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Archived: Newstead House

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All reports

Inspection report

Date of Inspection: 10 January 2012
Date of Publication: 1 March 2012
Inspection Report published 1 March 2012 PDF

Food and drink should meet people's individual dietary needs (outcome 5)

Not met this standard

We checked that people who use this service

  • Are supported to have adequate nutrition and hydration.

How this check was done

Our judgement

People are at risk of not receiving enough to eat or drink at the home, because hydration and nutrition are not managed safely.

User experience

We saw that people had drinks in front of them, and each person had at least one jug of drink within reach. We saw that staff were encouraging people to drink, and one person told us “I don’t drink much, they keep telling me I should drink”. The person appeared well hydrated and had a beaker of water on their table with a cloth to catch any drips. The records showed that the person preferred to drink water.

People told us that the food at the home had improved. One person said “it’s nice to have more variety” and another said “they seem to be trying harder”. We saw notes of a meeting which the manager had held to find out what sort of food people would like to eat.

We have already reported in the section on Outcome 4 that the records for some people showed a very low fluid intake. We saw that one person was in bed with a cold cup of tea in front of them. Their lips were dry, so we looked at the fluid intake chart. This showed a low fluid intake over the previous ten days, with only 200ml recorded as having been taken in one 24 hour period. If records indicated that someone’s fluid intake was exceptionally low on one day intake, we would expect to see that staff had made an extra effort on the next day to make sure that the person had enough to drink. However the records for the next day showed a fluid intake of 600ml over 24 hours, which is less than half the recommended amount of 1600ml.

Other evidence

When we checked the records of people’s weights we saw that one person had recently lost a significant amount of weight. There was evidence that staff had ensured that the weight loss would be discussed with the GP on her weekly visit to the home. When we checked the food intake records for this person, there were no recordings of any snacks offered or eaten between meals. There was no information in the care plan about the need for snacks or a fortified diet for this person.