Food producers & suppliers (Food Matters Group) Catering managers Decision makers: public health, social care, CQC, GP’s Libraries Chefs and cooks in care settings Catering managers Children – schools ‘food for life’ Minority groups – BME Cooking lessons – young & old Lobbying parliament A greater level of understanding of the MUST tool by carers Director – manager, staff, professionals Residents Families Local authorities – HC professionals Care agencies Carers O. T. Social care professional GP Trainers User group Dieticians Speech language therapists Medicine management team Age UK Associations Agencies NACC Volunteer groups CEO Lead of care team Lead of L&D Lead of catering services Lead of operations Health & safety team Guidelines Support Marketing / PR Social networking
From all angles, but starting at the top Enthusiasm Education Information Organised structure Budget Recognise professional Feel good factor Discussions Company business plan Evidence Contacts Communication
FOOD THAT RESIDENTS WILL EAT AND ENJOY NO RESIDENTS TO BE MALNOURISHED Better communication in organisation Better consistency in care planning and implementation Staff having better knowledge e.g. diabetes and nutrition Flying the flag for nutrition and nutritional care Goal – personalised service Expanding forum into domiciliary care / supported living Self auditing (review of) Spot checks NO MALNUTRITION AT ALL!
UNDERSTAND NUTRITION AND HAVE ENOUGH STAFF AND TIME TO ASSIST THE FEEDING OF THE RESIDENTS Encouragement – involving relatives / volunteers Flexible service Protected meal times – no medical but patients need help and encouragement Dedicated nurses to manage the meal times or housekeepers Catering staff – service must be good “Whet appetite” recipes on food that is appetising – aroma / milkshakes Truck driver can influence - leaflet to village shop MUST tool training – raised awareness Completed / audited screening Care pathways reviewed – new forms, training, communicated Joint nutritional forum – care catering, housekeeping Textured modified diets training / monitored / fortification / reviewed Involved in medicines – management group NHS Bristol We have good food but it may not be eaten We know who is losing weight Variable knowledge on nutrition Inconsistent care and recording Continuing services Stop services being cut Looking long term Understanding of long term prevention