Table 2 Summary of main themes

1. Communication, transparency, and accountability in the chain

This theme delves into the intricacies of communication within the organization, revealing a primarily one-way flow of information, a noticeable absence of a feedback loop, and a lack of transparency and accountability between the staff members. It highlights the need to establish robust channels for information exchange and the importance of a more responsive and transparent communication structure.

2. Understanding, knowledge and ability of the concepts healthy and sustainable

Within this theme, the multifaceted understanding of the concepts healthy and sustainable held by the staff members are explored. We delve into their actual knowledge on these concepts and their perceived ability to contribute in the transition towards a more healthy and sustainable food environment. This theme uncovers the complex interplay of ideas and perceptions surrounding health and sustainability within the organization.

3. A pampering service mind-set

This theme covers the interplay between shared common goal of staff to provide the highest quality of life for the residents. However, it also explains the challenge of respecting residents’ experienced freedom of choice within a residential setting, revealing a delicate balance between ‘providing support’ and autonomy.

4. Transition is important but hard to realize

This theme underscores the intricate the journey towards change and improvement, highlighting the obstacles that stand in the way. It uncovers the influence of established routines and emphasizes external and practical factors as significant barriers to achieving a successful transition. The theme vividly illustrates the obstacles encountered on the path to achieving a transition.