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Dora (Isadora) Eichmann
DOX1020
OPAS 1699
PWD
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Open Support Worker Case
Handle duplicate
Passed away
Safeguarding Concern Form
030642752233 / 0230709173
jimmy_eichmann@example.com
Demographics missing
AA:
Not yet eligible
Council tax:
Advised to apply
Driving:
Declined to inform
Blue badge:
Granted
Health & wellbeing LPA:
In place
Property & finance LPA:
In place
edit
Cared for
Burt (Egbert) Gleason
(granddaughter)
DOX1021
OPAS
1700
85 yrs (6/8/1939)
0996180652 / 0583461554
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Timeline
Details
Activity
AUKO Timeline
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Files (0)
Activity
Admiral Nurse Enquiry ANE339
Open
Opened:
14th Apr
Admiral Nurse Case ANC256
Open
Manage
DA Case #DC305
Red
Manage
Safeguarding Concern Form
About the concern
Page 1 of 2
Safeguarding Concern Form for Dora (Isadora) Eichmann (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.
Type(s) of abuse/harm suspected
Tick all that apply
Physical
Neglect / Self Neglect
Discriminatory
Emotional / Psychological
Sexual
Organisational
Financial / Material
Domestic Abuse
Modern Slavery
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
Select...
Unanswered
Yes
No
Notes about care and support needs
Do you feel the subject is able to make their own decisions about what happens next?
Select...
Unanswered
Yes
No
Fluctuates
Notes about decision capabilities
What support / outcome does the subject want?
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