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Archived: Rushall Care Centre

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Inspection report

Date of Inspection: 5 June 2014
Date of Publication: 19 July 2014
Inspection Report published 19 July 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 5 June 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, reviewed information sent to us by other authorities and talked with other authorities.

Our judgement

People were protected from the risks of inadequate nutrition and dehydration

Reasons for our judgement

We found that people were protected from the risk of inadequate nutrition and hydration.

One relative told us: “The food here is amazing. I don’t know how they do it. If something’s not on the menu, they will make it. They are very accommodating” and: “Drinks are always in reach and squash is topped up throughout the day. There is always tea and coffee being made” and: “[My relative] has a diabetic diet and their diet is well controlled”.

During a tour of the premises we found that snacks were available for people who used the service. Snacks we saw included crisps, fruit, cakes and chocolate bars. A jug of juice and glasses were available in the lounge.

We saw there was a menu displayed on each table in the dining room with food choices for that day. The cook and staff told us that the activity co-ordinator was in the process of taking photos of all the meals served so people could see the food to help them make a decision about what they wanted to eat. We will check this at our next inspection.

We talked to the cook to understand how they were informed about people’s individual dietary requirements. We saw a list in the kitchen which documented people’s specific requirements to include food allergies and medical conditions. This meant that people were provided with a choice of suitable and nutritious food and drink.

The cook told us: “We are involved in conversations with the speech and language therapist. We have input into their assessments, as we know what people like to eat and what their favourite foods are. For example one person has a semi-solid diet and loves ham sandwiches. We spoke with the speech and language therapist and they advised us to dice the ham and cut of the crusts, so they could still have this” and: “We try and make things to. We make a special scone for people who are on a soft diet. People love it”.

We looked at nutritional assessments for three people who used the service. We found that people’s weights were reviewed every month. We saw that staff had completed an oral assessment of people’s needs and interventions required. For one person we saw they had been prescribed food supplements after a referral to the dietician. This was up-to-date in the care plans we looked at. The provider may find it useful to note that in the care plans we looked at people’s food likes and dislikes were not consistently recorded in people’s care plans.

On the day of our inspection, we saw staff supporting people to drink. Staff sat next to people and spoke with them whilst supporting them to have their drinks. We saw staff offer drinks to people throughout the day. Staff always gave people a choice of hot and cold drinks and sugar or no sugar.

We completed an informal observation at lunchtime where we found people were supported to eat their meals. We found that staff used appropriate pacing to ensure that people were supported to eat at a pace that suited them. We saw that some people had a pureed meal in line with their individual nutritional needs.

One relative told us: “[My relative] eats extremely well. They like huge meals and [staff] ask me about their preferences”. This meant that people were supported to be able to eat and drink sufficient amounts to meet their needs.