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Inspection report

Date of Inspection: 1 August 2012
Date of Publication: 3 September 2012
Inspection Report - DN published 3 September 2012 PDF | 49.3 KB

Food and drink should meet people's individual dietary needs (outcome 5)

Meeting this standard

We checked that people who use this service

  • Are supported to have adequate nutrition and hydration.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 01/08/2012, observed how people were being cared for, looked at records of people who use services and talked to people who use services.

Our judgement

The provider was meeting this standard.

People were protected from the risks of inadequate nutrition and dehydration.

User experience

People told us the food was very tasty and “If you don’t like what’s on the menu they will always cook something else for you.”

One person told us that if they returned late from an outing, a meal would be kept warm for them. They said they had recently been out with friends and when they returned home a hot meal was provided.

Two people said that if they asked for a snack or hot drink at any time this was provided promptly and we observed this on the day. We saw one person ask for a second cup of tea with biscuits and this was provided straight away.

One person told us they didn’t like tea or coffee and staff always offered different hot drinks such as hot chocolate or herbal teas.

One person informed us that “If I don’t like what is offered, the staff are very helpful. They know what I like and always ask me what I would prefer instead.”

Other evidence

Are people given a choice of suitable food and drink to meet nutritional needs?

We saw that there was a choice of food for breakfast. A list of people’s likes, dislikes and preferences was displayed in the kitchen.

We spoke to the three staff on duty and they all had a good knowledge of people’s personal dietary likes and dislikes.

The lunchtime meal did not offer an alternative choice. Staff and people using the service told us that if someone did not like what was on the menu something different would be prepared for them.

We were told that because the home was small the staff prepared the meals for people using the service.

Staff told us that the menu was agreed amongst the staff and people using the service.

Are people's religious or cultural backgrounds respected?

At the time of the inspection there were no people using the service with specific religious or cultural nutritional needs. It was apparent from discussion with the senior carer that the service was equipped to meet the needs of any person with individual dietary needs and this had been experienced in the past.

Are people supported to eat and drink sufficient amounts to meet their needs?

We noted that cold drinks were available at all times for people to help themselves. Staff were observed regularly asking people who were less mobile if they wanted a drink.

We saw that portions were plentiful and this was confirmed with people we spoke with.

We observed a staff member providing support to one person at lunch time. They were being encouraged to be as independent as possible. We noted that this was in line with the guidance we had seen in the person’s care plan.

We looked at the most recent results of a satisfaction survey carried out in February 2012. These were displayed on the notice board and included comments from relatives and visitors; ‘I believe there is sufficient food and that the quality is good. Whatever I have seen is certainly good quality, varied and sufficient’ and ‘Plenty and good quality’.

We looked at three care files for people using the service. Where people had been identified as having specific nutritional needs these were listed in their care plans and this information was available to staff who prepared people’s meals and drinks.

We saw that in two of the files, advice from the dietician had been reflected in the care plans.

The care plans we reviewed contained Malnutrition Universal Screening Tools [MUST]. These showed that people using the service were having their weight monitored on a monthly basis or sooner if their needs required this.

Staff spoken with confirmed that people’s food and drink intake was monitored if they were found to be at risk of poor nutrition.