Mrs Fenwick:- a) had no teeth b) did not wear her dentures c) had a tendency to rush her food d) had a tendency to put too much in her mouth e) had poor posture and generally did not sit at a table to eat f) did not sit still g) was generally not supervised whilst eating (despite the care plan recommending she be observed while eating) h) had a preference for softer food i) had a care plan which identified a risk of choking Despite the above, Mrs Fenwick had not been referred to Speech and Language Therapy (SALT). The care home’s evidence was that even if Mrs Fenwick had been referred to SALT, she would not have met their threshold for support and intervention on the basis that there had been no previous episodes of choking. The care home also said in evidence that the average wait for SALT support is 13 weeks. I have concerns regarding the threshold for intervention/support and the current waiting lists.