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Melva Smith
DOX1588 OPAS 2267 PWD

79 yrs (1/6/1945)

070234726108 / 0375167954

melva_smith@example.com

NHS Number: 8332328942

Demographics missing

Other mixed dementia, diagnosed Apr 2025

AA: Not discussed

Council tax: Disregard granted

Driving: Not driving

Blue badge: Does not currently meet threshold

Health & wellbeing LPA: Not discussed

Property & finance LPA: Applied/applying

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Carer

Kamala Kunde (sister in law)

DOX1589

OPAS 2268

84 yrs (11/5/1940)

0757201931 / 08835 776968

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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 Melva Smith (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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Melva Smith DOX1588 OPAS 2267 PWD

Case Summary

Safeguarding Concern Form About the concern

Melva Smith
DOX1588 OPAS 2267 PWD

Safeguarding Concern Form

About the concern