CLINICAL CARE · CARE HOMES AND LATER LIVING
Dietitian Support for Care Homes
My team of HCPC-registered dietitians supports residents, trains your staff and helps you evidence CQC Regulation 14, for care homes, nursing homes and later living communities in London, the South East, the Midlands and the North West.
WHAT WE HELP WITH
Where a dietitian makes the difference
Malnutrition screening, measured weights and the action that follows
Food and fluid charts, hydration and help to eat
Texture-modified diets to IDDSI levels, with the speech and language therapist
Residents recovering from surgery, a stroke or illness, including respite stays
Menus, staff training and the evidence CQC Regulation 14 expects
WHAT WE OFFER
Three ways we work with homes
01
Nutrition governance review
We audit screening, weights, food and fluid charts and texture-modified diets against Regulation 14, train your nursing and kitchen teams, and leave a written action plan.
02
A visiting dietitian
A named dietitian on site weekly or fortnightly, with resident clinics, menu input and staff sessions. We usually start with a three-month pilot.
03
Residents with complex needs
One-to-one care for residents still losing weight, on texture-modified diets or tube feeding, through Focused Care or Extended Care, coordinated with your clinical team and any NHS home enteral feeding service.
We also run resident health review days with your GP, and support short post-operative and respite stays. Every package is shaped around your home after a first conversation and quoted in writing.
COVERAGE
Where we work
London and the South East, in person
The Midlands, in person
The North West, in person: Cheshire, Merseyside and Greater Manchester
Elsewhere in the UK, staff training and reviews by secure video
Tell us where your home is and we will confirm who would deliver
WHY IT MATTERS
The numbers behind Regulation 14
BAPEN, 2023
42% at risk
of care home residents screened were at risk of malnutrition.
UK DRIE STUDY
1 in 5 dehydrated
older people living in UK care homes were dehydrated when tested.
BAPEN, 2023
Just over half with a care plan
of the people surveyed had a nutritional care plan in place.
Regulation 14 requires providers to meet residents’ nutrition and hydration needs. CQC can prosecute a breach without a warning notice where it causes avoidable harm or puts a resident at significant risk of it.
QUESTIONS
Before you call
Who delivers the care?
A named dietitian is matched to each home, so residents see the same face week to week. Rick Miller, Registered Dietitian (HCPC DT25651), provides clinical oversight of the service and leads the first meeting with each operator.
Is this connected to Rick Miller’s expert-witness work?
No. Rick Miller also works as an independent expert witness. That work is kept separate: he does not act as expert in any matter involving a home we support or have supported, or a resident we treat or have treated. Our reports are written for your care records. They are not expert-witness reports and are not prepared under CPR Part 35.
Do we need to give residents’ details on the first call?
No. The first call is about your home: its size, your residents’ needs, the dietetic input you have now and what you want to improve. If we later see individual residents, we agree consent and information sharing with you first.
Where do most homes start?
Most homes start with a nutrition governance review or a three-month visiting dietitian pilot. Ask us for the free Regulation 14 Scorecard, a 15-question self-assessment you can run before we speak.
