Mealtimes in care homes - thematic report
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Healthwatch Barnet undertook six enter and views of care homes. This report contains a thematic analysis of the observations and feedback they received of mealtimes.
In the care homes they visited, Healthwatch observed many examples of mealtimes being delivered well. Where they found areas for improvement, they provided detailed feedback to individual homes and worked with them on implementation.
On the basis of the good practice observed, Healthwatch have put together some guidelines which they hope will be useful to the dozens of other care homes in Barnet.
Environment: to create a welcoming atmosphere, homes can make use of bright and inviting décor, textured artworks, plants and flowers. Co-designing themed décor with residents adds further personalisation.
Social connection: to help build relationships between residents, it is helpful to organise special meals for occasions such as birthdays, religious holidays and events such as Black History Month.
Accessibility: residents’ independence can be maximised through tools such as large print, pictorial menus, easy-grip cutlery and the provision of ergonomic side tables for residents who choose to sit in armchairs or wheelchairs during mealtimes.
Feedback: valuable information can be gathered through regular resident feedback meetings, one-to-one conversations with residents and periodic surveys to inform meal planning.
Food and drink: the best menus include a good level of variety and choice and some culturally diverse options. In consultation with residents, homes can work to find ways to make healthy food options more appealing, for example via flavoursome vegetable side dishes.
Health and safety: it is important to ensure that only experienced staff serve meals, particularly to residents with specific needs. Wherever possible, this should be done by employees who know residents well rather than agency staff. In rare instances where agency staff are used for this work, homes should ensure they are experienced carers and are thoroughly briefed.
Mealtime support: staff can enhance residents’ mealtime experiences by encouraging them to eat at their own pace, seeking feedback, refilling drinks and offering second helpings. It is important to offer help whenever needed, while at the same time supporting residents to maintain some independence.