Central Coast Local Health District Best Practice Food and Nutrition Manual for Aged Care Edition 2.2 Best Practice Food and Nutrition Manual for Aged Care Homes Edition 2.2 AUTHORS Rudi Bartl Public Health/Community Nutritionist/Dietitian Carolyn Bunney Public Health/Community Nutritionist/Home Economist © Central Coast Local Health District (CCLHD) 2015 Nutrition Department PO Box 361 Gosford, NSW 2250, Australia First Edition 2004 Second Edition 2015 The Central Coast Local Health District (CCLHD) would like to acknowledge and thank Bidfood Australia for recognising the importance of this manual and for undertaking its manufacture and distribution. The significant effort that this entails is very much appreciated. For more information, feedback or obtaining copies of this manual please contact Bidfood Australia: Website: bidfood.com.au/Bidcare Phone: +61 (0) 8 7088 5999 Email: [email protected] International users of the manual, note some products listed may not be available in your country COPYRIGHT Copyright in this publication shall remain vested in the Central Coast Local Health District (CCLHD) or its successors at all times. No part of this publication may be reproduced in any material form or transmitted to any other person without the prior written permission of CCLHD, except: 1. where permitted under the Copyright Act 1968 (as amended); or 2. where the user of the Information agrees: i) not to reproduce the entire document; ii) to acknowledge the source of any selected passage, table, diagram, photograph or other extract reproduced; and iii) not to modify the information without the express prior written permission of CCLHD ISBN 1-74139-025-7 ISBN13 978-1-74139-025-4 DISCLAIMER CCLHD or the authors do not, to the extent permitted by law, accept any liability for any injury, loss or damage suffered by any person arising from the use of, or reliance upon, the content of this publication. Brands are inserted in this publication by way of example only. Lists of products are not intended to be exhaustive and may change. Whilst every effort was made to ensure the information was accurate and up to date at the time of publication, some information may become superseded as further research is undertaken and new products are developed. The information in this publication is not intended, and should not be relied upon, as a substitute for health/ nutritional professional advice in relation to any health/nutritional issues of concern. This publication, prepared by the Central Coast Local Health District (CCLHD), has been designed to provide information (the Information) that will assist care procedures in aged care homes. Whilst the Information contained in this publication has been presented with all due care, CCLHD does not warrant or represent that the Information is free from errors or omission. The Information is made available on the understanding that CCLHD and its employees and agents shall have no liability to the user for any loss, damage, cost or expense incurred or arising by reason of any person using or relying on the Information. Whilst the Information is considered to be true and correct at the date of publication, changes in circumstances after the time of publication may impact on the accuracy of the Information. The Information may change without notice and it is the responsibility of users of this Manual to seek the latest information with respect to the matters published. CCLHD takes no responsibility for the accuracy, currency, reliability and correctness of any information provided by third parties and included in the Manual, nor for the accuracy, currency, reliability and correctness of links or references to information sources. The listing of any person, organisation or product in any part of this publication does not imply any form of endorsement, non endorsement or support by CCLHD. The Manual includes information derived from various third parties, which again does not imply any form of endorsement, non endorsement or support by CCLHD. Food and Nutrition Manual for Aged Care Homes i Foreword Foreword for There is one exception to the epidemic of overweight and obesity in Australia. Older the 2nd edition people can be at risk of malnutrition if they This unique manual, first produced in 2004 was depend on others to provide their food. very well received and has been widely used The Commonwealth Department of Health across Australia. Some of its statements or produced in 1999 (International Year of Older references by now need updating. Fortunately Persons) a 200 page scientific report ‘Dietary the original authors, Bartl and Bunney were Guidelines for Older Australians’ focussed willing to undertake this task and have been on independent older people, living in their seconded from their usual community nutrition own homes. This report is now the standard work at Gosford Hospital. reference for all health professionals and the There are changes in layout. Some sections are shorter version for the general public has been larger. This edition gives more emphasis to a (well subsidised) best seller. preventing or delaying malnutrition, especially The Committee on Nutrition for Older of protein. Residents have wide ranging needs Australians (CNOA) was surprised to discover and different life long habits and the manual that there is no corresponding practical encourages all staff to have an individual guidebook on nutrition and food service for resident-centred approach to providing food aged care facilities in Australia. Yet problems and hydration. The chapter on food safety is and complaints about the food are common. not in the new edition; it is covered in other documents. Carolyn Bunney and Rudi Bartl of the Nutrition Department, Central Coast Health, NSW advise We are grateful to members of the Advisory on nursing home and hostel nutrition and Group, and other professionals who have given menus as part of their work as community their expert advice to the authors. nutritionists. They have collected ideas from aged care staff and advisors, and combined Lastly may I express the hope that one day the these with their own experience to produce NH&MRC may give priority to the difficult task this Best Practice Food and Nutrition Manual of measuring what residents actually eat in for Aged Care Facilities. Drafts were then sent aged care homes, and relating this to to over 100 people with experience and outcomes. knowledge in the area with the majority Professor A Stewart Truswell, AO, MD, providing input. FRACP Bunney and Bartl have aimed to keep the manual reader-friendly and easy to find your way around and not too long or technical. Yet here there is a blend of classical home economics, practical nursing and contemporary Preface ideas of nutrition. The intent of this manual is to provide This manual is, I believe, very much needed and appropriate, practical and helpful information three copies should be in every aged care for all staff of aged care homes and approved facility in our country, one for staff education, service providers of packaged community care. one for the kitchen staff and one for management. To ensure the manual is ‘user friendly’, background information has been kept to a Central Coast Health is to be commended for minimum. People requiring more information will having the vision to fund the production and need to consult additional resources. A list of printing of a manual that has the capacity to references and resource material is included at benefit aged care residents Australia wide. the end of most chapters. A. Stewart Truswell, AO, MD, FRACP The authors of this manual have, for many Emeritus Professor of Human Nutrition years, worked in partnership with aged care University of Sydney 2004 homes on the Central Coast, New South Wales ii Food and Nutrition Manual for Aged Care Homes and wrote the ‘Best Practice Food and Aged Care Homes and Staff Nutrition Manual for Aged Care Facilities’, which precedes this manual. Steve Morrow – Adelene Retirement Village, Central Coast, NSW In order to have realistic and useful content, there Letitia Quirk – Veronica Nursing Home, has been extensive consultation with a range of Central Coast, NSW aged care homes as well as key individuals and Shona Hite – Food Safety Management groups. Coordinator, Uniting Care Ageing. Hunter, Although the term ‘resident’ is used throughout New England and Central Coast Region this manual, this information also applies to Brian Woolley – Catering Production clients of approved service providers of Manager. Matthew John Nursing Home packaged community care. Lyndy Twyford – Catering Manager, Frank M Jeffrey Hostel The following are acknowledged and thanked for their input, support and feedback on draft Deanna Lomas – Clinical Manager. Killarney versions of this manual. Vale Residential Care Facility Maureen Carey – St Josephs Care Facility Nutrition Manual for Aged Care Kensington, NSW Homes Advisory Group Sharon Huon – Lilliane Brady Village Cobar, NSW Professor Stewart Truswell, AO – Emeritus Sonali Pinto – Clinical Governance Professor of Human Nutrition. The Manager. Scalabrini Villages University of Sydney (Chairperson) Kim Clarke – Facility Manager. Ruth Heather – Quality Assessor. Hammond Care Woy Woy Aged Care Standards and Accreditation Agency Thomas Kramer – Facility Manager. Hammond Care Erina Dr Lyn Irwin – Research and Quality Analyst. Aged Care Standards and Vicki Simpson – Service Manager. Accreditation Agency St Andrews Village Professor Lin Perry – Professor of Nursing Kerrie Condon