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Salisbury NHS Foundation Trust Menu Service Information Fresh, Local, Nutritious Supporting local food, freshly prepared PLEASE DO NOT REMOVE FROM THE WARD Salisbury NHS Foundation Trust Dear Patient Our menus have been carefully designed to provide you with a varied and interesting choice of nutritious, well balanced and appetising food, suitable for your diet. Strategic Aims • Creating the right overall environment for good nutrition and hydration. • Delivering the right nutritional content within the menu. • Making sure that Patients needs are properly identified and met. We deliver these strategic aims by: • Offering a choice of appetising, healthy and nourishing meals. • Preparing meals using seasonal fresh foods from local suppliers/ growers, • Providing a range of refreshing drinks seven times per day. • Fresh Fruit, Fruit Salad and Biscuits are provided on the ward 24/7. Please ask a member of the ward team if you would like a snack in-between meals. • Providing support with eating meals at each mealtime, if required, • Providing meals in a calm and quiet environment (free from avoidable interruptions). • Providing meals that respect diversity, faith and cultural choice, • Monitoring quality by: ward observation audits, unannounced food tasting, ask our patients for their feedback both on the ward and in the Patient Food Forum and run a Food and Nutrition action program to ensure continuous improvement. If you miss a meal or require assistance with your meals, please ask a member of the ward team. Should you wish to discuss any aspect of the Catering Service please tick the box on the front of the supper menu or ask a member of the ward team to contact the Catering Manager or a member of the team. Please visit our website www.salisbury.nhs.uk for all menu information and services. Catering are happy to talk to you, Please contact us by: E-mail - [email protected] Tel 01722 425064 If you experience difficulty in using QR codes, please contact your network provider. A Chef is available in our on-site kitchen from 6.00am until 6.30pm. If you have missed your meals outside of these hours, a hot meal can be obtained, please ask a member of the ward team. Meals are available from the following ward kitchens:Chilmark, Amesbury, Lavestock, Burns & Britford. Vending services are provided throughout the site with access to hot and cold drinks, snacks, filled rolls and sandwiches, 24 hours a day. Main Entrance & Reception Level 3 Access to Emergency Department (A & E) is from external ramp only Emergency Department (A & E) Emergency Department Ramp Nunton Entrance Level 2 Springs Entrance Level 2 Entrance A SALIS Springs BUR Main Hospital Y Leisure Centre No.8 Central Area Sarum Entrance Level 3 Hedgerows Entrance B Meals/Snacks No.7 South Area The Green Entrance Coffee/Tea Vending machine location/level Springs Restaurant 8.30am - 7.30pm (Mon to Fri) Hedgerows Coffee Shop - 8.30am - 3.30pm (Mon to Fri) Hospital Leisure Centre - 7.00am - 8.30pm (Mon to Fri) 10.00am - 4.30pm (Sat-Sun) No.10 No.15 Hedgerows Entrance Laing K ODSTOCE VILLAG Entrance 0 50 No.12 100 Patient/Visitor Parking 200 Metres Drop off/Pick up Point Catering Service Information Out of Hours Catering Disabled Parking Bus Stop Springs restaurant is located on level 2 and offers a range of hot and cold meals, salads, cakes and snacks, along with a wide selection of hot and cold drinks. Open: 8.30am to 7.30pm on weekdays and 10.00am to 7.00pm at weekends & Bank Holidays Hedgerows coffee shop is located in the central corridor (near entrance B) and provides a selection of sandwiches, rolls, paninis and baguettes, soup, fruit, cakes, smoothies, hot and cold drinks. Open: Monday to Friday (Excluding Bank Holidays) 8.30am to 3.30pm Staff Club Leisure Centre Located from Entrance B (around the Green) serving Sandwiches/Rolls, snacks, hot and cold drinks. Open: 7.00am to 8.30pm Mon - Fri & 10.00am to 4.30pm Sat/Sun (closed Bank Holidays) Eating for Health Restaurant & Coffee Shop Menus and Dietary Information We operate a protected mealtime policy to ensure that whilst you are eating your meal there are minimal disruptions on the ward. Protected Mealtimes are times set aside solely for patients to eat meals and all non-urgent activities on the ward are stopped. All patient meals are subject to a nutritional analysis to ensure that all of the choices meet national dietary standards. If you are following a special diet please think carefully about your choice and use the diet codes to help you. If you are unsure whether a particular meal choice is suitable for you please ask a member of ward staff. Eating for Health Our standard hospital menu provides: • • • • A range of ‘Soft’ food choices Food choices suitable for patients with Diabetes Small, Medium and Large portion sizes Small portions of energy dense food on a side plate for those with a small appetite In addition to our standard menu we can provide a wide range of dietary requirements to meet both personal diet choices as well as cultural ones. • A large print pictorial menu folder and Finger Food menu to support patients with dementia • A Children’s menu • A menu with modified food textures, meeting nationally agreed texture descriptors (C, D & E) • Allergy aware menu (including vegan and gluten free choices) • Halal and Kosher choices. Although there is no printed menu, a range of meals are available upon request. • A menu for Neutropenic diets Eating well is an important part of your treatment, if you have any dietary needs which are not provided for by these menus, please advise a member of the ward team. Symbols and Diet Codes You will notice diet codes alongside most of the menu dishes. These are to help you to easily identify the following dietary considerations: GF= Gluten Free V = Vegetarian Diet S = Soft Diet ♥ = Healthier Choice H = High Protein/High Energy D =Diabetic The Eatwell Plate The eatwell plate is designed to show how much of what you eat should come from each food group. This includes everything you eat during the day, including snacks. So, try to eat: • Plenty of fruit and vegetables • Plenty of bread, rice, potatoes, pasta and other starchy foods – choose wholegrain varieties whenever you can • Some milk and dairy foods • Some meat, fish, eggs, beans and other non-dairy sources of protein • Just a small amount of foods and drinks high in fat and/or sugar. • Where possible try to choose options that are lower in fat, salt and sugar. • You don’t need to get the balance right at every meal but try to get it right over time such as a whole day or week. Patients with specific dietary requirements should follow advice given by your healthcare professional. Condiments & Sauces To support healthy eating, we do not routinely add salt when preparing your meal. Salt, pepper, vinegar and other sauces are available. Please ask for them. Drinks A range of hot and cold drinks including tea, coffee and fruit squash, will be served with meals and throughout the day. Please ask a member of the ward team if you would like fresh water and/or a hot or cold drink. Decaffeinated coffee, tea or fruit squash is available upon request. Snacks Fresh Fruit, Fruit Salad and Biscuits are available on the ward 24/7. Please ask a member of the ward team if you would like a snack in-between meals. Eating for Health A balanced diet is essential for health and this is particularly important when you are in hospital as a good diet can assist your recovery. The Gold Tray The Gold Tray has been introduced to assist in the management of nutritionally at risk patients and to support actions that staff need to take to provide appropriate assistance at meal times. A patient’s meal should be served on a ‘Gold Tray’ when: 1. The patient has been nutritionally scored and idenfies at either medium or high risk 2. The patient requires assistance with meals i.e. needs support cutting food up, opening packets 3. The family/carer has requested the patient is assisted with meals Eating for Health 4. The patient has unwanted weight loss 5. The patient has increased nutritional needs 6. The patient has eaten little for 2 days or more 7. The patient is confused or demonstrates a lack of motivation to eat 8. There is a need to record the quantity of food consumed 9. The patient requires additional time to eat meals 10. The patient requires adapted cutlery or modifications to the eating environment to support the consumption of food Green Tray Initiative Supporting patients with a known allergy. Only Meals from our Allergy Aware Menu would be served on a Green Tray Red Tractor Red Tractor covers all aspects of the supply chain from farms to fork. This includes food safety and traceability, animal welfare, and environmental protection. The logo is not just about Farm Assurance. Standards must be met at every critical link in the food supply chain. The Union Jack in the logo indicates food has been farmed, processed and packed all in the UK. Listed below are the products we currently buy that carry the Red Tractor logo: Silverside joints Diced Chuck Diced Lamb Minced Lamb Legs of Lamb Lambs Kidney Chicken Liver Pork Chops Diced Pork All Sausages Diced Ham Our milk also carries the Red Tractor logo Minced Beef Rack Lamb 4 bone Ox Kidney Minced Pork Black Pudding Diced Chorizo Spanish Rindless Back Bacon EU Turkey Crown English Diced Chicken English Whole Cooked English Ham Chicken Legs English Minced Chicken English Chicken Fillets English Fish All our fish is caught using ethical and sustainable methods which has been certified by the Marine Stewardship Council (MSC). We source our fish from a local company who support local fisherman. Types of fish and originYellow fin sole - Pacific Ocean Pollock - Pacific Ocean, Atlantic Cod - Atlantic Haddock - Atlantic Eggs Our eggs are 100% British and carry the Lion mark. Also meeting the standard from the Government Buying Solutions our eggs are from 100% Enriched Caged Hens. Coffee/tea/sugar Tea and coffee served in our restaurant and coffee shop contains ingredients sourced from Rainforest Alliance Certified farms or forests. These farms and forests are managed according to rigorous environmental, social and economic criteria designed to conserve wildlife; safeguard soils and waterways; protect workers, their families and local communities; and increase livelihoods in order to achieve true, long-term sustainability. Local, Growers and Suppliers Where possible we procure our food, Ingrediant, products and packaging from local growers and suppliers. We consider all aspects including those linked to the environmental impact and sustainability. Eating for Health Below are a list of products that are not Red Tractor approved: Allergens The following list tells you what these allergens are and provides some examples of foods where they may be found: Celery This includes celery stalks, leaves and seeds and celeriac. It is often found in celery salt, salads, some meat products, soups and stock cubes. Allergens This includes wheat (such as spelt and Cereals Khorasan wheat/Kamut), rye, barley and oats. containing It is often found in foods containing flour, such gluten as some baking powders, batter, breadcrumbs, bread, cakes, couscous, meat products, pasta, pastry, sauces, soups and foods dusted with flour. The cereal will need to be declared. However, it is up to you if you want to declare the presence of gluten with this. Crustaceans This includes crabs, lobster, prawns and scampi. It is often found in shrimp paste used in Thai curries or salads. Eggs This is often found in cakes, some meat products, mayonnaise, mousses, pasta, quiche, sauces and foods brushed or glazed with egg Fish This is often found in some fish sauces, pizzas, relishes, salad dressings, stock cubes and in Worcestershire sauce. Lupin This includes lupin seeds and flour, and can be found in some types of bread, pastries and pasta. Milk This is found in butter, cheese, cream, milk powders and yoghurt. It is often used in foods glazed with milk, powdered soups and sauces. Molluscs This includes mussels, land snails, squid and whelks. It is often found in oyster sauce or as an ingredient in fish stews. Mustard This includes liquid mustard, mustard powder and mustard seeds. It is often found in breads, curries, marinades, meat products, salad dressing, sauces and soups. Nuts This includes almonds, hazelnuts, walnuts, cashews, pecan nuts, Brazil nuts, pistachio nuts, macadamia or Queensland nuts. These can be found in breads, biscuits, crackers, desserts, ice cream, marzipan (almond paste), nut oils and sauces. Ground, crushed or flaked almonds are often used in Asian dishes such as curries or stir fries. Peanuts This can be found in biscuits, cakes, curries, desserts and sauces such as for satay. It is also found in groundnut oil and peanut flour. Sesame seeds This can be found in bread, breadsticks, houmous, sesame oil and tahini (sesame paste). Soya This can be found in beancurd, edamame beans, miso paste, textured soya protein, soya flour or tofu. It is often used in some desserts, ice cream, meat products, sauces and vegetarian products. Sulphur dioxide This is often used as a preservative in dried fruit, meat dioxide products, soft drinks and vegetables as well as in wine and beer. Allergens Please contact your Ward team or Catering Department for more specific information regarding your menu choices and related allergies. Allergens may be present following accidental contact. If you require food Free from the 14 food allergens on the regulatory list (identified by the Food Standards Agency); then please order your meal from the Allergy Aware menu. Our allergy aware menu is suitable for patients requiring a vegan or gluten free diet. Please contact your Ward team or the Catering Department for more specific information regarding your menu choices and related allergies. The labelling on pre-packaged foods will identify if any of those are intentionally used as an ingredient. For information on foods without packaging please telephone the Catering Office: Ext 2064 Monday to Friday 6.00am – 7.30pm Weekends 6.00am – 7.00pm Are you Eating from the Right Menu? The following sample chart identifies allergens linked to our menu choices. Are you eating from the Right Menu? We offer a large number of menus and meal choices to ensure we are able to provide the appropriate diet for your dietary needs. Standard Hospital Menu - (Purple Colour) Are you Eating from the Right Menu? Enables patients to order freshly prepared meals produced on site by our team of chefs. This menus is traditional in concept, with soup to start, mains includes roast dinners and pasta dishes as well as lighter bites with a choice of sandwiches and jacket potatoes, followed by a choice of desserts. We have 4 seasonal standard hospital menus and each menu repeats itself after 14 days. The standard hospital menu caters for vegetarians, soft food choices, options for patients with diabetes and energy dense portions for the smaller appetite. Different portion sizes can also be ordered (Small, Medium or Large) Neutropenic Menu - (Pink Colour) This menu is designed for immune compromised patients, whilst still enabling patients with a weakened immune system to order freshly prepared meals produced on site by our team of chefs. This menus is traditional in concept with soup to start, mains includes roast dinners and pasta dishes as well as lighter bites with a choice of sandwiches and jacket potatoes, followed by a choice of desserts. We have 4 seasonal Neutropenic menus and each menu repeats itself after 14 days. The Neutropenic hospital menu caters for vegetarians, soft food choices, options for patients with diabetes, energy dense portions for the smaller appetite. Different portion sizes can also be ordered from this menu. (Small, Medium and Large) Children’s Menus (Seaside theme designed by one of our child patients) In addition to the standard hospital menu choices we have also included some children friendly options, which the children will recognise and find familiar, so encouraging them to eat whilst staying on the ward. We have 4 seasonal children’s menus and each menu repeats itself after 14 days. Different portion sizes can also be ordered (Small, Medium or Large). Children may order from either the standard hospital menu or from the children’s menu. Allergy Aware Menu (Green Colour) Meals on our allergy aware menu are prepared under strict conditions within a purpose built kitchen to ensure that patients with allergies can feel assured their dietary needs are met with no risk of contamination. These meal choices are free from gluten, crustations, wheat, eggs, nuts, milk and soya. A range of sandwiches and gluten free desserts are also available as well as vegan choices. Pureed Menu (C&D Texture Brown Colour) & E Texture Menu (Blue Colour) These menus may also be known as modified texture menu or dysphagic menu. These menus maybe required for our patients whilst they are experiencing difficulties with chewing and swallowing. We offer 3 different types of texture linked to the national descriptors. D Texture – Blended to a pre mash consistency. E Texture – Food that is soft and fork mashable. These meals are produced to ensure that patients with chewing swallowing difficulties are catered for with the correct consistency of food and a full range of options can be offered. Breakfast Menu (Yellow Colour) A range of all your traditional breakfast choices are on offer. We cater for both hot and cold choices and included in this menu are pureed choices and gluten free options. Finger Food Menu (Orange Colour) Children, patients with dementia and the elderly can sometimes struggle with using a knife and fork. A finger food menu has been designed to enable our patients to eat with independence. A full range of options are available for all dietary needs with both hot and cold choices and dessert options. Kosher and Halal Meals (no printed menu but range of options available) A range of kosher and halal meals are available upon request. Please ask a member of the ward team to contact the catering department. Kosher Meals Our kosher meals are produced under the supervision of specialists of kosher laws who are sometimes rabbis. Halal Our Halal meals are prepared in accordance with Muslim principles and techniques. Are you Eating from the Right Menu? C Texture – Pureed food with a smooth thick consistency, no chewing required.