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Carlyn Thiel
DOX1430 OPAS 2109 PWD

85 yrs (14/4/1940)

07889 343670 / 0934814658

carlyn_thiel@example.com

NHS Number: 3764922699

Lives alone

Demographics missing

Creutzfeld-Jakob disease (CJD), diagnosed Aug 2024

AA: Application declined

Council tax: Advised to apply

Driving: Not discussed

Blue badge: Advised to apply

Health & wellbeing LPA: Not got capacity

Property & finance LPA: In place

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Carer

Vesta Lubowitz (stepmother)

DOX1431

OPAS 2110

85 yrs (7/1/1940)

043215066122 / 079884902061

Finance LPA

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Vesta Lubowitz (stepmother)

Carer Finance LPA

View profile | Edit relationship

OPAS ID: 2110

Phone: 043215066122 / 079884902061

Email: vesta_lubowitz@example.com

Address: 66328 Elodia Rest, Suite 279, New Russellborough, SR7 9LE

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Carlyn Thiel (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.

Carlyn Thiel DOX1430 OPAS 2109 PWD

Vesta Lubowitz (stepmother)

Safeguarding Concern Form About the concern

Carlyn Thiel
DOX1430 OPAS 2109 PWD

Safeguarding Concern Form

About the concern