You are here

Archived: Beechlands EMI Residential Care Home

All reports

Inspection report

Date of Inspection: 30 July 2013
Date of Publication: 3 September 2013
Inspection Report published 03 September 2013 PDF | 76.3 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 30 July 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and reviewed information given to us by the provider.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

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

Reasons for our judgement

People who used the service were given a choice of suitable food and drink to meet their nutritional needs. Staff had information about the food and drink people liked and disliked and what they preferred. We viewed menus and saw that people were offered four main meals a day which included breakfast, lunch, dinner and supper. The menus were varied and well balanced and staff told us people who used the service were offered plenty of fruit and vegetables as part of their daily diet. We checked food stores and saw that there was a good stock of food and drinks.

We observed staff offering people drinks and snacks throughout the day and a relative confirmed this was usual. One person who used the service commented that they had enjoyed the food served at the home. Their comments included: “It’s very nice and tasty”. One person’s relative told us “The food is fine, my mum is quite fussy about food but I know if there is something on the menu she doesn’t like they will make her something else”.

Details of the days menu was written in small print on a white board close to the dining room. The provider may find it useful to note that the menu was not available in a format suitable to the needs of people who used the service, for example people who find it difficult to read.

We observed the lunchtime meal being served. There was a choice of two hot meals and other meals were prepared for people who didn’t like either of the two main options. We saw that people were individually served with their meal and meals were nicely presented. Hot and cold drinks were offered to people both during and after their meal and they were offered second helpings of food. Staff provided people with assistance and offered encouragement and prompting to those who needed it. People appeared to have enjoyed their meal time experience and we noted that the atmosphere was calm, relaxed and unrushed.

We saw that nutritional assessments had been completed for people who used the service and that following assessments appropriate care plans were in place for people who were at risk of malnutrition and dehydration. A record of people’s food and fluid intake was kept as required and people had been weighed on a regular basis. Where people showed signs of a poor diet and had lost weight staff had contacted the person’s GP and initiated referrals to a dietician. Care plans detailed people’s special dietary requirements, the support they needed with eating and drinking and specialist equipment they needed to help with their independence at meal times. Staff prepared drinks and food for people using thickeners as required and each person requiring thickener had their own supply which was clearly labelled by the pharmacist. Staff had knowledge about different food textures and foods which presented as high risk to people who had difficulties swallowing. The cook held details of people’s dietary requirements such as if they required a soft or pureed diet or if they required a high calorie diet.