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Inspection report

Date of Inspection: 22 August 2013
Date of Publication: 24 September 2013
Inspection Report published 24 September 2013 PDF | 77.27 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 22 August 2013, observed how people were being cared for and talked with people who use the service. We talked with staff and reviewed information given to us by the provider.

Our judgement

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

Reasons for our judgement

Earlier in the year, we had received information that food budgets for the home had been reduced. During our inspection we looked at food budgets, the preparation and cooking of food and weekly meal menus. We also talked to people at the home about their food choices.

A staff member at the home showed us the weekly menus. We could see there were a variety of meals offered to people. There was also a commitment from this staff member to cooking fresh foods which gave people a nutritious and balanced diet. Healthy food choices were promoted and encouraged; we were able to establish from the way groceries were purchased that fresh fruit and vegetables were bought on a regular basis. People were allowed to indulge in one "fun" meal each week, which allowed them to exercise a choice around their favourite foods. This meant that whilst healthy food options were encouraged, a person's right to choose was still present.

From people's weekly calendars, we could see that a visit to a local pub for a meal was listed as an activity. We asked the provider for assurances that this meal was paid for from the weekly food budget and that people living at the home were not expected to pay for this from their personal allowances. The provider told us that if the meal was one of the three meals a day provided for people, then the expense was met by the weekly food budget. We explained that information of concern we had received around food budgets indicated that this did not happen in practice. We were told this could have happened when a person went out for a meal in the community that was not scheduled as an activity in their weekly calendar. We referred the provider to inconsistencies we had found adhering to activities planned for people. The provider told us they would look into this matter further and provide assurances that people were not expected to pay for planned meals out.

When we spent time talking to people at the home, they told us they enjoyed the meals prepared for them. One person told us that they were planning to make a risotto dish and were buying ingredients for the meal that day. We found there was nobody at the home that had specific dietary requirements but staff were aware of one person whose milk intake required monitoring. We found that people had access to drinks throughout the day, including fresh fruit juices.