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Hattie (Harriet) Hickle
DOX1004 OPAS 1683 PWD

87 yrs (23/4/1938)

037196828109 / 083651582632

brinda_hickle@example.com Demographics missing

AA: Declined to apply

Council tax: Disregard granted

Driving: Informing

Blue badge: Granted

Health & wellbeing LPA: In place

Property & finance LPA: In place

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Cared for

Annie (Hannah) Brakus (niece)

DOX1005

OPAS 1684

04354 150143 / 095263436178

Health LPA

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Case Summary

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Background
Dementia Symptoms Experienced
Medication
Physical Health and Mobility
Diet and Nutrition
Care and Support
Social Engagement
Financial / Legal / Future Planning
Notes / Comments

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Hattie (Harriet) Hickle (the "Subject")

Summary of concern

Factual account of what was said or observed. Include dates, times and locations, the person's own words, descriptions of signs/symptoms etc. Refer to Policy for full guidance on recording.

Summary of any immediate actions taken

Eg. Were emergency services called? Any practical support offered etc.

Does the subject have care and support needs?

Eg. Physical or mental health condition

Notes about care and support needs

Do you feel the subject is able to make their own decisions about what happens next?

Notes about decision capabilities

What support / outcome does the subject want?

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Hattie (Harriet) Hickle DOX1004 OPAS 1683 PWD

Case Summary

Safeguarding Concern Form About the concern

Hattie (Harriet) Hickle
DOX1004 OPAS 1683 PWD

Safeguarding Concern Form

About the concern