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This document is used by the managing authority to request a review of the deprivation of liberty of an individual, outlining the necessary details and grounds for the review.
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How to fill out deprivation of liberty form
How to fill out Deprivation of Liberty Form No. 19
01
Obtain Deprivation of Liberty Form No. 19 from the relevant authority or website.
02
Fill in the personal details of the individual being deprived of liberty, including name, date of birth, and address.
03
Clearly state the reason for the deprivation of liberty.
04
Indicate the location where the individual is being deprived of their liberty.
05
Provide information on the duration of the deprivation, including start and end dates if applicable.
06
Include details of any assessments that have been carried out to justify the deprivation of liberty.
07
Sign the form and date it appropriately.
08
Submit the completed form to the relevant authority or organization as instructed.
Who needs Deprivation of Liberty Form No. 19?
01
Any healthcare provider or authority responsible for the care of individuals who may need to be deprived of their liberty for their safety or wellbeing.
02
Legal guardians or representatives acting on behalf of individuals who require formal documentation for deprivation of liberty.
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People Also Ask about
What is a deprivation of liberty in simple terms?
A deprivation of liberty is when a person has their freedom limited in some way. This is common for a person with dementia receiving care who may have decisions made for them or on their behalf. This could include: Limitations on where they are allowed to go.
When would you put a DoLS in place?
Deprivation of liberty safeguards (DoLS) conditions DoLS should only be used to lawfully deprive you of your liberty if: You're age 18 or over. You lack capacity to agree to the restrictions. You're staying in a care home or hospital, and they've successfully applied for an authorisation from the local authority.
When to put a DoLS in place?
Deprivation of liberty safeguards (DoLS) conditions DoLS should only be used to lawfully deprive you of your liberty if: You're age 18 or over. You lack capacity to agree to the restrictions. You're staying in a care home or hospital, and they've successfully applied for an authorisation from the local authority.
Which UK countries does the Mental Capacity Act apply to?
The Mental Capacity Act (MCA) 2005 applies to everyone involved in the care, treatment and support of people aged 16 and over living in England and Wales who are unable to make all or some decisions for themselves.
Where does DoLS apply in the UK?
The Deprivation of Liberty Safeguards (DoLS) can only apply to people who are in a care home or hospital. This includes where there are plans to move a person to a care home or hospital where they may be deprived of their liberty. The care home or hospital is called the managing authority in the DoLS.
Where can a local authority seek DoLS authorisation?
A supervisory body can only authorise a deprivation of liberty if it takes place in a care home or hospital. If it takes place elsewhere, it can only be authorised by the Court of Protection.
What are the different types of DoLS application?
There are two types of authorisations: a standard and urgent.
What is DoLS in the UK?
About this factsheet. This factsheet looks at the Deprivation of Liberty Safeguards (DoLS). These relate to people who lack the mental capacity to make decisions about their care and treatment, and who are deprived of their liberty in a care home or hospital.
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What is Deprivation of Liberty Form No. 19?
Deprivation of Liberty Form No. 19 is a legal document used to record instances where an individual is deprived of their liberty under specific legal circumstances, ensuring that the deprivation is justified and compliant with regulations.
Who is required to file Deprivation of Liberty Form No. 19?
The form is typically required to be filed by care providers, guardians, or legal representatives responsible for individuals whose liberty is being restricted, such as in care facilities or similar settings.
How to fill out Deprivation of Liberty Form No. 19?
To fill out the form, you need to provide detailed information about the individual, the circumstances leading to the deprivation of liberty, the intended duration, and the legal basis for the action, along with signatures from authorized personnel.
What is the purpose of Deprivation of Liberty Form No. 19?
The purpose of the form is to ensure that any deprivation of liberty is legally justified, to protect the rights of individuals, and to provide a clear record for accountability and assessment by oversight bodies.
What information must be reported on Deprivation of Liberty Form No. 19?
The form must include the individual's personal details, the nature of the liberty deprivation, reasons for the action, dates involved, signatures of responsible parties, and any relevant legal references.
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