Emma Snelling

RED FLAG REPORTING

This form is to be completed if you think a resident is at risk

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Use this Template

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Title Page

Site conducted
Conducted on
Prepared by
Location

Details of incident

Name/Address of resident
Details of red flag incident
Red Flag catagory
- Resident going missing
- Evidence of cognitive issues e.g. unsure how to find their apartment/home
- Lack of independence (not supported) e.g. unable to shop, not eating, not cooking, evidence of food left around
- Appearance of being unkept/not washing
- Evidence of personal issues e.g. incontinence
- Evidence of issues with partner/family members
- Reports of hoarding
- Reports of financial issues – e.g. giving money away / losing money
- Other

Sign off This form will automatically be shared with the Head of Wellbeing - Once completed this form MUST be shared with the Villages GM

Name of person completing form
Name of village
- Avon Park
- Blagdon
- Castle
- Cedars
- Charters
- Debden
- Elmbridge
- Gittisham
- Gradwell
- Lime Tree
- Mayford
- Moat
- Park Place
- Roseland
- The Priory
- Thamesfield

Emma Snelling

RED FLAG REPORTING

This form is to be completed if you think a resident is at risk

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.