1. OUTCOMES AND QUALITY MONITORING TEAM NUTRITION SCREENING TOOL SURVEY – MARCH 2008 SUFFOLK COUNTY COUNCIL CARE HOME USE The following questions were asked of all homes managers. Their replies are consolidated after each question. 1.What is the name of the screening tool that you currently use? E.g. MUST (Malnutrition Universal Screening Tool). a)Nutritional screening tool from the SCC Care Plan (page 17) also regular weight checks. b)The MUST, but we have not needed to use it for some time. c)The screening tool we use is in the SCC Care Plan. We have the MUST, but prefer to use the one in the Care Plan. d)MUST. e)SCC Care Plan screening tool. This was taken from the original MUST and adapted to meet our needs at the time. f)Not known. g)We use the screening tool in the care plan. h)We have nutritional screening sheets in each care plan; care plans are reviewed each month or as and when needed. 2. The numbers of people that you have screened in the past 6 months. a)Two residents screened following concerns. One new resident screened on admission. b)We do a nutritional screening for the care plan for each customer/resident. c)2 new residents screened from hospital. All new residents are screened on admission to us. d)All who entered Wamil court, 37 people e)We screen all new admissions, totalling 25 in the last 6 months. f)All residents have been screened, including all admissions for short-term care and rehabilitation. I don’t have the time at the moment to go back through admission records to count up. g)All residents in long term care (21). h)We are screening 2 residents at this moment in time. 3. The impact of the screening on customers. a)For the 2 there were concerns about, screening meant we could ensure their nutritional needs were met. b)Pick up on those below weight/ overweight. c)Both were already under the care of the hospital dietician. d)Where a problem was highlighted an action plan was implemented to reduce or eliminate the problem. e)It offers customers the opportunity to discuss 1 – 1 with staff their dietary needs. When used in conjunction with the monthly weight chart it can help individual’s decisions around losing weight. f)Identifies someone at risk of malnourishment. g)1 person identified as at risk of malnutrition. h)The impact of the screening is that it allows us to monitor any change in weight and to see if it is due to nutrition or other factors. Annex 5

2. 4.How many people came in to your care and were identified as suffering from malnutrition. a)One admission in December 2007 from Ipswich hospital. b)None. c)One. d)None. But where any other problems were highlighted action plans were implemented. e)Nil. The majority of admissions to Davers court arrive from West Suffolk hospital and have already been screened. Some residents are admitted with prescriptions for drink supplements. f)Nil. g)None. h)As far as I am aware we have had no residents coming in to us suffering from malnutrition 5.What monitoring was carried out once malnutrition was identified? a)Food and fluid intake charts. b)N/A. c)Food and fluid intake charts. Regular weighing. Carer feedback. d)The screening is reviewed monthly when care plans are checked. These are reassessed every 6 months. e) We have not had any individual identified as suffering from malnutrition. f)N/A. g)GP contacted, advice followed. h)Carers monitor residents and food and fluid charts are set and referral made to District Nurses etc. 6.Who you asked support from, what support was offered and for how long? a)Support from G.P. Fortified drinks were supplied for as long as needed. b)If concerned about people we contact their G.P. or dietician at Ipswich hospital. c)Hospital dietician for as long as we need it. d)Community Dieticians, G.P.’s and District nurses. e)When support is needed we liaise with G.P.’s, District Nurses, and the Community Matron. f)Support can be sought from Community Dietician. g)GP ongoing (has prescribed build-up yoghurts as build-up drinks not suitable). h)Doctors/Nurses advise on food supplements e.g. fortisips for 1 resident for however long needed and a special diet for the other residents. 7.Outcomes from the screening, monitoring and support. Identifying any improvements a)Resident’s health improved and they were able to resume a normal diet. b)N/A. c)Both residents quickly picked up and put weight on. d)Better diets, taken weight, improved mobility, better quality of life, improvement in skin condition. e)Balanced diet, improved health and well-being. f)No comments. g)Weight has stabilised. h)Resident number 1. The outcome of the screening is that she now has 2 fortisips a day, we continue to monitor her food intake, food is liquidised and we have support from the local surgery. Resident number 2. The outcome of the screening is that a special diet has been arranged by the catering team, and has been approved by the family. Food intake is monitored so therefore colitis is controlled.

3. 8.Numbers of people who showed an improvement, and how long this took a)All 3 people improved over a period of time following intervention Typically within 3 to 4 weeks. b)N/A. c)Both of them adjusted to living in a residential setting and with our support gained weight and were not malnourished. d)Improvement identified within 3 months and screening continued. e)N/A. f)N/A. g)1 several months. h)Both cases are ongoing. Any further comments. a)Though the screening tool identifies malnutrition, it can also be adapted and used with the food and fluid charts to identify and manage obesity. b)No further comments. c)As you know, we are very proud of our catering service here. And because we are very resident based, you couple that with good Care Plans and weight loss is soon picked up. d)No further comments. e)No further comments. f)No further comments.