Nutrition records

CQC Inspections: It’s all in the recording…

Feedback from our care clients suggests that CQC Inspectors have focused on auditing the detail of residents’ nutrition and fluid intakes. And it appears that really does mean the detail with homes asked to present information for any requested period on the quantity of food and volume of drink consumed at each meal and break time.

For users of our care-Log+ care record management software that presents little problem. care-Log+ has definable shift notes that present a prompt to the carer and then offer multiple dropdown options for them to select from – together with the facility to add additional text if required. So a home might provide a morning shift note that includes options for a carer to record information about the morning drink such as ‘Fully Taken’, ‘Half Taken’, ‘Few Sips/Minimal’ and ‘Declined’.

Carers record this on a tablet PC which can be carried with them or placed conveniently around the home. In this example they would touch the ‘Morning Drink’ prompt and then touch the relevant dropdown option to record the care outcome. It takes seconds and provides instantly auditable records on the care the establishment is providing as every entry is time and date stamped and with the name of the person that made the recording.

Likewise at meal times carers can easily be prompted to record the details of the options selected and the quantity of portion consumed. Again this volume of recording is simply achieved, accurate and timely. Reports can then be run for any time period, any resident and for any option or combination of options (Morning Drink, Evening Drink, etc) across all shift notes. This functionality makes for a powerful tool in the face of an Inspection audit and records are generated with a simplicity of use that carers will take to instantly.

If you would like to know more about how our care-Log+ system can help you achieve accurate auditable care records for a CQC Inspection then please contact one of our team on 01892 834406 or e-mail info@easylog.co.uk

Posted by administrator in Care home management, CQC Inspections, Nursing home management