Care home and care service safeguarding information request form

Request for information regarding a care home or care service with significant safeguarding concerns.

Only complete this form if your enquiry relates to a specific care home or care service whose name appears on the Safeguarding concerns about care homes and care services page and you or a relative/friend are considering using that home or service.

If your enquiry is about someone you know who is living in a care home or being supported by a care service, where we are not currently referring due to safeguarding concerns, contact Adults' CarePoint and ask to be put through to the local team that covers that care home or care service.

Your data privacy

Before completing this form please read our general Privacy Policy (opens in a new window).

This explains why we ask for your data, what we do with it and how long we will keep it. It also explains how you can find out what data we hold about you and how you can ask us to delete it.

  • This form will take approximately 5 minutes to complete.
  • Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later.
  • The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do.

Your details

Enter your first name.
Enter your last name.
Enter an email address where we can write to you.
Enter a daytime phone number that we can ring you on. This can be a mobile or land line number.

Your enquiry

Enter the name of the care home or care service you are making an enquiry about.
Enter the first line of the address. This could be the street name.
Enter the second line of the address if you need to. This could be the village name.
Enter the town or city of the postal address.
Enter the postcode, with or without spaces.
Enter details below - this will ensure we direct your enquiry to the most appropriate person.

Submitting your form

Click the submit button only once.

Please be patient as it will take a few moments to process your form and redirect you to our confirmation page.

 

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  • West Sussex County Council will only use this email address to respond to any issues raised.