Nutrition & Hydration Care for Service Users Health Scrutiny Joint Accountability – 5 th October 2011
Introduction • How we maintain service users nutrition and hydration across the Trust.
Catering Services Ensuring that all service users have: •Enough to eat •A choice of foods to suit all diets and appetites – Dieticians – Range of menus – In right sort of packaging/containers •Help with eating if needed – Individualised care planning – Carer involvement – Protected meal times – Housekeepers – Volunteers
Nutrition & Hydration Care Pathway •All service users are screened weighed, and assessed on admission to identify risks of dehydration and malnutrition •Nutrition care plans are produced for any patients shown to be at nutritional risk and the plans continually evaluated and revised •Weekly risk assessment for nutrition and hydration for all service users •Access to Dietician and Speech & Language Therapist http://www.southstaffsandshropshealthcareft.nhs.uk/getattachment/6f58c5b9-1db5-4bde-b39b-df354e1d8af4/C-YEL- cm-16.aspx
Focus on Physical Health Care •Senior Multi-professional Group to promote good physical health care •Nutritional care group •‘Energising for Excellence’ events •Training workbooks developed Nutrition & Hydration Diabetes Vital Signs •Physical healthcare training days
Monitoring •Modern Matrons observation visits including weekly weight monitoring reports •Nutrition group monitors all clinical incidents relating to food and nutrition and follows each incident through to ensure suitable outcomes •Nutrition & Hydration audit tool •Food wastage audits •Service user satisfaction monitored through PALS •Essential Standards visit programme involving Governor Members
Monitoring Benchmarking tools including: • Ombudsman’s Care & Compassion Report February 2011 • Privacy & Dignity reports - Care Quality Commission 2011 • Essence of Care • Chief Nurse – High Impact Actions
Future Plans • Revised Guidelines for Nutrition & Hydration including new fluid balance monitoring • Nutrition & Hydration audit tool reviewed and piloted in community and inpatient settings
Questions?
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