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Crawshaw Hall Medical Centre and Nursing Home Good

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Inspection report

Date of Inspection: 31 March 2015
Date of Publication: 16 May 2015
Inspection Report published 16 May 2015 PDF | 68.12 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 31 March 2015, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People were protected from the risks of inadequate nutrition and dehydration

Reasons for our judgement

during our last inspection we identified concerns in relation to meeting nutritional needs. This was because we had concerns regarding the manner in which people were assisted with their food and drink. We also noted that a referral to a dietician had not been made appropriately. We asked the provider to send us an action plan about how they would ensure this breach was met. We looked at this during our inspection.

At the time of our visit we observed snacks, drinks and meals being served to the people living in the home. We observed that meal times were undertaken in two sittings. The manager explained how this enabled staff to spend time with individual people supporting them with their meals. We found the meal time to be delivered in a quiet and unhurried manner. There were sufficient staff available to support people. Staff engaged with people, explaining what they were receiving in their meals, offering support with eating if this was required. People were seen engaging in conversation with each other freely if they wished.The menu was available in picture format for those people who required alternative communication aids. We were told that occasionally people who used the service were assisted to order a 'take away' meal if they chose.One person told us "The food is pretty good and there are choices." Another person said "I find the food good here and I can choose what I want." A relative told us "My wife is on a soft diet and there do not seem any problems with it, they look after me too as I come every day."

We reviewed six care plans and we saw evidence of up to date nutritional risk assessments in place. People who required records relating to food and fluids were noted to be in place and contained details of people's intakes. Records contained details that covered the twenty four hour period. We noted people who used the service had details relating to regular weight monitoring. There was evidence of action taken if concerns were raised about people's weight such as a referral to the GP. This meant systems were in place to ensure people who used the service received safe and effective care because staff ensured appropriate measures were taken if referral for follow up and assessment was required.