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How does social care support older adults’ food and drink-related needs/outcomes?



Older couple being helped to prepare and cook a healthy meal, it's a happy, pleasant scene.In the UK, there are an estimated 1.3 million older adults, aged over 65, who are undernourished. Older people receiving home care are particularly at risk for a variety of reasons, including social isolation, health issues, and accessibility of shops, transport and income. Community-based social care services, including home care, play a vital role in supporting older people to live independently and well. This includes supporting their needs related to food and drink. This encompasses whether someone is able to eat a balanced, nutritional diet, but is also able to enjoy the personal, social and cultural aspects of food and drink. However, there are challenges to ensuring older people’s needs are met. These include the short length of home care visits, underfunding and workforce issues.

Most research about older people’s food and drink-related needs focuses on residential care homes. Less is known about people living at home, who use home care or other community services, like lunch clubs or day centres. This project seeks to address this gap in the evidence. The idea for the study was developed together with user/carer advisors and the Applied Research Collaboration Kent, Surrey and Sussex (ARC KSS) Homecare Community of Experience.

This project has been funded by the NIHR School for Social Care Research (SSCR) from September 2022 to February 2024.

  1. We will scope the existing literature to identify what is already known about the food-related needs of older adults living at home using home care services. We will especially focus on the evidence relating to ways of delivering care or combining services. This scoping review will focus on published articles and reports available from searchable databases. However, we will also present and discuss the findings with an online group of service users/carers, care providers, local authorities and community organisations to identify other relevant literature.

  2. We will analyse data from a national survey of people using social care services in England, the Adult Social Care Survey (ASCS), to understand the extent of food and drink-related needs. This survey has collected information from people who use publicly- funded social care services, since 2011. We will explore the data over the last ten years to establish any trends over time, or between regions. The data will also be analysed to understand the factors that are related to higher risk of unmet needs. This will include, for example, housing design and suitability, ethnicity, local environment and underlying health needs.

  3. The findings from the literature review and data analysis will be considered to identify key messages for policy-makers, managers, care providers and commissioners. We will work with professionals and service user/carer advisors, to develop a brief guide to our findings and recommendations.


As each stage of the project is completed, we will update the publications and activities section.

Disclaimer: This study is independent research funded by the National Institute for Health Research School for Social Care Research. The views expressed are those of the author(s) and not necessarily those of the NIHR SSCR, the National Institute for Health Research or the Department of Health and Social Care.
Research Team
Headshot pic of Dr Stacey RandDr Stacey Rand is a Senior Research Fellow at the PSSRU, University of Kent. She has a particular interest in the quality of life outcomes of community-based care for people with support needs and their family/friend carers. Stacey is the Principal Investigator on this project.
headshot pic of lavinia bertiniDr Lavinia Bertini is a Research Fellow in Public Health at the Brighton and Sussex Medical School (BSMS) and the NIHR Applied Research Collaboration Kent, Surrey and Sussex (ARC KSS). Her research lies at the interface of public health and social care, with a focus on homecare. She has expertise in medical anthropology, critical public health, and ethnographic methods applied to the study of nutrition, food practices, and health inequities.
Headshot pic of Monique RaatsProfessor Monique Raats is a founding Co-Director of the University of Surrey's Institute for Sustainability, and director of the Food, Consumer Behaviour and Health (FCBH) Research Centre. Together with the university’s Department of Nutritional Sciences, FCBH was awarded the prestigious 2017/2018 Queen’s Anniversary Prize. Professor Raat's areas of specialisms are: Nutrition labelling; Maternal and child behavioural nutrition; Behavioural nutrition of older people; Food choice; Policy development and Food safety.
Headshot pic of Alan DarganAlan Dargan is a Research Assistant at PSSRU, University of Kent. Alan prepared the scoping literature review protocol, and supported the development of the search strategy, ran the final literature searches, screened identified articles against the inclusion and exclusion criteria, and supports the knowledge exchange and impact activities.
Project Advisors
Headshot of Karin Webb, project advisorKarin Webb is a former carer for her mother who lived with vascular dementia after a haemorrhagic stroke. After she passed away, Karin went on to run clubs for people with dementia and also became involved in dementia research, as she wanted to help people in the future to have better care when living with this disease.
Della OgunleyeDella is a research advisor on this project.
Final Event Materials

Recording of Zoom event

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Scribe Images

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Presentation Slides

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Guide

Food and Drink in Later Life: The Role of Homecare. A guide to key findings.

Stacey Rand, Lavinia Bertini, Alan Dargan, Karin Webb, Della Ogunleye, Monique Raats, Rebecca Sharp.
Plain English Summary

Food and Drink in Later Life: The Role of Homecare

Stacey Rand, Lavinia Bertini, Alan Dargan, Karin Webb, Della Ogunleye, Monique Raats, Rebecca Sharp.
Journal Articles

Stacey Rand, Lavinia Bertini, Alan Dargan, Monique Raats and Rebecca Sharp. Developing a framework for reflection on policy-relevant care research using a study of older adults’ food and drink care-related needs. (2023) International Journal of Care and Caring. DOI: https://doi.org/10.1332/23978821Y2023D000000018
Conference presentations

Dr Stacey Rand, Dr Lavinia Bertini, Prof. Monique Raats, Alan Dargan, Rebecca Sharp, Karin, Webb, Joy Fletcher, Della Ogunleye (2023) Food and drink-related needs and outcomes of older people who use community-based social care. In: NIHR School for Social Care Research Annual Conference, 18-19 April 2023, London. https://kar.kent.ac.uk/101025/

Dr Stacey Rand, Dr Lavinia Bertini, Prof. Monique Raats, Karin, Webb, Joy Fletcher, Della Ogunleye (2023) Food and drink-related needs/outcomes of older people who use community-based social care. British Society of Gerontology 52nd Annual Conference 2023, 5-7 July 2023, University of East Anglia (UEA), Norwich. https://kar.kent.ac.uk/102048/

Mr Alan Dargan, Dr Stacey Rand, Dr Lavinia Bertini, Prof. Monique Raats (2023) Food and drink-related needs/quality of life of older adults using community-based social care: an international scoping reviewBritish Society of Gerontology 52nd Annual Conference 2023, 5-7 July 2023, University of East Anglia (UEA), Norwich. https://kar.kent.ac.uk/102238/

Rand, Stacey, Bertini, Lavinia, Raats, Monique, Dargan, Alan, Sharp, Rebecca, Webb, Karin, Ogunleye, Della (2023) Food and drink-related needs/outcomes of older people who use community-based social care. In: Eastern Arc Conference 2023, 'Food in a Time of Crisis', 20 September 2023, Canterbury, UK. (Unpublished) (KAR id:103048) URL:
https://easternarc.ac.uk/earc2023resources/

Further information

This project draws on the Adult Social Care Outcomes Toolkit. There is more information about this here: https://www.pssru.ac.uk/ascot
For more information about the project, please contact Dr Stacey Rand at, S.E.Rand@kent.ac.uk.
the logos of the various institutions of the research team: PSSRU, Brighton & Sussex Medical School, NIHR school for social care research, The Adult Social Care Outcomes Toolkit and the university of Surrey