Tag Archives: HIQA

food and nutrition in care homes

Food and Nutrition within the Intellectual Disability Sector and in a Care Home Setting

Care Home Setting:

Each Residential Centre must develop a comprehensive Nutritional Policy based on 10 key points which range from serving Safe Food to having a Resident Center Approach.

The Health Information and Quality Authority (HIQA) have recognized the vital role that food and nutrition plays in terms of health and well-being in Residential Care Setting. As a result they have commenced themed audits on Food and Nutrition in a Residential Care Setting. The day of the “goodie bowl” is over!

Each Residential Centre must develop a comprehensive Nutritional Policy based on 10 key points which range from serving Safe Food to having a Resident Center Approach. To implement a successful Nutritional Policy there must be a team approach to the provision of nutritional needs. We can help you with this!

foodpyramidOne of our nursing home clients had a HIQA audit on Food and Nutrition with wonderful results. Some key reasons for their success was that the Chef knew the Residents likes and dislikes, staff knew who needed special monitoring, fortification and assistance. More importantly each resident was offered a choice at mealtimes and the food was presented in a careful appetizing manner.

For training purposes we purchased plates with three sections and got silicone baking trays in pretty shapes to bake-off cooked dishes so that the food looked appealing to the Resident. Food presentation was not difficult or expensive but simple and very cost effective. The food looked good!

The Dining Room that once resembled Grand Central Station now resembles a busy, pleasant restaurant with light music playing and decorated with pictures and plants. Tables are properly set with colour coded table mats and beakers to identify residents that may require further attention. There is no such thing as “special feeds at mid-day”, there is only one sitting and everybody is the same!

When the themed audit was announced, the Chef thought the responsibility would all fall on her shoulders. Food, Nutrition and Diet is a team game in every home. Nurses may draw up the nutritional care plan but care assistants monitor it with the dedicated help of the Kitchen staff.

Intellectual Disability Sector:

We have received very positive feedback from Waterford Intellectual Disability Association after delivering our new Food and Nutritional course to staff there.

After the media reports of this weekend concerning a report of Aras Attracta, Swinford, I am so pleased that our course addresses all the issues that HIQA highlighted, like effective monitoring of nutritional intake, hurried mealtimes, the correct service of food and beverages.

Our two hour programme covers the basics of nutrition, the balanced diet, menu tips and the key 10 components of a good nutritional policy.

Would you like some assistance with drawing up a nutritional policy?

We can help you develop and write an appropriate Nutritional Policy for your Centre. We will cover all the main concerns and train your staff in the policy in a user friendly way. We will share menu ideas with you to achieve the balanced diet in a tasty manner.

We also train your team on how to read food labels and make an informed choice on the nutritious option. We share a basket of foodstuffs with the class and get them to select what is best for the client.

“Training has been so interactive. Staff have shared great tips with us during class and the whole experience has been a happy and fulfilling one”

Contact us to find out more about how we can help you.  You can ring Mairead on 021 4355917 or email info@marydaly.ie alternatively complete the form below and we can contact you. Let us know the best time to reach you.

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Nutrition in a Care Setting

Some more info on our Food and Nutrition in a Care Home Course

As interest and demand for our Food and Nutrition in the Care Home course is growing I decided I would give a bit more background to the course and how and why we developed it. HIQA selected, last Autumn, one of our major clients to conduct a themed Food and Nutrition audit. HIQA forwarded a copy of their audit checklist and requested a copy of the Nutritional Policy developed by the Centre.

An effective  and successful Nutritional Care Policy requires a team approach that includes Nurses, Carers and Caterers.

With the checklist in hand and other information provided by HIQA, we developed a bespoke Training Course to fit the exact requirements of HIQA, including the ten points that need to be included in a Nutritional Policy in a Residential Care Setting. We delivered our unique and interactive course to all staff, including Nurses, Carers and Caterers over a half-day, emphasizing that Food and Nutrition is a complete team responsibility. We presented each class with Menu and Presentation ideas that were easy to achieve. We are pleased to state that the inspection was a tremendous success and we have since delivered the same course to many more Care Homes across the country.

Course Content:

  1. The HIQA Standard on Meals and Mealtimes.
  2. What is Healthy Eating?
  3. Changes in the body with ageing.
  4. Healthy eating plan for older adults.
  5. Nutrients essential in the elderly.
  6. Malnutrition.
  7. A good Nutritional Care Policy in a Care Home. 
  8. MUST- 5 steps to MUST & a case study.
  9. The guidelines to the management of malnutrition-Food First Approach, Get More In, Ordinary Intake v Adapted Intake.
  10. Hydration/Fluids.

Topics covered in the development of a good nutritional policy include:

          • Safe Food.
          • Multi-Disciplinary approach.
          • Training in Nutritional Care
          • Nutritional assessment on admission.
          • Nutritional Care Plan for each individual.
          • Ongoing evaluation.
          • Protected Meal Times, Eating Environment & Assistance v Feeding.
          • Food availability.
          • Presentation.
          • Resident Center Approach.

For more information call us in the office on 021 435 5917 or email info@marydaly.ie

Nutrition in a Care Setting

Nutrition

Food and Nutrition in a Care Home

Nursing Homes must develop a comprehensive Nutritional Policy

The Health Information and Quality Authority (HIQA) have recognized the vital role that food and nutrition plays in terms of health and well-being in Residential Care Setting. As a result they have commenced themed audits on Food and Nutrition in a Residential Care Setting. The day of the “goodie” is over!

Now, each Nursing Home must develop a comprehensive Nutritional Policy based on 10 key points which range from serving Safe Food to having a Resident Center Approach. To implement a successful Nutritional Policy there must be a team approach to the provision of nutritional needs. We can help you with this!

veggiesOne of our clients had a HIQA audit on Food and Nutrition with wonderful results. Some key reasons for their success was the Chef knew the Residents likes and dislikes, who needed special monitoring, fortification and assistance. More importantly each resident was offered a choice at meal-times and the food was presented in a careful appetizing manner.

We purchased plates with three dividers and got silicone baking trays in pretty shapes to bake-off cooked dishes in an appealing manner. Neither presentation was difficult or expensive but simple and very cost effective. The food looked good!

The Dining Room once resembled Grand Central Station but now with light music or the one o’ clock news on the atmosphere is more like a busy, pleasant restaurant.

Tables are properly set with colour coded table mats and beakers to identify residents that may require further attention. There is no such thing as “special feeds in at midday”, there is only one sitting and everybody is the same!

Interior decoration is important in the Dining Room- soothing colours, warm curtains, flowers and music all lend to a pleasant atmosphere requested by HIQA.

When the themed audit was announced, the Chef thought the responsibility would all fall on her shoulders. However, through training all staff we demonstrated that Food, Nutrition and Diet is a team event in every home. Nurses may draw up the nutritional care plan but care assistants monitor it with the dedicated help of the Kitchen staff.

cleaning and infection control

Practical Cleaning & Infection Control – New Training Course!

cleaning and infection controlAfter many months of planning and hard work, we are truly delighted with the feedback from our new Practical Cleaning and Infection Control Course. We will deliver this course for a number of Public and Private Residential Settings over the next few months. This month we are in Bandon Community Hospital and we will deliver for FAS during the month of October.

This course begins at 9am and the morning session provides participants with training and practical demonstration in the areas of Hand Hygiene, Laundry & Waste Management, Management of Spills & Bodily Fluids and Cleaning. The training is very interactive with both candidates and the trainer carrying out practical tasks in the classroom.

After lunch there is a detailed two hour practical demonstration of cleaning a bedroom thoroughly, a bathroom and a public room, using the equipment and chemicals available in the home. We also demonstrate how the cleaning trolley should be arranged and cleaned afterwards.

Our two trainers are highly experienced and well qualified in Cleaning and Infection Control.

The course maybe grant aided and class size is limited to eight persons.

 

Please call Mary at 087 9198168 for more details.

cleaning and infection control

HIQA Standards on Cleaning and Infection Control. New Checklist!

Today, we implemented for the first time our new Hygiene Audit at a nearby Nursing Home.

Today, we implemented for the first time our new Hygiene Audit at a nearby Nursing Home. This infection control audit tool is based on the HIQA audit tool for community settings, which standardizes methods for monitoring both practice and the environment. Feeding back audit results will enable staff to systematically identify where improvements are needed, to minimize infection risks and enhance the quality of patient care.

The hygiene audit consists of 7 sections, including:

  • Hand Hygiene, Environment, Waste Management, and Management of body spillages, Personal Protective Equipment, Linen Management and the Managemenent of patient equipment.

The audit includes a detailed review of the facility, a detailed review of documentation and meeting with management, staff and residents. Feedback was provided to Management throughout the day.

Going forward a quality improvement plan will be put together by the facility following non compliance report and recommendations for change made in the report. This will improve practice and ensure a higher quality of hygiene standards throughout the facility.

The results are broken down into 4 different sections:

  • Notable Practice
  • Priority quality improvement plan
  • Observations
  • Non-conformance report and recommended actions

Scores categorized as follows:

  • Good: a score of 85% or above
  • Fair: a score of 76% to 84%
  • Poor: a score of 75% or under.

This audit tool will now be adapted into our new suite of software audit tools by E-Cat.