Care home mealtime support
Failure to provide adequate support and encouragement to residents during mealtimes in care settings, impacting nutrition and welfare.
84 items
8 sources
1 inquiry
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
CQC action
100match
Holly House Residential Care Home
The provider must ensure people receive appropriate support to eat and drink sufficient amounts to maintain their health and well-being, including effective monitoring of nutritional needs, provision of adequate and in-date food, and clear instructions for staff.
Matched on
terms: care, home, support
CQC action
99match
Ridgeway Manor Residential Care Home
People who had needs in relation to eating and drinking were not supported to eat and drink safely in a manner consistent with relevant professional guidelines.
Matched on
terms: care, home, support
CQC action
91match
Clova House Residential Care Home
The provider told us they would make arrangements to ensure their weight was monitored more closely.
Matched on
terms: care, home
CQC action
86match
Rosecroft Residential Care Home
The provider should ensure that food and fluid charts for people using the service are completed in detail to monitor the types of foods and amounts people ate.
Matched on
terms: care, home
CQC action
82match
Georgiana Care Home
We recommend the provider assesses the processes in place to monitor people's food and fluid intake to make sure they are effective. We also recommend the provider review how best to serve meals to people with specific diets to make them look appealing and appetising.
Matched on
terms: care, home
PFD report
81match
Frederick King
The care home failed to ensure adequate fluid intake for the resident, particularly during hot weather, and maintained poor records. A critical lack of on-site management was also identified.
Matched on
terms: care, home
PFD report
81match
John Howlett
Systemic hospital capacity issues led to a patient waiting 22 hours in a corridor. Separately, a care home with existing safeguarding concerns failed to adequately monitor a resident's nutritional status and fluid intake.
Matched on
terms: care, home
PFD report
81match
James Astley
Inadequate monitoring and documentation of Mr Astley's nutrition and fluid intake led to severe frailty, highlighting systemic failures in care home record-keeping.
Matched on
terms: care, home
CQC action
81match
Valewood House Nursing Home
The provider must ensure people are protected from the risks of inadequate nutrition and dehydration and receive appropriate support to enable them to eat and drink.
Matched on
terms: home, support
CQC action
81match
Archers Point Residential Home
The provider must ensure people's nutrition and hydration needs are met, including accurate completion of Malnutrition Universal Screening Tools (MUST), appropriate referrals to healthcare professionals, comprehensive nutritional care plans, staff understanding of fortification strategies, offering choice of meals, and providing cooked meals in the evening.
Matched on
terms: care, home
CQC action
81match
Quality Care Management Limited
The provider should review mealtime arrangements to ensure that this is always a positive experience for people and that they receive the support required in an unrushed, caring and dignified way.
Matched on
terms: care, mealtime, support
CQC action
78match
Park Grange Care Home
The registered provider review the process for monitoring people's food and fluid intake.
Matched on
terms: care, home
PFD report
77match
Kathleen Smith
Care home staff lacked sufficient training in first aid for choking, assisting residents, and preparing appropriate foods for those with swallowing difficulties, compounded by inadequate management oversight.
Matched on
terms: care, home
PFD report
77match
Lilian Shearing
Despite known poor fluid intake, no risk assessment was conducted, and fluid charts were incomplete. The care home lacked adequate policies for assessing and managing fluid and nutritional intake.
Matched on
terms: care, home
PFD report
73match
Margaret Rogerson
Care home staff lacked adequate training in safe patient feeding techniques and associated risks, with no refresher courses. Family members also lacked access to essential feeding training.
Matched on
terms: care, home
PFD report
73match
Maureen Woollen
The care home failed to conduct a falls risk assessment on admission and did not promptly seek medical attention for injuries. Care notes were inadequately used to record incidents or monitor injury progression.
Matched on
terms: care, home
LGO / SPSO decision
71match
21-000-498b - Brighton & Hove Clinical Commissioning Group (21 000 498b)
Summary: The Ombudsmen found no fault by a Council, a CCG and a care home in relation to the nutritional support and personal care provided to Mrs Y. We have found fault with how nutritional risk was assessed, but this did not affect the care provided and the care home has now remedied this by making changes with...
Matched on
terms: care, home, support
LGO / SPSO decision
71match
21-000-498 - Brighton & Hove City Council
Summary: The Ombudsmen found no fault by a Council, a CCG and a care home in relation to the nutritional support and personal care provided to Mrs Y. We have found fault with how nutritional risk was assessed, but this did not affect the care provided and the care home has now remedied this by making changes with...
Matched on
terms: care, home, support
PFD report
69match
Pamela Thurston
The care home failed to update the care plan for a patient with a choking risk and left her unsupervised to eat after a 17-hour period without food, leading to choking and subsequent death.
Matched on
terms: care, home
PFD report
69match
Jane Parker
Care home staff had poor understanding of modified diets and lacked systems for correct food preparation and marking. There was also limited understanding of escalating choking episodes to speech and language therapy.
Matched on
terms: care, home
PFD report
69match
Louise Cooper
The healthcare system lacks sufficient provision for sustained supported eating for anorexia nervosa patients, leading to ineffective hospital admissions and hindering patient improvement despite clinical recommendations.
Matched on
terms: care, support
PFD report
69match
Joan Whitworth
There were inadequate Speech and Language Therapy assessments, significant gaps in staff training for Basic Life Support, first aid, and nutritional assessments, and catering staff were unaware of resident dietary restrictions, posing risks to resident safety.
Matched on
terms: support
PFD report
69match
Alfred Sparrow
Staff at The Meadows Nursing Home did not always assist Mr. Sparrow with his food and fluid intake as required by his care plan; a false entry in Mr. Sparrow's notes gave rise to concern that staff might have been completing care note entries which did not reflect their actions.
Matched on
terms: care, home
CQC action
69match
St Marys Care Centre
The provider reviews mealtime experiences to ensure people are consistently happy that their dietary needs are met.
Matched on
terms: care, mealtime
PFD report
65match
Dorothy Clarkson
Inadequate procedures for providing food to residents needing specific preparations and assistance, alongside a lack of appropriate professional development training for nursing home staff.
Matched on
terms: home
PFD report
65match
John Bartle
Concerns were raised about a perceived lack of staff over a bank holiday leading to delayed interventions, alongside poor nutritional support, inadequate pain control, and poor communication from nursing staff.
Matched on
terms: support
CQC action
65match
Bellevue Healthcare Limited
The provider must ensure people receive safe care and treatment, specifically regarding nutrition and hydration to prevent malnutrition and dehydration.
Matched on
terms: care
CQC action
65match
Affinity Trust Specialist Support Division North
The provider had failed to ensure monitor and consider information related to hydration and nutrition.
Matched on
terms: support
CQC action
65match
Haisthorpe House
The provider must ensure people who used services are protected from the risk of inadequate nutrition and dehydration by means of the provision of support for the purposes of enabling them to eat and drink sufficient amounts to meet their needs.
Matched on
terms: support
CQC action
65match
Newland House
People were not always provided with adequate support and encouragement to eat their meals.
Matched on
terms: support
PFD report
61match
Helen Burnell
Staff lacked adequate training and recognition of choking risks for adults with autism and learning disabilities, leading to insufficient adherence to mealtime recommendations.
Matched on
terms: mealtime
PFD report
61match
Marina Waldron
During hospital admission, there was a prolonged failure to address the patient's inadequate nutritional intake, including neglecting family concerns, not monitoring diet, and delaying proper nutritional intervention despite signs of malnutrition.
Matched on
classifier match
CQC action
61match
Dr French Memorial Home Limited
Meeting nutritional and hydration needs
Matched on
terms: home
CQC action
61match
St Paul's Lodge
The registered person must ensure the nutritional and hydration needs of service users are met by ensuring service users receive suitable and nutritious food and hydration adequate to sustain life and good health and dietary supplements prescribed by a healthcare professional.
Matched on
terms: care
CQC action
61match
Westacre Nursing Home
We recommend that the registered manager implement competency assessments to provide assurances that staff understand the training provided and are able to confidently put their learning regarding nutritional risks into practice.
Matched on
terms: home
CQC action
61match
V&C Family Care Ltd
The nutritional and hydration needs of service users must be met. Paragraph (1) applies where— care or treatment involves— the meeting of the nutritional or hydration needs of service users is part of the arrangements made for the provision of care or treatment by the service provider.
Matched on
terms: care
PFD report
57match
John Lee
Dementia patients at the Trust are not consistently receiving mouth care after eating, posing a risk of future deaths.
Matched on
terms: care
CQC action
57match
Havilah Office
The provider did not ensure people were supported to eat and drink enough in a safe manner and in line with their preferences.
Matched on
terms: support
CQC action
56match
Chatting Independently Limited - Rectory Drive
People were not protected from the risk of adequate nutrition and hydration by means of the provision of a choice of suitable and nutritious food and hydration, and support for the purposes of enabling people to eat and drink for their needs.
Matched on
terms: support
CQC action
56match
Chatting Independently Limited - Orchard View
The provider must ensure people are protected from the risk of inadequate nutrition and hydration by means of the provision of a choice of suitable and nutritious food and hydration, and support for the purposes of enabling people to eat and drink for their needs.
Matched on
terms: support
PFD report
53match
Barbara Haley
Staff provided unsuitable food to a high-risk choking patient on a soft diet and left her unsupervised during meals, contrary to safety assessments.
Matched on
classifier match
PFD report
49match
Catherine Best
An inadequate nasogastric tube feeding regime resulted in inconsistent calorie intake, compromising the patient's ability to fight infection.
Matched on
classifier match
PFD report
49match
Bruce Caulfield
Concerns include delays in medical reviews after family concerns, insufficient intentional rounding impacting vulnerable patient hydration, and inconsistent communication practices for fall prevention across the Trust.
Matched on
classifier match
PHSO casework decision
48match
P-004422 - Calderdale and Huddersfield NHS Foundation Trust
2. Mrs P has raised a number of concerns about her husband’s care and treatment which include: concerns about his fluid and nutrition intake, feeding tubes becoming blocked, her husband not being weighed appropriately, being placed on an inappropriate ward, and involving security due to her husband’s behaviour. She also complains about over sedating her husband, not administering...
Matched on
terms: care
PHSO casework decision
48match
P-002760 - Royal Devon University Healthcare NHS Foundation Trust
Mr R complains that during a hospital admission the Trust left his father in unclean bed sheets, gave him cold food and left him in a room with the window open on one of the coldest nights of the year, He also complains about the way Trust staff communicated that his father had died.
Matched on
terms: care
LGO / SPSO decision
48match
202203333 - East Renfrewshire Health and Social Care Partnership
C complained on behalf of a relative (A) who had a learning disability and had been prescribed a special adjusted diet according to the International Dysphagia Diet Standardisation Initiative (IDDSI) guidelines. A had choked on their food and required emergency care. C complained that A’s food, a takeaway meal, had not been suitable for them and had not...
Matched on
terms: care
PHSO casework decision
47match
P-003662 - Bedfordshire Hospitals NHS Foundation Trust
Mrs L complained the Trust failed to provide her father, Mr M, with appropriate nutritional and continence support.
Matched on
terms: support
CQC action
44match
Nicholas House
The provider must ensure that the nutritional and hydration needs of service users, including preferences and provision of appropriate nutrition, are consistently met.
Matched on
classifier match
CQC action
44match
Grosvenor Hall
The provider failed to ensure people's nutritional and hydration needs were being met, monitored and recorded.
Matched on
classifier match
PHSO casework decision
44match
P-003071 - University Hospitals of North Midlands NHS Trust
Mrs C complains that when her husband was admitted in October and November 2022, the Trust failed to manage his eating and nausea, gave him midazolam, spoke insensitively to him about end-of-life care and failed to call her before he died.
Matched on
terms: care