Demo: This is a demo site. Please only enter fake data into this site. Data may be reset at any point.

Vernon Gulgowski
DOX1314 OPAS 1993 PWD

86 yrs (6/11/1938)

0206532061 / 0506464352

vernon_gulgowski@example.com

NHS Number: 3786509441

Demographics missing

Downs Syndrome and Alzheimer's, diagnosed Mar 2025

AA: Advised to apply

Council tax: Not discussed

Driving: Informed and driving

Blue badge: Granted

Health & wellbeing LPA: Applied/applying

Property & finance LPA: Not discussed

edit

Case Summary

Edit

Download docx

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 Vernon Gulgowski (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?

Demo: This is a demo site. Please only enter fake data into this site. Data may be reset at any point.

Vernon Gulgowski DOX1314 OPAS 1993 PWD

Case Summary

Safeguarding Concern Form About the concern

Vernon Gulgowski
DOX1314 OPAS 1993 PWD

Safeguarding Concern Form

About the concern