provide more homely and private sitting areas and there are high standards of cleanliness throughout home that reflect good cleaning routines. The laundry in particular is well organised and reflects good and hygienic cleaning practices. Service users have good level access into the well-kept and attractive gardens from the conservatory. The home employs a full time gardener and has recently entered a National Garden Competition organised by the company. Service users and their families have contributed to the planning of the creative garden and some have helped in preparing the hanging baskets and pots and tending of the sensory and herb garden. All service users spoken with commented on the pleasant gardens and the many sitting areas within them and were quite excited about the current competition. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good staffing levels and robust recruitment procedures ensure that service users needs are met and they are kept safe from potential harm. Service users are cared for by a competent and qualified team of staff. EVIDENCE: The staff rota shows that there are good staffing levels at all times. There are at least five care staff and three first level nurses on duty at any one time during the day. All staff have an individual training manual that details the dates and names of courses they have attended. Training needs are identified within supervision and copies of certificates and courses attended. Some staff have achieved an NVQ qualification in level two and two staff have been enrolled to commence level 3 in care in August. The cook has completed level 2 in hospitality and is commencing the Chef Academy Award next month. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 19 There is a recruitment department within the company and they place any vacancies on their own intranet site but the home also advertises the vacancies in the local job centre. There are robust procedures that are followed whenever a vacancy occurs and the Manager was able to discuss how the procedures are followed. The Manager and a senior nurse interview prospective staff or if it is a domestic vacancy then the housekeeper and Manager would interview. A sample of staff personal files were looked at. All the necessary checks and documentation was in place, including work permits for some staff. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service is well managed by a manager with good leadership skills. This ensures that the service is run in the best interests of the service users and that they are protected at all times. EVIDENCE: The Manager has achieved the Registered Managers Award and NVQ level 4 in care. She has a number of qualifications that includes Enrolled nurse, RMN (Registered Mental Nurse) and to update her skills and knowledge she has just completed a Health & Safety Coordinator course, palliative care and legionaries awareness. The Manager is well experienced to manage the service and has worked in care services for 12 yrs, the last three years manager of South Chowdene.
South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 21 Service users and visitors commented positively on the staff team and comments included: ‘I love it here the Manager is superb’ ‘The staff are wonderful and so is the Manager’ ‘All the staff are very kind to me’ ‘The Manager and staff are great I cannot praise them high enough, they have helped my (relative) loads’ The home’s administrator manages and keeps safe service users’ money. An audit trail of the records that are held both in paper form and on the computer and the money held was correct and the records kept were up to date and well maintained. Service users and with their permission, relatives can be given computer printouts on a regular basis when required and every month the administrator issues a statement to service users detailing their income and expenditure. Each transaction is recorded on a rechargeable expenditure voucher and completed receipts are attached, an expenditure summary is then completed and this acts as a cross referencing tool. Money is stored safely and securely and records showed there are two signatures entered whenever a financial transaction takes place and records follow the guidelines of the Data Protection Act. The fire records are detailed and show that fire tests are carried out at the stated times. South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 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. 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 4 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 4 4 3 3 3 South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? First 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 OP7 Regulation 15 Requirement The care plans need to contain monitoring and evaluation recording to ensure the care needs can be met Timescale for action 01/11/07 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 OP36 Good Practice Recommendations The Manager should receive line management supervision that is planned and recorded South Chowdene Care Home DS0000069200.V340537.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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