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Inspection report

Date of Inspection: 28 May 2013
Date of Publication: 4 July 2013
Inspection Report published 04 July 2013 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 28 May 2013, checked how people were cared for at each stage of their treatment and care and spoke with one or more advocates for people who use services. We talked with people who use the service, talked with carers and / or family members and talked with staff.

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 were provided with a choice of suitable and nutritious food and drink. People, who could, told us they could choose their meals from different options on the menu. One person told us " I like the food here, it’s good”. Relatives we spoke too said the food was "very good” One relative told us, "Hot and cold drinks are always available and if my relative doesn’t like the food on offer there is always something else they can choose". Staff told us that people had a choice of two main dishes each day. We saw that the manager had integrated picture cards of actual meals to support people to choose what they liked from the menu which, in turn, had varied and balanced options that met people’s nutritional requirements. This included catering for people who needed special diets such as soft or pureed meals and for people who chose a vegetarian diet. In addition, we saw that each person who uses the service had a “tuck box” in their room that they could help themselves to whenever they wanted to. Staff told us that fresh fruit and vegetables were available and we saw people being offered fresh fruit. This meant that there was a choice of suitable and nutritious food and drink that met people’s needs.

We observed staff assisting people with cutting their food, and saw that they sat down and engaged with people whilst assisting them to eat at a pace that was comfortable for them. Staff told us and we saw that, people were served hot or cold drinks at regular intervals, in addition to meal times. We saw that the manager had contacted outside agencies and professionals, such as speech and language therapists and dieticians for advice and support when supporting people who displayed problems with swallowing or when they required a soft diet. When we looked at peoples care plans we saw assessments and recommendations conducted by visiting professionals and observed that professional recommendations were followed. This meant that people who use the service were supported to eat and drink sufficient amounts that met their needs effectively.

We found that People's food and drink met their religious or cultural needs. All the people living at Maylands were of a similar cultural background. The staff were aware of different cultural preferences and said they would accommodate the needs of people of differing backgrounds or cultures if and when required.