As we age, our appetite can change — and so can our ability to shop, cook, and stay hydrated. For older adults, small nutritional issues can quickly lead to serious health problems, often resulting in hospital stays that might have been preventable.

That’s where live-in care makes a real difference.

At McDonald Homecare, our live-in carers not only support personal care and safety — they also play a vital role in helping clients eat well, stay hydrated, and avoid common nutrition-related health issues.

The Hidden Risks of Poor Nutrition and Dehydration

Malnutrition and dehydration are more common than you might think in older adults living at home. In fact, the NHS estimates over 1 million older people in the UK are at risk of malnutrition — and many of them are living independently or with minimal support.

Common consequences include:

Urinary tract infections (UTIs)
Constipation
Dizziness and falls
Confusion or delirium
Weakness and pressure sores
Poor wound healing
Increased risk of infection
Unplanned hospital admissions

Even a mild UTI or case of dehydration can cause a rapid decline, particularly for those with dementia or frailty.

How Live-in Care Improves Nutrition and Hydration

With a professional carer living in the home, clients receive daily, hands-on support that helps prevent these risks.

1. Regular, Nutritious Meals

Our carers prepare meals that are:

Fresh, balanced, and tailored to dietary needs
Adjusted for portion size and texture (e.g. soft foods)
Served at appropriate times based on routine and appetite

For clients with diabetes, swallowing difficulties, or specific dietary needs, carers can follow detailed plans to ensure safety and nutrition.

2. Encouragement to Eat

Appetite can fluctuate with age, medication, or mood. A carer sitting down with a client — sharing mealtimes, encouraging them gently, and noticing changes — can make all the difference.

Carers often spot subtle signs that a loved one might be skipping meals or losing interest in food — and act early.

3. Staying Hydrated

Dehydration is a leading cause of preventable hospital admissions in older adults. Live-in carers ensure clients:

Drink regularly throughout the day
Are offered drinks they enjoy and can manage easily
Receive hydration prompts, particularly for those with memory loss

Hydration is also supported through food — such as soups, fruit, jelly, and other high-water-content options.

4. Monitoring and Adjusting

Carers monitor food and fluid intake informally and report any concerns — such as sudden weight loss, changes in appetite, or signs of dehydration — to families or health professionals.

At McDonald Homecare, our team also reviews care plans regularly to ensure changing needs are met.

Real-Life Impact: Preventing Hospital Admissions

Many hospital admissions we see — particularly in frail or elderly clients — are triggered by manageable issues like:

Missed meals or medication
Dehydration-related falls or UTIs
Weakness and fatigue from under-eating

With live-in care, these risks are significantly reduced. Clients are:

Nourished, hydrated, and more resilient
Promptly treated at home if early signs of illness arise
Emotionally supported, which encourages better self-care and appetite

Families also benefit from peace of mind knowing their loved one is eating properly and not “just having toast and tea again”.

Supporting Special Dietary Needs

Our carers are trained to support clients with a range of conditions, including:

Dementia (where taste and appetite may change)
Diabetes
Coeliac disease or gluten sensitivity
Chewing or swallowing difficulties
Low appetite due to medications or cancer treatment

We work with families and, when needed, health professionals like dietitians and GPs to ensure a safe, practical meal plan is in place.

A Holistic Approach to Health

At McDonald Homecare, we believe that food and drink are more than fuel — they’re moments of comfort, routine, and joy.

Our live-in carers treat meals not just as tasks, but as opportunities for conversation, connection, and care. And by doing so, they help keep clients healthier, safer, and away from unnecessary hospital visits.

Thinking about live-in care for a loved one?
Get in touch today for a free, no-obligation conversation — we’d be happy to talk through your family’s needs.

How Live-in Care Improves Nutrition and Hydration — And Helps Prevent Hospital Admissions