Category Archives: Diet And Food

If there is one piece of advice that 87-year-old Dr. T. Colin Campbell would give to those looking to age well and stay healthier longer, it would be to change your diet to a plant based, whole food approach.

The idea of plant based eating has gained popularity in recent years, but it was first coined by Campbell back in 1978. The bestselling coauthor of The China Study (published in 2006) said it has been exciting to see it gain traction in the last several years.

Its interesting because the idea of a plant based diet possibly being the best and the way of the future is just beginning to take hold in the mainstream public, Campbell said.

His recommendation that most everyone can adopt a plant based diet and have it benefit their lives hinges on a discovery he made early in his career: that people do not need to eat animal protein in order for their bodies to get the protein they need.

For the son of a dairy farmer, this flew in the face of what he had believed growing up but the evidence that a plant based diet can prevent and, in the vast majority of cases, even reverse common American ailments like diabetes, high cholesterol and heart disease was so strong that he dedicated his career to researching it and publicly sharing his findings. He has also worked to shape public policy around health and nutrition and was the liaison to Congress for the medical research community in 1980 and 1981.

Campbell wasnt always interested in studying nutrition. He was completing his first year of veterinary school when he received a telegram from a well known Cornell Professor offering him a scholarship and research opportunity, which led him to complete his education at Cornell University and MIT in the field of nutrition, biochemistry and toxicology. During his time at Cornell, around 1965, he was tasked with coordinating an effort to aid malnourished children in the Philippines. It was believed at the time that the children needed more animal protein to be healthy, but what Campbell found instead was that the few children who came from families who were able to consume more animal protein had a higher rate of liver cancer than their peers.

I couldt quite believe what I was seeing, Campbell said. I had many students work in the lab on this question and over the years found that there is no need to consume animal food to get that protein. That is totally false.

Campbell spent a decade on the faculty of Virginia Techs Department of Biochemistry and Nutrition, then returned to Cornell in 1975, where he currently holds his endowed chair as a professor emeritus of nutritional biochemistry in the Division of Nutritional Sciences.

In recent years Campbell founded a non-profit organization on online learning in nutrition which recently developed, under the direction of Campbells daughter LeAnne Campbell, the program Plant Forward, which holds online workshops.

The workshops teach a simple philosophy that can be difficult to put into practice at first but pays great dividends if the individual can stick with it for a month or two, Campbell said.

The people who stay with it are often people who have a serious health problem or have a motivation, he said. Sometimes the effects are almost immediate.

People can see their blood sugar drop precipitously in one day, he said. Its amazing.

The key is to go all-in on the new diet. He likened it to quitting smoking just cutting down to one or two cigarettes per day or smoking on some days but not on others is not likely to lead to success in the longterm. But soon, Campbell said, this new kind of eating will become second nature and even enjoyable.

Youll all of a sudden discover you crave a salad, he said. Just eat vegetables, grains, nuts, and avocados for the oil and fat.

As much as possible, stay away from added oils and refined carbs, he added.

The effects of adopting a whole plant-based diet are striking, he said.

We can turn experimental liver cancer genes on with animal based protein and turn it off by eating a plant based diet, he said.

Campbells own father died of a heart attack when he was 70, and his wifes mother died of colon cancer when she was just 51. That motivated us to think about changing our diet, so we did, he said. His wife is 80 years old, and both are largely medication free other than a short period Campbell spent on medication to control his blood pressure.

Campbells first book, The China Study, came out of a partnership in the 1980s with researchers at Oxford University and the Chinese Academy of Preventative Medicine and sold nearly four million copies worldwide. Campbell followed that up with his second book, Whole, in 2013, which is focused on the science behind plant based eating.

In 2020 he published The Future of Nutrition: An Insiders Look at the Science, Why We Keep Getting it Wrong, and How to Start Getting It Right.

He still gives lectures and is involved with the online Plant-Based Nutrition Certificate in Partnership with eCornell. His research is the cornerstone of the 2011 documentary film Forks Over Knives, and his oldest son, Nelson Campbell, made another popular documentary on the topic called Plant Pure Nation.

Some advice that he received from his father that has guided him throughout his life: Tell the truth, the whole truth, and nothing but the truth. It is a philosophy that allowed him to question his original assumption that eating animals must be good for health.

The key is to be honest with yourself and check your own biases, he said. Thats really critical.

See more here:
Cornell grad and lecturer touts benefits of plant-based diet - ithaca.com

What are Diwali festivities without those extra bites of sweets shared with everyone, making delightful memories? The festival brings flavoursome confectioneries and fat-drenched savouries to the fore, and most of us don't have the will power to resist.

Yet, we have to be mindful to shred those lip-smacking dishes from the eventful days of Diwali!

Here's a detailed diet plan to help you shed extra kilos in five days, allowing you to savour your sweetmeats and indulge in celebratory days guilt-free!

In essence, detox is all about eating a diet that supports and improves the functioning of our liver. Unlike popular belief, detoxification is not about weight loss alone. It's mainly about helping and supporting your body to get rid of all the waste through proper dietary choices. It is beneficial for one and all.

Consuming Natural Detox Water, i.e. overnight Cinnamon/tulsi/ orange-infused water, salads, smoothies, and cold-pressed green juices certainly aid detoxification sooner which in turn is needed to stimulate the overall wellbeing of the digestive system to accept weight-loss targeted foods.

Foods recommended for speeding weight loss

Our traditional herbs and spices like cinnamon, cumin, ajwain, etc., really help to boost the metabolism. With zero side effects, they stimulate weight loss.

Probiotics

Reduce sugar intake, please! While the days of the festivities will be loaded with fried snacks and scrumptious desi sweets, it is advised to reduce the intake of many guilt foods which hinder the weight loss journey.

We need to remove sugar from the diet in the form of sucrose, bread, refined flour, sugar and flour-laden western desserts, etc.

Detailed diet plan to reduce weight in 5 days: There are plenty of diets that one can follow to regulate their weight during Diwali. Here's a simple diet plan that can help one deal with binge-eating and stimulate weight loss:

Every morning it is recommended to drink a glass of water including Cinnamon (th tsp) + Methi ( tsp) + mint (3-4 leaves) that are soaked overnight.

Breakfast can include a range of meals like: * Skimmed milk + oats + 5 soaked almonds * Oats cheela + buttermilk + 5 almonds, 2 walnuts * Poha + buttermilk + 5 almonds, 2 walnuts * Banana oats smoothie (1 banana, 75ml milk, 5 almonds) * Besan dhokla (5 pcs) + buttermilk + 5 almonds * Suji Upma + buttermilk + 5 almonds.

In the afternoon, one can have any 1 seasonal fruit like an apple/ papaya.

Lunch can have combinations for each day like* 1 tsp Psyllium husk with a glass of water + 2 Chapattis (made combining bran+ atta) + Dal (1 bowl) + Curd (1 bowl, made from skimmed milk)* 1 tsp Psyllium husk + 2 veg stuff chapati with plain curd * 1 tsp Psyllium husk + 1 bowl oats porridge + curd * 4 idlis + sambhar + mint chutney * Green moong dal chaat (1 bowl) with buttermilk * Veg Poha (1/2 poha 1/2 veggies) + curd. * 1 bowl of salad during lunch is recommended.

Teatime can include Tea (1 cup with no sugar) + biscuit (1-2) or dry puffed rice chaat or 1 bowl of makhana.

Before dinner, a bowl of Vegetable Clear Soup or Chicken stock is recommended.

Dinner too includes a range of foods that one can select from over the 5 days. They include:* 1 tsp Psyllium husk with a glass of water + Sauteed Veg (1 bowl including capsicum, broccoli, mushrooms, and onion) or Sauted Chicken in olive oil (1-2 tsp)* 2 Oats cheela with mint chutney * Blackchana chaat* 1 Bowl steamed veggies + 1 bowl oats porridge* 2 bowls moong dal with 1 katori dry vegetables 4 slices of thin-crust pizza * Veg pasta (1/4th pasta and rest veggies in red sauce)* A concoction of curry leaves wherein a few curry leaves being boiled in a cup of water stimulates weight loss better post-dinner.

5 Superfoods for the win While dieting can be difficult with hunger pangs kicking in now and then, to keep you filled and on track of your weight loss journey, it is best to stick to some hunger-satiating superfoods.

Proteins, fibre, and natural sugar (fruits) help to combat hunger pangs and avoid eating junk foods at the same time. Most importantly having enough sleep does the trick as people who get more sleep experience less hunger during the day. They hardly experience a desire for sweet and salty foods.

One can rely on Pumpkin Seeds, Millets like Bajra and Amaranth, Chia Seeds and Darkh Chocolate which are energy-packed foods containing a lot of nutrients like proteins, manganese, zinc, iron, niacin, coppern phosphorous, flavanols and antioxidants keeping one's mood and energy levels up throughout the day.

Visit link:
Five-day post Diwali diet to shed those festive kilos - Economic Times

The American Heart Association (AHA) on Tuesday outlined 10 key features of a heart-healthy eating pattern.

The organization's new scientific statement, titled "2021 Dietary Guidance to Improve Cardiovascular Health" and published in the journal Circulation, emphasizes the importance of overall dietary pattern, rather than individual foods or nutrients, as well as underscores the critical role of nutrition.

HEART HEALTH KEY TO TYPE 2 DIABETES PREVENTION: RESEARCHERS

The features listed, the AHA said, can be adapted to accommodate certain factors including cultural traditions, food likes and dislikes and whether most meals are consumed at home or "on-the-go."

According to the group, the statement reflects that a poor diet is strongly associated with an increased risk of cardiovascular disease and death.

The importance of a total dietary pattern rather than "good" or "bad" foods or nutrients is emphasized, as well as the role of nutrition education.

The AHA emphasizes the importance of a total dietary pattern (iStock)

Eating healthy early in life and maintaining healthy habits are also underscored.

"We can all benefit from a heart-healthy dietary pattern regardless of stage of life, and it is possible to design one that is consistent with personal preferences, lifestyles and cultural customs," Alice Lichtenstein, chair of the scientific statement writing group, said in a statement. "It does not need to be complicated, time-consuming, expensive or unappealing."

BEHAVIORS THAT COULD CAUSE A HEART ATTACK

In addition, for the first time, the AHA summarizes evidence that addresses sustainability and enumerates several challenges that make it more difficult to adopt and maintain a heart-healthy eating pattern.

Commonly consumed animal products, like red meat, contribute significantly to greenhouse gas emissions that warm the Earth's atmosphere and have the largest environmental impact in terms of water and land usage. However, the AHA highlights that not all sustainable diets are heart-healthy.

The association said that public health actions and policy changes are required to address societal challenges and barriers to adopting or maintaining a heart-healthy diet.

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Some of those challenges include widespread dietary misinformation, a lack of nutrition education in schools, food and nutrition insecurity, structural racism and neighborhood segregation and targeted marketing of unhealthy foods and beverages to people from diverse racial and ethnic backgrounds.

"Creating an environment that promotes and supports adherence to heart-healthy dietary patterns among all individuals is a public health imperative," the statement said.

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10 dietary tips to reduce heart disease and stroke risk, according to new research - Fox News

The American Heart Association (AHA) on Tuesday outlined 10 key features of aheart-healthyeating pattern.

The organizations new scientific statement, titled 2021 Dietary Guidance to Improve Cardiovascular Health and published in the journal Circulation, emphasizes the importance of overall dietary pattern, rather than individualfoodsor nutrients, as well as underscores the critical role of nutrition.

The features listed,the AHA said, can be adapted to accommodate certain factors including cultural traditions, food likes and dislikes and whether most meals are consumed at home or on-the-go.

According to the group,the statementreflects that a poor diet is strongly associated with an increased risk of cardiovascular disease and death.

The importance of a total dietary pattern rather than good or bad foods or nutrients is emphasized, as well as the role of nutrition education.

Eating healthy early in life and maintaining healthy habits are also underscored.

We can all benefit from a heart-healthy dietary pattern regardless of stage of life, and it is possible to design one that is consistent with personal preferences, lifestyles and cultural customs, Alice Lichtenstein, chair of the scientific statement writing group, said in a statement. It does not need to be complicated, time-consuming, expensive or unappealing.

In addition, for the first time, the AHA summarizes evidence that addresses sustainability and enumerates several challenges that make it more difficult to adopt and maintain a heart-healthy eating pattern.

Continued here:
Ten dietary tips to reduce heart disease and stroke risk - New York Post

Whats for lunch?

I typically run the same smoothie back because I know I have a run later on in the day. I can't eat before I run or drink a lot of liquid. So Ill do a little less milk, less peanut butter, sometimes Ill cut it out altogether depending on how the run is.

How has your training been going?

So far, I havent run more than 10 miles. I have more to do in terms of long runs, at least 15 or 17. The thing is, Im just moving my body in so many ways all of the time, kind of taking my training in a different direction than whats typical. But my body feels good, and I trust that. For my first marathon in Chicago 2019, I never ran more than 12 miles. Not because I didn't feel like I needed to, but I just didn't know what I was doing.

This time around, I had goals for the marathon in terms of times I wanted to break and places I wanted to be, but then Dancing With the Stars happened. So now Im just being realistic with my body and my training. I've tempered my expectations. My biggest priority is to remain healthy.

So to confirm: You dont eat whole foods until after your evening run?

Some days, yeah. I dont snack, either. Snacking is usually a sign of boredom for me. For dinner, I go bigeither a grain bowl or what I call a super salad. Last night, I went to Mendocino Farms and I had this avocado salad with kale, quinoa, roasted chicken, beans, and red peppers. I'll load that up. It feels like a cheat meal because everything else is so regimented that I love to go crazy on a salad or a bowl. I also love going to Erewhon, where they have a Whole Foods-style hot bar, and Ill get straight veggies. Sweet potatoes, brussels, broccolithough if they have salmon Ill get salmon that day.

Are you mostly plant-based?

I definitely try to keep it veggie heavy. My body just responds best to that with all the training that I'm doing. I have found replacements for the protein. It's paid off. I feel like I'm getting better sleep. I'm focused. It keeps me in line for not snacking and eating unhealthy. Plus, I love sweets. I love ice cream. But when you eat healthy for a number of weeks, I find that I stop craving to have those things. Instead of having them now, Ill think like, hey, Im just going to chug a coconut water and call it a night. That gives me a little sweetness and isnt something like a cookie or dessert.

Ive seen your Instagram. I know that you like to indulge. Talk about how regularly youre actually going ham on things like burgers and meals out?

Ill say this: I feel like this way of eating has been really important considering the goals I have at the moment. However, if I wasnt out there training and dancing, my breakfast smoothie would stay the same. If Im in New York for lunch, I love some sort of sandwich, burrito, or a burger. I love Whitmans in the East Village, Faiccos in the West Village. And Im good on a big lunch because I know Ill be burning calories throughout the day, and then I kind of temper it back for dinner. I do like ice cream occasionally too. Jennys gooey butter cake when in California, or anything from Van Leeuwen when Im in New York.

Post-marathon ideal meal?

The biggest breakfast ever. I want homemade pancakes, eggs, bacon, wafflesI don't ever eat those things. Then I'll go right to bed.

The veteran actor talked to GQ about sleeping a lot, the importance of avoiding the junk zone," and the workout advice he got from Chris Pratt.

Read more:
Matt James Is Running the New York City Marathon This Weekend - GQ Magazine

Weigh-ins can help keepers understand if an animal is feeling OK or has access to too little or too much food. Each animal has a diet designed specifically for their needsso,to keep things balanced, the reward for stepping on the scale often comes directly from their favored items in that diet. Zoo nutritionists can pair weights with visual or hands-on exams to monitor body condition, and to make sure animals are developing normally or maintaining the proper amount of weight. And if an animal needs medicine, veterinarians use weight to calculate the correct dosage.

With their knowledge of an animals natural history, personality and food preferences, keepers have developed many creative ways to weigh different animals. They can gain a wealth of information from the simple number on a scale, and use it to help provide the best care for all the animals at the Smithsonians National Zoo and Conservation Biology Institute.

This article appears in the November 2021 issue of National Zoo News.

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How Do You Weigh Animals at the Zoo? - Smithsonian's National Zoo and Conservation Biology Institute

Elderly residents at a Fulwood care home were at risk of becoming malnourished because of an unmonitored diet, a report by a health watchdog has concluded.

And walls and door handles were found 'stained with faecal matter'.

The home is now under special measures, following complaints from both relatives and staff.

An unannounced inspection, carried out by the Care Quality Commission (CQC) at Banksfield Nursing Home in Fulwood, made worrying findings that residents were 'not safe and at risk of avoidable harm'.

Lasting three days last month, health chiefs found the diet and fluid intake of residents was 'not consistently monitored and nutritional risk assessments were not always carried out.'

This put elderly residents at risk of becoming malnourished.

Staff did not notice that one person even lost 1.4 kilos of weight over the 15 day period.

Another resident, who was under the care of dietician, had not been weighed for three months.

And others, with dementia, could have choked as staff did not always to supervise them during mealtimes.

Inspectors said: "One person's fluids intake records showed they had only taken 20mls of fluids between midnight and 11.30am, we observed this person alone in their bedroom with two jugs of untouched fluids, staff told us at 11.30am they had not assisted the person with personal care or breakfast.

"We observed people who lived on the dementia nursing unit receive poor mealtime experiences.

"People were not sufficiently supported or prompted to eat and drink. People were also placed at risk of choking because staff did not always supervise them when sat near foods which they were unable to safely eat.

"Staff demonstrated little knowledge about people's dietary risk and nutritional needs.

"Systems and management oversight were not robust enough to consistently ensure people's nutrition and hydration needs were met. This placed people at risk of harm."

Such findings were found to be a breach of regulation 14 of the Health and Social Care Act.

Inspectors also found that cleanliness standards had slipped, with 'dried food and faecel matter' lining the door handles and corridors.

Two elderly residents were also harmed in an incident that was unwitnessed by staff and the record was not reviewed by the manager in line with the home's policy.

Inspectors added: "There was a failure to continuously risk assess or carry out risk assessment strategies.

"Staff did not always know the needs of people they supported and therefore did not always sufficiently protect them from harm.

"Two people who lived with dementia had expired foods in their personal bedroom fridge. This placed them at significant risk of avoidable harm because they were unable to identify that the food had expired and was fermented."

The service relied on agency staff to administer people's medicines, but many were unaware of how to identify when someone who was unable to reliably communicate they were in pain, distressed or constipated.

It added that environment safety including fire safety checks were not always carried out in line with the related policy and procedures.

Having deteriorated from the last inspection in March with a rating of 'Requires Improvement', to now 'Inadequate', the care home which provides personal and nursing care to 31 people aged 65 and over is now under review and will be re-inspected in the next six months where the CQC will decide if further action is required.

However, staff told inspectors they felt the service had 'stabilised' after previous manager had exited the business.

Staff also said they 'felt able to raise ideas and involved in the running of the service.'

Other relatives of residents agreed they felt confident to 'raise concerns' however others commented that action was delayed by the home after the complaints were made.

The CQC has now requested an action plan for the provider to give details on how it aims to improve its standards.

A follow-up inspection will be carried within the next six months.

Read more from the original source:
'Faecal matter' found on door handles of Fulwood care home as residents weight loss goes unnoticed by staff - Lancashire Post

Therapeutics that target lipids called ceramides might hold potential for treating cardiometabolic disease, argues a review article published today (November 5th, 2021) in the journal Trends in Pharmacological Sciences. The authors summarize evidence supporting a strong relationship between ceramides and a range of diseases in animals and humans and compare it to the decades of datasets that drove the creation of cholesterol-lowering pharmaceuticals.

Scientists have a lot to do if we are going to realize the potential of ceramide-lowering therapies, says senior study author Scott Summers of the University of Utah College of Health. Our hope with the article was to compare the body of literature on ceramides with that of cholesterol in order to point out the critical gaps and emerging questions in the ceramide field. Basically, we want to get as many labs as possible studying this important molecule.

One of the most widely prescribed drug classes is statins, which inhibit the synthesis of the lipid cholesterol to prevent coronary artery disease. Statins also reduce blood levels of other lipids such as ceramides. Compared to what we know about cholesterol, much less is known about the role of ceramides in disease. But it is becoming increasingly clear that ceramides are linked to a broad swath of health problems.

Over the past couple of decades, studies in humans have shown that ceramides are standalone biomarkers of cardiovascular disease, independent of cholesterol. Ceramides strongly predict major adverse cardiovascular events, including death due to coronary artery disease and acute coronary syndrome. These results have been replicated across the world in different countries and ethnicities, highlighting the robust nature of the association. Unlike cholesterol, ceramides have also been linked to metabolic conditions such as insulin resistance and diabetes in humans. Blood ceramides are now being measured clinically to assess disease risk.

Research in animals has provided evidence for a causal relationship and revealed potential disease mechanisms. For example, lowering ceramides through genetic or pharmacological interventions prevents cardiovascular disease and diabetes in rodents. Other studies have shown that ceramides can lead to an increase in fat storage, a decrease in glucose use, and lower mitochondrial efficiencyhallmarks of metabolic syndrome. Ultimately, these metabolic changes might lead to programmed cell death of pancreatic b-cells, thereby driving type 2 diabetes. Ceramides may prove to be as deleterious as cholesterol, as they elicit a non-overlapping spectrum of tissue defects and ultimately trigger cell death, Summers says.

Despite the accumulating evidence, many questions remain. Currently, there is a lack of data to support specific clinical recommendations based on high ceramide scores. More research is also needed to understand the genetic abnormalities that drive high ceramide levels and how ceramides damage cells and tissues. According to the articles authors, answering these questions might shed light on potential therapeutic approaches to safely and effectively lower ceramides and treat cardiometabolic disease. Hopefully help is on the horizon, either in the way of new therapeutics or new diet recommendations, Summers says.

Reference: Cholesterol the devil you know; ceramide the devil you dont by Tippetts et al., 5 November 2021, Trends in Pharmacological Sciences.DOI: 10.1016/j.tips.2021.10.001

This work was supported by the National Institutes of Health, the Juvenile Diabetes Research Foundation, the American Diabetes Association, the American Heart Association, and the Margolis Foundation. Scott Summers is a consultant, co-founder, and shareholder of Centaurus Therapeutics.

Excerpt from:
Researchers Call for Therapeutics To Treat Cholesterol Cousins Called Ceramides Linked to Many Health Problems - SciTechDaily

Finney House, on the junction of Sir Tom Finney Way and Blackpool Road at Deepdale, opened in 2016 with single rooms starting at a basic 900 a week.

In its five years it has had a chequered history, and has now been rated as inadequate by inspectors from the health watchdog, the Care Quality Commission (CQC). They recently carried out an unannounced inspection of the home after being notified that a resident had sustained a serious injury, which was subject to a criminal investigation.

The last inspection of Finney House was in March, and placed it as 'requires improvement'. The service has now deteriorated and will be re-inspected within six months to check for "significant improvements."

>>>Click here to read about the last inspection, when bosses were told to make improvements.

The CQC has the power to cancel the registration of the service if it feels not enough improvement has been made within this timeframe.

Key findings by the latest inspection team were that Finney House was:

However, inspectors did fid that the service was caring.

The report states that medicines were not always administered safely or as prescribed, adding: "We could not be sure that all people were protected from the risk of overdosing from medicines."

- A double dose of medicines being given to a person which then led to a hospital admission.

- Staff did not always record when time specific medicines were administered, and where a record was made, saw that the required four-hour gap between paracetamol doses had not been observed.

Records reviewed by the CQC also showed four instances where people had not been given their medicines for up to five days because medicines were either not in stock, misplaced or not identified as not supplied when people were admitted into the home or when new medicines were delivered.

Inspectors also noted that the provider had failed to ensure that staff responsible for administering medicines were competent to do so

The report states that inspectors also found a significant number of repeated falls, and missed medications that had not been reported to the local safeguarding authority in line with local protocols.

"We don't have time to support people"

A review of the call ball waiting times showed people did not always receive care in a timely way.

The report states: "On occasions waiting times for a few people on one floor and in particular one person more than others was more than an hour. One person informed us this had resulted in them not having their toileting needs met in time."

Eight out of 15 staff told inspectors they were times when staff deployment in parts of the home did not ensure they could provide care in a timely manner to meet people's needs.

Comments included: "A lot of incidents have happened because we are not able to respond to people in time" and, "It is such a busy day and people are at risk of harm because we don't have time to support people."

People's relatives gave mixed responses in relation to the caring nature of staff and whether staff treated people with dignity and respect.

While some gave positive feedback and were complimentary about the caring nature of the staff team, some raised concerns about staff attitude and felt some staff were not caring.

Inspeciors received a "significant number" of comments from relatives regarding poor personal hygiene.

The report states: "Eight of the 22 relatives stated they found family member with long and dirty nails with faeces. Comments included: "My [relative] is no longer cared for as well as we would like, sleepy dust in her eyes, unwashed hair, poo under her fingernails, inappropriate clothing for certain days."

Some relatives were also distresses that "it is impossible to get through on the telephone" and at "weekends you cannot speak to anyone as no one is on reception."

Inspectors received mixed comments from visiting relatives on cleanliness at the service. Inspectors observed parts of the home to be unclean on their first visit.

Inspectors commented that "the provider needed to improve the practices for supporting people with their eating and drinking. This was because people's nutritional records did not always reflect the care and support they were receiving with their diet."

However, they went on to say: "We observed people receiving support with their eating and drinking and being offered choice and alternatives. The atmosphere was pleasant, and meals were appetising."

Staff told inspectors that morale was low and they observed a high turnover of staff in the service.

Inspectors noted that: "People were not supported by adequate numbers of suitably qualified staff to reduce risks of harm" and that "there was a lack of robust systems for ensuring staff received essential training and that the training met the needs of people at the home to promote high quality and person-centred care."

The service which can house 96 residents, is run by L&M Healthcare (Deepdale) Ltd, which has been approached for comment.

The CQC report states: "The registered provider took immediate action to address some of the concerns and improve people's experiences."

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Luxury Preston nursing home at risk of closure after damning inspection reveals it is "not safe" - Lancashire Post

October 29, 2021

HONOLULU Go out for a night on the town in some U.S. cities and you might find yourself waiting while someone at the door of the restaurant or theater closely inspects your vaccination card and checks it against your photo ID. Or, conversely, you might be waved right through just by flashing your card.

How rigorously vaccination requirements are being enforced varies from place to place, even within the same state or city.

Proof of vaccination is required in several American cities to get into restaurants and bars, enjoy a concert or a play, catch a movie or go to a ballgame.

Ticket agents dutifully ascertain the vaccination status of everyone passing through the turnstile at pro sports venues in some cities from Seattle and New York, and restaurant hosts do the same in many places. In other locations, vaccine checks are cursory at best. Sometimes its practically done on the honor system.

There are some businesses that say they check for vaccination proof, but they are not even checking, said Jay Matsler, of Palm Springs, California, who was visiting San Franciscos Fishermans Wharf with his partner during a stop of their cruise along the California coast.

We actually tell them, Im sorry, youre not enforcing this. Were not going to give you our business, Matsler said. He said they were recently in Prague and Paris and had to show their vaccination cards and IDs at every indoor space they visited.

Some places around the U.S. are afraid of losing business if they insist on proof. Some say they dont have enough staff to conduct such checks amid a nationwide labor shortage. Some object on principle.

And some dont want to risk ugly confrontations. At an Italian restaurant in New York City, a request that a group of customers show vaccination proof led to a brawl.

During the first month enforcement in New York, inspectors issued warnings to 6,000 businesses for not checking patrons status, and 15 were fined $1,000 for being repeat offenders. The indoor dining area at an In-N-Out Burger joint in San Francisco was shut down this month by health authorities for not demanding proof of vaccination.

Public health authorities see the requirements as vital tools in slowing COVID-19 at a time when 1,500 or more Americans are dying each day from the virus. Such rules face deep opposition in conservative states, meaning they are mainly in effect in Democratic-run locations.

At the Highway Inn restaurant in Honolulu on Monday, the hostess asked diners for proof of vaccination or a negative test before seating them indoors. The information on their cards must match their IDs, and they must also give contact information that the restaurant keeps on record for two weeks in case of an outbreak.

Russell Ryan, the restaurants co-owner, said business declined when the vaccine requirement for restaurants first went into effect in mid-September. A few unvaccinated people stormed off in a huff, he said, but most have complied, and business has returned as more people have gotten vaccinated.

Generally, it has been less confrontational than we feared, Ryan said. We thought that wed get some zealots who want to make a stand for whatever reason.

In many places in the U.S., precisely how to enforce the vaccination rule is left up to businesses.

At a movie theater on a recent night in San Francisco, teenagers at the concession stand glanced at patrons cellphone photos of their vaccination cards before handing them their popcorn, candy and drinks.

At the citys Opera House, however, an usher closely examines the proof of vaccination and compares it against a picture ID. Anyone who fails to show proof will be asked to leave.

San Francisco health inspectors checking on the food permits of restaurants also routinely look to see whether businesses are complying with the proof-of-vaccination rules, but the city relies largely on complaints of violations phoned in to its 311 line.

Since the citys mandate went into effect on Aug. 20, only one restaurant has been penalized the In-N-Out at Fishermans Wharf that was closed for the day on Oct. 14 after refusing to ask for proof of vaccination despite several warnings from the city. The burger place now serves only takeout. A spokesman said the company refuses to be the vaccination police for any government.

In Los Angeles County, health inspectors found 38 venues that needed more training on vaccine rules out of about 250 bars, lounges, nightclubs, breweries, wineries and distilleries checked between Oct. 8 and Oct. 17. When the county visited 78 bars the next week, they found about 15% of them werent in compliance with customer vaccine verification rules, triggering more training.

New Orleans is also among the big cities that have imposed such rules, and Los Angeles plans to roll out its own requirements next week.

In New York City, big venues, like Broadway theaters and museums, tend to enforce the rules strictly. A neighborhood cafe might not.

The vast, vast, vast majority of restaurants and all the other businesses are saying, Yes, were going to work with this. Were going to make it work for our employees, for our customers, keep everyone safe, Mayor Bill de Blasio said.

Rick Camac, dean of restaurant and hospitality management at the Institute of Culinary Education in New York, said some of the regulations are ambiguous about how restaurants should work, so some establishments differ on the details, such as whether they require paper or electronic cards. Enforcement is also tough for workers who are trained in hospitality and may not be equipped to handle angry customers, he said.

They dont want to play police officer, he said. They want to guide you to your table and have that be the starting point for a great experience.

Some business owners around the U.S. have opted to close their dining rooms and offer only takeout or outdoor seating.

In Honolulu, hostess Kuuipo Lorenzo greeted customers Ashley and Martin Day as they arrived at the Highway Inn for authentic Hawaiian food. They were seated at a table after Ashley produced her vaccine card and her unvaccinated husband showed a recent negative COVID-19 test.

We have different perspectives, Ashley Day said. I think we both agree that it should probably be a testing mandate rather than a vaccine mandate.

But the Days look forward to when tests and vaccines arent needed to dine out.

I think wed like to see things open up again, said Ashley.

Associated Press writer Lindsay Whitehurst in Salt Lake City contributed to this report.

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