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Inspection report

Date of Inspection: 11 January 2011
Date of Publication: 9 February 2011
Inspection Report published 9 February 2011 PDF

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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

Our judgement

We found evidence that people who use the services were supported to have adequate nutrition and hydration. No areas of concern were identified during the assessment of this outcome for this location.

User experience

The 2009 mental health in-patient survey question "How would you rate the hospital food?" placed the trust at the higher end of the intermediate 60% when compared nationally with other NHS mental health trusts. The provider gave an example of how two people who use raised issues of food choices available on a ward location via PALS. This was in turn raised with kitchen staff and the ward manager who set up a session to get ideas from people who use services and explain how nutritional guidelines are followed. The provider reported that a service user sits on the NICE nutrition group and has assisted in devising menu choices.

The provider offered additional evidence which was the Complaints and Complements Quarterly Report for the period 1 July to 30 September 2010. The report contained a number of direct quotes regarding complements received from people who used services across services. From the Longley Centre the following is a positive example regarding this outcome, “…And the food is as good as any hotel I’ve been in on holiday”. (Hawthorn ward, The Longley Centre).

We asked some patients what they thought about food during our site visit performed 6 January 2011:

“Fine”,

“Quality choice and amount of Food very good”,

“Can’t fault the food, there’s enough of it, can always ask for a different meal, get a choice every meal time”…I was 10 stone 4 pounds when I come in and now I’m 12 stone 6 pounds so food must be o.k.”,

“Its alright, make meals sometimes, for me".

Other evidence

The provider declared compliance with this outcome at this location at registration with CQC in April 2010. Our provider level QRP for this outcome contained mostly positive information relating to PEAT (Patient Environment Action Teams) assessments of food provision. In these assessments The Longley Centre was found to be very positively rated for food menu, choice, quality, portions, temperature, presentation, service and beverages. Also rated as expected for proportion of wards using a nutritional screening policy, wards that operate a protected mealtimes policy and existence of a nutritional screening group.

None of the external stakeholders referred to within outcome one who responded raised any areas of concern specifically relating to this location or outcome.

As part of the assessment of this location the provider submitted a provider compliance assessment for this outcome, which explained how a range of measures are in place to meet this outcome. A review of the self assessment was undertaken against the individual prompts of this outcome and we found that the provider had demonstrated compliance. In outline, the provider demonstrated that assessment and/or nutritional screening have been performed on people who use services depending on the type of service provided at each location. The provider had a physical health policy, training for staff members and healthy living groups to promote the physical well being of people who use services. People who use services in older adult’s locations have access to a trained dysphagia nurse and learning disabilities services have access to a range of measures to assess, assist and promote nutritional needs. The provider demonstrated that it had involved and sought the views of people who use services through questionnaires, audit and responding to individual feedback.

The provider explained that options are available in some locations for people who use services to purchase additional food and snacks that include initiatives that allow patients paid employment and rehabilitation opportunities. The Longley Centre includes the ‘Sweets and Treats’ shop and people who use services may have the option of ordering ‘take away’ meals with guidance and support. Occupational therapy groups, and groups such as the breakfast club and healthy eating groups are reported as actively supporting people who use services to plan and prepare own meals if required, for example, if they were going to be moving to a self catering environment. The report also included a detailed section regarding the NICE nutrition steering group.