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Avocet Trust Domiciliary Care Service Good

All reports

Inspection report

Date of Inspection: 8, 16 January 2014
Date of Publication: 11 February 2014
Inspection Report published 11 February 2014 PDF

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 8 January 2014 and 16 January 2014, 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, talked with staff and talked with commissioners of services.

Our judgement

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

Reasons for our judgement

People were provided with a choice of suitable and nutritious food and drink. People we spoke with told us they enjoyed their meals. Comments included, “I really like the meals, we are having take-away fish and chips tonight” and “I help choose meals, the food is nice.”

One person’s relative told us, “He has his favourite meals and enjoys going food shopping with the staff. He makes snacks and light meals with help.” They went on to tell us, “The staff are good at encouraging healthy meals and drinks.”

We looked at two care files. They showed people who used the service had assessments and plans of care for their nutritional needs. The care plans identified risks such as weight loss/ gain and the actions staff had to take to minimise the risks. The records gave staff guidance in how to meet people’s needs which included: preferences, likes, dislikes, texture, any swallowing difficulties and the level of staff support.

Staff told us they monitored people’s nutritional status and their weight regularly, and that they used food and fluid intake charts if necessary. The records we sampled confirmed this. We also saw GPs and dieticians had been involved if there were concerns about people’s weight. One person’s records showed the dietician had been involved to support an appropriate reducing diet. There was evidence in the records that the dietician had reviewed the person’s menus and provided direction for staff. The care plan had been updated with guidance from the dietician and daily records showed that staff were providing this support with more positive results. Records of the person’s weight showed the person had lost weight in recent weeks.

Another person’s records showed how they were receiving support with a fortified diet and a menu had been developed to reflect this. Staff described some of the high calorie meals and snacks they provided for this person.

Staff told us they had completed training courses in food safety. During the visit staff demonstrated a good knowledge of people’s food preferences and nutritional needs.