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Food, nutrition and dining

What is food, nutrition and dining?

Food and nutrition refer to what the body needs to stay healthy, prevent malnutrition and reduce the risk of disease, including heart disease. Dining refers to how food is provided and enjoyed. Enjoying meals improves quality of life. [1]

From 1 November 2025, the Australian Government’s Food and Nutrition Quality Standard (Standard 6) requires residential aged care providers to offer safe, nutritious and appealing food. Meals must meet each person’s dietary, cultural, and personal preferences and support a sociable dining experience. [2] 

Why does this matter for rights-based care?

Food is recognised as a fundamental human right: ‘Everyone has the right to a standard of living adequate for the health and wellbeing of themselves and their family, including food.’ [3] Every person has the right to adequate food for health and wellbeing. Good nutrition and hydration are especially important for older people to maintain health and prevent decline.[4]

Meals and dining strongly influence dignity, wellbeing and quality of life. Lack of autonomy, limited choice and inflexible meal practices can increase the risk of malnutrition, poorer health and reduced quality of life. [5-9]

Ignoring residents’ food preferences, especially soon after moving into long-term care, can undermine dignity and lead to weight loss, muscle decline and reduced function. [9] 

Person-centred approaches to meals and dining refer to deciding what to eat, when to eat, where to eat, and with whom a resident dines. [9] This means understanding each resident, respecting their preferences, and tailoring support, including food choices. [6, 10, 11] Cultural and religious needs, such as halal food, are also important to identity and rights. [12] By supporting residents to select meals that reflect their individual tastes and preferences, residential aged care services can promote a sense of familiarity, dignity and continuity of personal identity. [9]

Leadership, organisational culture, and staff knowledge about proper food and nutrition all influence how well person-centred dining practices are implemented. [10, 11, 13]

Want to learn more?

These Australian Government resources explain why nutritious meals and positive dining experiences matter: 

ARIIA has additional resources to support healthy and nutritious food in aged care:

You can also contact the Food, Nutrition and Dining Hotline – 1800 844 044 for questions and complaints about meals.

What can be done?

Meal planning and scheduling

Organisations:

  • Involve residents in meal planning and daily routines to support autonomy. 
  • Offer flexible mealtimes and allow residents to choose what, when and how much they eat.

The evidence: 

  • Offering understandable choices about meals, activities, and social participation is essential to upholding person-centred care and exercising one's own free will. [5, 7]
  • Ignoring preferences and providing instructions about eating may lead to challenging behaviours. [6]

Pleasant dining experiences and environments 

Organisations:

  • Create dining spaces that feel welcoming and comfortable, with good lighting, supportive seating, low noise and opportunities for social interaction. 

The evidence:

  • The mealtime experience plays an important role in supporting the health, wellbeing and overall quality of life of residents. Mealtimes provide not only essential nutrition and hydration, but also important opportunities for social connection, independence and personal choice. A positive, respectful and person-centred mealtime environment can enhance dignity, promote autonomy, and contribute to residents’ physical health, emotional wellbeing and sense of belonging within the service. [14]

Person-centred care approaches

Organisations:

  • Implement policies that support person-centred approaches by balancing staff members’ focus on tasks with meaningful interactions with the residents.

Aged care workers:

  • Sit with residents during mealtime(s) to get to know them better, and to offer support when needed. 
  • Learn each resident’s dining preferences and support them where possible.

The evidence:

  • Person-centred care emphasises knowing the individual, respecting preferences, and tailoring support. [6, 10, 11]

Staff training

Organisations:

  • Provide ongoing training about the right to nutritious food, enjoyable dining and person centred practice.

Aged care worker:

  • Seek training to support residents when they refuse food, balancing encouragement without coercion.

The evidence:

  • Offering understandable choices in areas such as meals, activities, and social participation is essential. [5]
  • One dimension of nutritional care is the challenge in navigating the fine line between coercion and motivation, in particular when a malnourished resident does not want to eat. [13]
  1. Aged Care Quality and Safety Commission. Standard 6: Food and nutrition  [cited 2026 Jan 30]. Available from: https://www.agedcarequality.gov.au/strengthened-quality-standards/food-and-nutrition#:~:text=What%20is%20the%20intent?,ability%20to%20eat%20and%20drink
  2. Australian Government Department of Health, Disability and Ageing. Food and nutrition in aged care – regulation and compliance  [cited 2026 Jan 30]. Available from: https://www.health.gov.au/our-work/improving-food-nutrition-aged-care/regulation-compliance#:~:text=Contact-,Aged%20Care%20Quality%20Standard%20for%20residential%20aged%20care,Find%20out%20more%20about%20the
  3. United Nations. Universal declaration of human rights  [cited 2026 Jan 30]. Available from: https://www.un.org/en/about-us/universal-declaration-of-human-rights
  4. Aged Care Quality and Safety Commission. Why meals matter  [cited 2026 Jan 30]. Available from: https://www.agedcarequality.gov.au/providers/food-nutrition-dining/why-meals-matter#what-factors-affect-the-dining-experience-within-aged-care-services
  5. Álvarez-Aguado I, Vega V, Roselló-Peñaloza M, González-Carrasco F, Muñoz La Rivera F, Spencer H, et al. Experiences of self-determination in old age among people with intellectual disabilities institutionalised in chile: The right to decide does not age. J Intellect Dev Disabil. 2025:1-13. 
  6. O'Donnell E, Holland C, Swarbrick C. Strategies used by care home staff to manage behaviour that challenges in dementia: A systematic review of qualitative studies. Int J Nurs Stud. 2022;133:104260. 
  7. Tuominen L, Leino-Kilpi H, Suhonen R. Older people's experiences of their free will in nursing homes. Nurs Ethics. 2016;23(1):22-35. 
  8. Wachholz P, Giacomin K. Dignity in the care of older adults living in nursing homes and long-term care facilities. F1000Res. 2022;11:1208. doi: 10.12688/f1000research.126144.3.
  9. Wheeler M, Abbey KL, Capra SM. Meal choice for residential aged care is not yet defined: A scoping review of policies, standards, reports and guidelines. Nutr Diet. 2022;79(1):169-180. 
  10. McCabe MP, Beattie E, Karantzas G, Mellor D, Sanders K, Busija L, et al. A randomized controlled trial to evaluate the effectiveness of a staff training program to implement consumer directed care on resident quality of life in residential aged care. BMC Geriatr. 2018;18(1):287. 
  11. Spencer LH, Carney M, Yang S, Lynch M. Human rights of residents in the nursing home sector: A rapid review of the evidence. Int. J. Nurs. Health Care Res. 2025;8(1616).
  12. Athira VH, John EE. Uniting social workers’ perspectives: Rights-based practice with older adults in the residential aged care facilities in Ontario, Canada, and Kerala, India. J. Hum. Rights Soc. Work. 2025;10(1):168-178. 
  13. Dogan EIK, Raustøl A, Terragni L. Student nurses' views of right to food of older adults in care homes. Nurs Ethics. 2020;27(3):754-766. 
  14. Watkins R, Goodwin VA, Abbott RA, Hall A, Tarrant M. Exploring residents’ experiences of mealtimes in care homes: A qualitative interview study. BMC Geriatr. 2017;17(1):141. 
  15. Aged Care Quality and Safety Commission. Dining in residential aged care – tips, tricks and what to avoid. [cited 2026  Jan 30]. Available from: https://www.agedcarequality.gov.au/sites/default/files/media/p-dining_in_residential_aged_care_tips_and_tricks_fact_sheet.pdf
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