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Chi Sporer
DOX1496 OPAS 2175 PWD

88 yrs (19/12/1936)

033785054243 / 03026 230107

chi_sporer@example.com

NHS Number: 7981801788

Demographics missing

Vascular dementia, diagnosed Mar 2025

AA: Applied/applying

Council tax: Declined - No discount

Driving: Informed and driving

Blue badge: Does not currently meet threshold

Health & wellbeing LPA: Not got capacity

Property & finance LPA: Applied/applying

edit

Number	Completed at
8	14th Apr	edit
7	24th Aug 2024	edit
6	16th Feb 2024	edit
5	10th Aug 2023	edit
4	9th Feb 2023	edit
3	11th Jul 2022	edit
2	3rd Jan 2022	edit
1	24th Jun 2021	edit

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Chi Sporer (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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Chi Sporer DOX1496 OPAS 2175 PWD

Safeguarding Concern Form About the concern

Chi Sporer
DOX1496 OPAS 2175 PWD

Safeguarding Concern Form

About the concern