Nutrition, MUST & Choking Risk NUTRITION, MUST & CHOCKING RISK (QMS-F075-076) Updates Document Ref: QMS-F075-076 (Nutrition, MUST & Choking) Version: 1.0 Confidentiality Level: HIGH (Medical Records) CQC Alignment: Effective (Eating and Drinking) Service User Full NameService User ID NumberOperating Local Authority- Select -HaringeyIslingtonWaltham ForestBarnetCare Funding & Financial Arrangements- Select -Local Authority Managed (Direct Commissioning)NHS Funded (Continuing Healthcare - CHC)Direct Payments (Personal Budgets)Self-Funded (Full Cost)OtherSECTION 1 - Basic Dietary RequirementsStandard Dietary Preferences / Requirements Standard (No restrictions) Diabetic Diet Vegetarian Vegan Gluten-Free / Coeliac Dairy-Free Halal Kosher Low Salt / Low FatDoes the service user have any specific food allergies?- Select -YesNoDetail food allergies & reactionSECTION 2 - Malnutrition Universal Screening Tool (MUST)Final MUST Score RatingCalculate BMI score (0-2) + Unplanned weight loss score (0-2) + Acute disease effect score (0-2)Score 0 (Low Risk - Routine monitoring)Score 1 (Medium Risk - Observe, document intake for 3 days)Score 2 or more (High Risk - Treat, refer to Dietician/GP)Has a referral to a Dietician/GP been made?- Select -Yes, referral sentNo, but actioned to GPService User refused referralSECTION 3 - Swallowing & Choking Risk (Dysphagia)Are there any known swallowing difficulties or choking risks?- Select -No swallowing difficultiesOccasional coughing when drinkingDiagnosed Dysphagia (SALT guidelines in place)High Choking Risk (Requires continuous observation)PEG / Enteral Feeding (NBM - Nil by Mouth)Is a copy of the official SALT assessment/guidelines present in the home?- Select -Yes (Must be kept in the care folder)No (Immediate action required before care commences)SALT IDDSI Framework - Food Texture Level- Select -Level 7 (Regular / Easy to Chew)Level 6 (Soft & Bite-Sized)Level 5 (Minced & Moist)Level 4 (Puréed)Level 3 (Liquidised)SALT IDDSI Framework - Fluid Thickness Level- Select -Level 0 (Thin / Normal)Level 1 (Slightly Thick)Level 2 (Mildly Thick)Level 3 (Moderately Thick)Level 4 (Extremely Thick)Is Thickener prescribed?- Select -Yes (Ensure added to MAR chart)NoSECTION 4 - Level of Support RequiredCare Worker Mealtime Responsibilities- Select -Independent (Requires no support)Preparation Only (Plating up, making drinks)Prompting & Encouragement (To ensure adequate intake)Cutting up food / Opening packagingFull Assistance (Care worker physically feeds the service user)PEG / Tube Feeding (Specialist delegation only)Specific Instructions for Care WorkersAssessor NameDate of AssessmentSave Nutrition Risk
