Resident enjoying a hot meal with vegetables at a Greensleeves Care Home

Good nutrition is one of the most powerful – and sometimes overlooked – foundations of healthy ageing. In later life, when appetites may decline and health conditions become more complex, food and drink play a vital role in maintaining strength, independence and quality of life.

Research highlights the scale of the issue. In the UK, around three million people are malnourished or at risk of malnutrition, with older people particularly affected. Malnutrition can lead to loss of muscle strength, increased risk of falls, poorer immunity and slower recovery from illness. Hydration is equally important – even mild dehydration can contribute to confusion, urinary tract infections, and hospital admissions in older adults.

Food, Identity, and Dementia-Friendly Dining

But nutrition in care is about far more than calories and nutrients. Food is closely linked to identity, culture, and routine. Familiar meals can stimulate appetite, evoke memories, and create moments of comfort and connection – especially important for people living with dementia.

At Greensleeves Care, we take a deliberately holistic approach to nutrition. Rather than treating food as a standalone service, it is embedded within our wider strategy for health, wellbeing, and dementia care. This means aligning catering, care, activities, and clinical oversight so that nutrition supports strength, cognition, mood, and daily enjoyment of life.

For example, adequate protein intake helps maintain muscle mass and balance – key factors in preventing falls and maintaining independence. Regular hydration supports concentration and reduces the risk of infections. And for people living with dementia, thoughtful approaches to food can make a profound difference.

A Holistic Approach to Nutrition in Care Homes

Simple adjustments such as clear menu choices, familiar foods, good lighting, calm dining environments, and contrasting crockery can make meals easier to recognise and enjoy. Presenting one course at a time and allowing residents more time to eat can also reduce anxiety and support independence. These approaches are reinforced through our Dining Room Service Standards, a dedicated framework designed to guide how dining environments are prepared, how meals are served, and how staff support residents at mealtimes so that food is both safe and enjoyable.

Across Greensleeves homes, nutrition is also linked to meaningful daily life. Residents may help grow produce through initiatives such as our award-winning Seed to Fork programmes, take part in baking or seasonal menu planning, or simply enjoy sociable dining experiences that encourage conversation and connection.

A key part of strengthening this work has been our partnership with RaisingNutrition, a not-for-profit organisation focused on improving nutrition standards in care and hospitality settings. Through this collaboration, several Greensleeves homes became the first in the UK care sector to achieve RaisingNutrition Accreditation, reflecting improvements in menus, hydration practices, staff training and dining environments.

Importantly, the aim is not to make food more clinical or restrictive. Instead, the focus is on making healthier choices easier while preserving enjoyment, familiarity and personal preference. This integrated approach to nutrition has also been recognised with a nomination for Best for Nutrition, Food and Dining at the Care Home Awards.

This model – linking food, movement, environment, dementia care and meaningful activity – forms part of Greensleeves Care’s wider wellbeing strategy, which aims to support residents to live with strength, confidence and dignity in later life.

You can find practical guidance on topics such as nutrition, hydration and dementia care in our Advice Centre. If you are exploring options for residential care, you can also learn more about our care homes across England.

Ultimately, good nutrition and hydration are not simply about providing meals. When they are thoughtfully integrated into daily life and care practice, they become powerful tools for maintaining strength, supporting cognition and helping people continue to enjoy life well into later age.

 

This article was written by Steve Morton, Head of Nutrition, Wellbeing and Dementia at Greensleeves Care. Steve specialises in nutrition, wellbeing and dementia care for older people and leads the organisation’s strategy on healthy ageing, hydration, movement and quality of life in care homes. Content written by Steve Morton is informed by current research in ageing, nutrition and dementia care and reflects practical experience supporting residents and care teams across Greensleeves Care homes.

Sources:
https://www.malnutritiontaskforce.org.uk/about-malnutrition
https://www.nhs.uk/conditions/dehydration/