Inspection on 02/06/09 for Avonbloom Rest Home

This is the latest available inspection report for this service, carried out on 2nd June 2009.

CQC found this care home to be providing an Good service.

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.

Other inspections for this house

Avonbloom Rest Home 07/06/06

Avonbloom Rest Home 06/02/06

Avonbloom Rest Home 25/04/05

Avonbloom Rest Home 08/12/04

Avonbloom Rest Home 29/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Avonbloom Rest Home 351 Squires Gate Lane Blackpool Lancashire FY4 3RG Lead Inspector Mrs Jackie Riley Key Unannounced Inspection 2nd June 2009 09:00 DS0000009785.V375769.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Avonbloom Rest Home Address 351 Squires Gate Lane Blackpool Lancashire FY4 3RG 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) 01253 401455 F/P 01253 401455 Mrs Mandy Jackson Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 15 Date of last inspection 17th June 2008 Brief Description of the Service: Avonbloom is registered under the Care Standards Act 2000, to accommodate fifteen older persons. The accommodation includes one double room, six single en suite rooms and seven single rooms without en suite. Bathing and shower facilities are available. There are three comfortable lounge areas one of which is the designated smoking room situated on the first floor accessed by passenger lift. There is also a pleasantly furnished dining room. The premises are situated on a busy main road in the south shore area of Blackpool. The home is close to local amenities and facilities and has good access to all transport services and routes. Some people who live there go out independently. The home is run in an informal manner and aims to provide a homely environment for people who use the service. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. The most recent inspection report is available in the hallway area for people to view. At the time of the site visit the range of fees were, £241.50 to £278.60. Additional costs to the residents include Papers, magazines, personal toiletries and Chiropody. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 5 Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. A key inspection of the home was undertaken which included an unannounced visit to the service on the 2nd June 2009 and lasted approximately 4 hours. We spoke to five people living there the owner and two staff members. The care records and other records relating to the care they receive were looked at. We also looked around the home with the owner and spent time talking to people living there. As part of the inspection process we looked at the rooms some people occupy with there permission as well as looking at daily notes this is called case tracking. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. This document is called ‘Annual Quality Assurance Assessment’ (AQAA). We use this information, in part, to focus our inspection activity. What the service does well: We found the home provides care in a flexible way, so that people have the opportunity to live their daily lives as they choose to. Comments included, there are no rules really, I can get up and go to bed when I want, I like to go out most days and do my own thing. We saw staff speak to people with sensitivity, and they make sure people’s needs are being met, so that they are comfortable. We talked to the staff team on duty who confirmed they have a good knowledge of the individual care needs, social and cultural needs of people living at the home so that they are not disadvantaged in any way. Comments included, most people have been here for a long time and we know there needs. Everybody is different and we acknowledge that but treat everybody with respect. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home and associated with the home have information about what services they can expect to live there. Admission and assessment procedures are in place so that the home knows they can meet the individual needs of people living there. EVIDENCE: We looked at the records of two people living at the home. We saw they had assessment details in place from social workers, or healthcare professionals. The information showed the home is informed through these assessments of the needs of the person. Staff spoken to said they use this assessment information to determine the level of care people need. Comments received said, The information we get is important so that we know what the needs of residents are. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 10 Since the previous inspection the home has produced up to date information about what services it provides. This information has been given to people living there as well as their families or advocates, so that they know what the home can provide and make an informed decision. People we spoke to as part of the time spent at the home told us they know about the new information and that they will be receiving a copy soon. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously. People’s welfare is monitored and their health needs are identified and met. EVIDENCE: Since the previous inspection the home has reviewed and put in place new care planning records which are clear and easy to follow. The two care planning records we looked at were accurate and up to date. There was good information about individual healthcare needs as well as how those needs are going to be met. Staff we spoke to said the information is clear and they can follow the plans to maintain and support people who live in the home. A person living at the home told us the staff are a good bunch, and are always there for you. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 12 The records we looked at show there are risk assessments in place for people, which highlight what the risk is, how it can be managed and what the outcome is for the person. Many of the people living at the home have lived there for a number of years and there has been little change, however there is evidence there are reviews taking place involving the person. One person we spoke to said they asked me about all sorts of things and about what I need to do when I am out if I have trouble with anything. They told us they are involved in the care planning; however in all instances this was not included in the care planning records. This would show people have been involved in the care planning process and agree to the information being collected and used to provide care. The care plans we looked at have clear review dates in place, it is important the new plans are reviewed within the stated timescales so that any changes necessary are clearly recorded. A recently introduced key worker system means that staff will be involved in the process and those spoken to said, It is a new system but I think it is working well and the other staff like it. By looking closely at the records we found there is a good link between the home and other healthcare professionals including, doctors, district nurses and psychologists. We saw records of G.P. visits and District nursing visits to individual people. In addition we saw hospital appointment records with reasons for the appointment and the outcome. This information helps the staff to keep informed of any changes which may be necessary in a persons care. Staff spoken to said, We have a good relationship with the doctors and district nurses, they have got to know us over the years. Medication records and observation of practices in administration showed us it is safe. In general the manager administers medication however all of the staff team have been in post for some time and all have attended medication training to various levels. The reviewed training programme will update all staff training in this area over the next twelve months. We looked at two records and found them to be complete and up to date. We looked at how the home stores medication and found it to be in a locked purposeful facility, to ensure security. We saw people’s privacy and dignity is respected by looking at how staff talk to and respond to people. We found staff to be respectful and sensitive to individual needs throughout the inspection. Staff spoken to said, I treat people the way I would expect to be treated, some of them have their own funny ways but we respect that. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 13 Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are being well managed, creative and provide daily variation and interest for people living at the home. EVIDENCE: We spoke to some of the people living there and staff about routines in the home. They said they are flexible and people can get up and go to bed when they choose. We saw two people using their rooms during the day. Other people were in the lounge and dining areas, as well as the garden. We saw they are free to move around the home when they choose to. The lunchtime meal was being prepared and seen to be wholesome and nutritious. People we spoke to said, they liked the meals and they can eat them when they choose if they are out during mealtimes. We saw the dining room is pleasantly set out with tables arranged around the room, there were flowers as well as fresh fruit on individual tables. People we spoke to said they Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 15 were encouraged to help themselves to the fresh fruit daily. I really like the way we can help ourselves to fruit it’s always there and fresh. Menus we looked at were balanced and the use of fresh produce is made available whenever possible. Staff members spoken to said they like preparing the meals for people, and that they know that due to the home being of a moderate size they know the likes and dislikes of individuals and they respect this. We saw in the care planning records there is a dietary preference sheet which takes into account a person likes and dislikes from a large list of food groups. A comment told us they spent time with me going through the lists of food s I like and don’t like so they know what to give me. We saw there is a range of activities available to people living there. We spoke to a number of people who told us they like to go out independently, some like to sit around the home between the lounge and their own rooms. Others like to go into the garden when the weather is nice. In addition there are organised activities including board games. One comment told us I love playing bingo it really is good. We were told by a person living there they like the entertainer when they come once a month, they also like going out in the care on drives. We also saw some people attend day care when they choose to do so and this is organised and overseen by the manager. We spoke to a person who likes to go out daily and this is not seen as a problem to the staff. The person said they tell the staff when they are going out and what time they will be back. Staff said they know the routine and would be alert if the person was late for any reason. There are no restrictions for visitors to the home; however there were no visitors during the time spent doing the inspection. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangements for recording and responding to complaints are good making sure people feel listened to. Safeguarding training for staff is being updated for the protection of users of the service. EVIDENCE: We looked at the homes complaints procedure. It has recently been reviewed and updated with other service information and is being made available to people who use the service. We were told by staff and a person living there, they are aware of the complaints procedures and how to use it. Comments included, I talk to the owner if I am not happy about something”. We found there have been no complaints made to the home or to the Commission since the previous inspection of the service. We spoke to the staff about how residents are protected they told us they are receiving updated training in safeguarding people. During the inspection at the home an independent trainer visited to review all the staff training records and to implement a new training programme including safeguarding in the next twelve month period, so that people are protected. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,24,26 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is designed to be homely and comfortable, however the need for decoration and replacement furniture, has the potential to have a negative impact on residents living at the home. EVIDENCE: We looked at the homes layout and design, and found to be of a domestic nature, with adaptations being discreet. There is a ground floor lounge area used by most people. There is a dining room to the front of the home. People living there have there own bedrooms. People were seen to be moving around the home freely with some using their own rooms, sitting in the garden and Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 18 using the main lounge. People we spoke to said they liked the way they could have their own personal things in their room, and they liked using the rooms as they choose. There is a passenger lift to access the first floor of the home. There was a bedroom on the ground floor being decorated. Other rooms on this floor are mainly occupied by people with limited mobility. We looked at all residents bedrooms. We found them to be a good size and they had various items of furniture. This helps them to feel comfortable with personal things around them. In all rooms the furniture and decoration is looking tired and would benefit from decoration and replacement of some of the furniture. This was an area we identified as requiring attention at the previous inspection, and whilst one bedroom is being decorated and loose radiators have been fixed to the wall there remains a general need to upgrade all rooms occupied by people living at the home so that it is a comfortable and well maintained environment in which to live. In addition to this one room was found to have an offensive odour. We spoke to the owner about this and were told this is being investigated and action being taken to resolve the matter which has only recently been noted. There is a garden area to the rear of the home which is well maintained and was being used by two people during the inspection of the home. They told us they like sitiing on the decking area available at the front and rear of the home in the nice weather. Comments included, I like sitting out here in the good weather and especially at the f front where you can see things going on and have a chat when people pass. There are two bathing facilities used by people living there including two baths and a shower. Facilities are in place for assisting people with limited mobility to use the bathing facilities. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures for recruiting staff are good, ensuring the safety and protection of residents. Training and deployment of staff is being developed so that they are meeting the needs of people living there. EVIDENCE: We looked at the duty rotas and discussed staffing levels with the manager. We saw there are sufficient numbers of staff with various skills and experience to meet the needs of people living there. Staff we spoke to said they were happy with the way they are supported and how they work in the home. Comments included, we have worked here for a long time and we work well together as a team, we all know what we are doing and help each other out. The way staff are trained is being reviewed and we saw there is evidence the staff team are going on courses to meet the needs of people living in the home. A trainer was in the home during the inspection and reviewing all staff training files so that a new training programme focusing on current good practice is being developed. All staff have a care qualification. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 20 We looked at two staff files. They have been reviewed and a new format is in place so all the essential information is together in one place and can easily be audited. There have been no new members of staff employed since the previous inspection of the service. We found the application form should be reviewed and changes made to include a full employment history of an applicant with any gaps explained. We spoke to the owner about this and it was agreed the changes would be made. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed well with systems and policies in place for the safety and protection of residents. EVIDENCE: We saw the manager is running the home on a day to day basis in the best interests of people living there and staff. Comments included, we feel really supported by the manager, and “the manager is here most of the time so you can always discuss things with her “, “if I’m not sure about anything I can just ask”. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 22 The way the home is run is flexible; this was evidenced by talking to people and gaining the views and ideas of people living there. We were told meetings are held but they should be recorded so that there is a clear audit trail of what has been discussed and what decisions have been made. We noted there is a representative of Age Concern who visit on a monthly basis, to give people the opportunity to discuss issues of their choice with an independent body. People we spoke to said this can be really helpful. We found that all records and systems in the home have been reviewed or are at the review stage, so that the information is comprehensive and up to date. Staff were able to follow clear instructions in the records for the health and welfare of people living there. We saw there is a clear line of management responsibility and that staff communicated well with the owner throughout the inspection process. By looking at records we saw regular tests and servicing of essential equipment including, gas, electric and fire they were safe. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 23 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 X X n/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 2 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation 23(2)(b) Requirement The owner must make improvement to the decoration of people rooms and to replace furniture items which are damaged or heavily stained. The owner must take action to address the issues of an offensive odour in a room we identified during the inspection so that it is a comfortable environment in which to live. Timescale for action 30/04/10 2. OP26 16(2)(k) 31/07/09 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. 2. 3. Refer to Standard OP7 OP30 OP29 Good Practice Recommendations People should sign their care plans to confirm they have been involved in the process. Staff training should continue to be developed so that they are equipped with the knowledge and skills to meet the needs of people living there. The homes application form for new staff should request a full employment history with any gaps explained. DS0000009785.V375769.R01.S.doc Version 5.2 Page 25 Avonbloom Rest Home 4. OP33 Meeting with staff or people living at the home should be recorded so that there is a clear audit of the information discussed and decisions made. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 26 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Avonbloom Rest Home DS0000009785.V375769.R01.S.doc Version 5.2 Page 27 - 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. 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