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Cleatus Schiller
DOX966 OPAS 1645 PWD

035515555721 / 0682823780

lamont_marks@example.com Demographics missing

diagnosed Apr 2024

AA: Application declined

Council tax: Exempt

Driving: Awaiting assessment

Blue badge: Applied/applying

Health & wellbeing LPA: Declined to apply

Property & finance LPA: Applied/applying

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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 Cleatus Schiller (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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Cleatus Schiller DOX966 OPAS 1645 PWD

Case Summary

Safeguarding Concern Form About the concern

Cleatus Schiller
DOX966 OPAS 1645 PWD

Safeguarding Concern Form

About the concern