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Archived: Abbeywood Outstanding

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Inspection report

Date of Inspection: 3 July 2013
Date of Publication: 26 July 2013
Inspection Report published 26 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 3 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 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 supported to be able to eat and drink sufficient amounts to meet their needs.

Many of the people at Abbeywood Care Home were unable to tell us about their experiences in a meaningful way. To help us to understand the experiences people have we used our SOFI (Short Observational Framework for Inspection) tool. "SOFI is a specific way of observing care to help us understand the experience of people

who could not talk with us."

The SOFI tool enabled us to spend time watching what was going on in the service and helped us to record how people spent their time, the type of support they got and whether they had positive experiences. We spent time on each of the floors observing care and found that people had positive experiences.

We last inspected this service on the 8 January 2013 and found the provider was not meeting the essential standards of quality and safety for meeting nutritional needs. We noted were one person has lost weight this had not been followed up with the relevant health care professional.

People who could express a view told us they enjoyed the food, and that if they did not like what was on the menu, the cook would provide an alternative. We spoke with people about whether or not they had a choice of food, some said they did, others said that they did not. People said the food was lovely and there was lots of it. One person told us they "I love my food and look forward to meal times". Another person said "We get three meals a

day and I don't have to cook them now that is just wonderful, what more could you want."

People were provided with a choice of suitable and nutritious food and drink.

We looked at the care records for six people. We saw that dietary risk assessments and care plans were in place where required. There was evidence that where appropriate people had had nutritional assessments. Where required, people with swallowing difficulties had been referred to the speech and language therapy departments for assessments. We noted from care records that people's weight had been monitored in accordance with their care plans and when areas of concern had been identified the appropriate health care professional had been contacted. This meant that people's needs were assessed regarding their nutrition.

Staff including the chefs talked to us about people who required a soft or puréed diet particularly those with a swallowing difficulty. They referred to the visits they had received from the Speech and Language Therapists (SALT) in order to provide them with training in this area. Staff also talked about people who required a diabetic diet and people who required food supplements. Staff demonstrated a good understanding of people's needs in these areas.

We saw the home operated a daily menu, and provided a varied choice of food. We noted a full alternative menu was available as well and included a vegetarian option. We asked the staff how they sought people's views about their food choices. They told us they knew people well and people's likes and dislikes had been recorded in their care plans. They also told us they showed people the choices of food available. One member of staff said "People with dementia sometimes forget what they have asked for so if we show them the

food they can choose." We observed staff showing people the food choice prior to serving it. This meant people were provided choices of food and drink to meet their diverse needs.

During our visit we observed people were regularly offered drinks. We noted where food and fluid intake and output charts were being used they had been completed and were up to date. We observed a lunch time period, food was seen to be plentiful and people were seen to enjoy their food. People who required help and support to eat their food received it in a timely fashion. We saw that some people had been provided with special types of cutlery which enabled them to eat their food unsupported by staff. Where people required help with their food staff