Madhavbhai Patel

“On the 30/8/18 the deceased had a swallow assessment undertaken at home by the SALT team following a referral by the GP. The recommendations were that a) liquids should be taken in a mildly thick form to slow down the rate of swallow and b) the deceased should follow a soft and bite sized diet. There was no evidence at the inquest that the family had been provided with the definition of 'bite sized' in accordance with the International Dysphagia Diet Standardisation Initiative (IDDSI) of 1.5 cm”

“The evidence was that the Eating & drinking plan provided to the family following the assessment did not contain the IDDSI definition of 'bite sized'”

“There was no evidence that the family had been provided with a leaflet making reference to the definition of 'bite sized'”

“The evidence was that no specific assessment had been undertaken or advice given with regard to bread or bread products despite the knowledge that the deceased would be following an Indian style diet including bread type products including roti and chapatis in accordance with IDDSI guidelines.”

“There was no evidence that advice had been given to the family regarding the deceased's practice of eating with his hands”