POST REFERENCE: SSW/PR
Please indicate which role you are applying for:
□ Fixed Hours Senior Support Worker□ Flexible Hours Senior Support Worker /
2. CLOSING DATE: 07/12/2012
3. PERSONAL DETAILSSurname (Mr/Mrs/Miss/Ms/Other)
First Name / Address (including postcode)
Home Tel No:
Mobile Tel No:
Email:
Do you have a disability?
If registered disabled, please state the nature of your disability. / Do you hold a current driving licence? Yes/No
Do you own a car? Yes/No
How did you learn of this vacancy
Please give brief details of any serious injury/illness in the last 5 years
Please indicate how many days sick taken during the last 2 years, on how many occasions and a brief indication for the reasons / Are you related to or do you have any connection with an employee or management committee member of Outward? If yes, please give details.
5. PRESENT EMPLOYMENT
Job Title /Employer’s Name and Address
Salary / ScaleOther benefits
Start date / Notice Required
Please outline your duties, identifying your role in the organisation and if applicable, give details of staff who report to you.
6. EMPLOYMENT HISTORY
Please give full details of your employment history and account for any gaps.Employer’s Name and Address / Post held /
Dates
/Reason for leaving
7. VOLUNTARY WORK EXPERIENCE
8. EDUCATIONAL & PROFESSIONAL QUALIFICATIONS
Institution
(school, college, professional body etc) /Qualifications
/Dates
9. RELEVANT TRAINING COURSES ATTENDED (Please list only those relevant to the post applied for)
10. PERSONAL STATEMENT
§ Please tell us your reasons for applying and how you meet the criteria identified in the job description and person specification§ You will be shortlisted on the evidence you provide on this form so please provide background and context
§ For example, if the person specification requires ‘Experience of providing support to a vulnerable service user group’, tell us what you have done in the past to demonstrate you meet this criteria
§ You must give examples to illustrate your experience
§ If you need additional space, please continue on a separate sheet.
11. REFERENCES
Please provide details of two persons other than relatives who have agreed to give an opinion of your ability, experience and qualifications. One must be your current or most recent employer. These references must cover the period of the last three years at least. If you have had more than two employers in this time, please list them all as referees. Please do not give more than one reference from the same employer or organisation. Please do not give relatives or work colleagues who are at the same level as you or below as referees.Name / Name
Position
Organisation
Address
Tel No.
Email. / Position
Organisation
Address
Tel No.
Email.
Capacity in which you are known to the referee / Capacity in which you are known to the referee
May we contact this referee if you are shortlisted?
Yes/No / May we contact this referee if you are shortlisted?
Yes/No
OUTWARD
CRIMINAL CONVICTIONS DISCLOSUREOutward seeks not to discriminate against people with criminal convictions. Their applications will be dealt with under our Equal Opportunities Policy.
Due to the nature of the work involved, this post is exempt from the provision of Section 4 (2) of the Rehabilitation of Offenders Act (Exemptions) Order 1975.
THIS MEANS THAT IF YOU HAVE EVER BEEN CONVICTED OF ANY OFFENCE, REGARDLESS OF HOW LONG AGO IT OCCURED, YOU MUST TICK THE 'YES' BOX BELOW AND PROVIDE DETAILS
Have you ever been convicted of a criminal offence, subject to any conditional discharges, bindovers or cautions?
YES / NOPlease note that if this declaration is found to be false any offer of employment may be withdrawn or contract terminated.
If the answer is YES, please send the details of date(s) of offence(s) and sentence(s) passed, together with any supporting information that you wish to include, to the following address:-
Personal, Private and Confidential
Director of HR and Business Support
Outward
109 Antill Road
Bow
London
E3 5BW
The information you provide will be treated as strictly confidential and will be considered only in relation to the job for which you are applying.
If you are not short-listed for interview, these details will then be destroyed unopened unless you provide a stamped addressed envelope for their return.
Disclosure of a conviction does not automatically debar applicants from consideration. The offence will only be taken into account if it is considered to be one which would make the applicant unsuitable for the type of work involved.
"I agree to abide by Outward’s requirement that I must undergo an application for a disclosure from the Criminal Records Bureau prior to starting employment, if my application is successful.
I understand that any information given to Outward will be treated in the strictest confidence."
Signed:...... Date: ......
Name: (Block capitals) ......
OutwardEQUAL OPPORTUNITIES MONITORING FORM
This information will be used solely for the purpose of monitoring the composition of our staff team and the effectiveness of the recruitment procedures in line with our Equal Opportunities and Diversity Policy. This information will be treated in the strictest confidence.
We are aware that the terminology used in monitoring forms often becomes dated quickly and in acknowledging this the terminology or content in this form is not intended to cause offence, however if this is the case, Outward’s HR department would appreciate your feedback so that we can reconsider our forms and any terminology used.
1. Please describe your ethnic background/ ethnicity:Asian / Do you identify as mixed race? Please Specify
Bangladeshi
Indian
Pakistani
Asian Other – Please Specify
Black or Black British / White
African/ Black African / White British
African other (please specify) / White European
Black Caribbean/ Caribbean / White Irish
Black Other – Please Specify / White Other - Please specify
If you identify with any other ethnic background/ethnicity – Please specify: ______
2. Belief (please state your religious or other beliefs)
n/a
3. Do you identify as having a Disability? (If “Yes”, Please State the Nature of your Disability)
Yes
No
4. How would you describe your Sexual identity?
Bisexual / Gay
Lesbian / Straight
Other – Please specify
5. Dependents (please state the relationship and date of birth of the people who are dependent on you)
We would like to gather this information so that we could monitor the needs of our employees. This section is not limited to children, and can include anyone you have to care for (for example, grandparents, siblings).
Dependent / Relationship / Date of Birth
Dependent 1
Dependent 2
Dependent 3
Dependent 4
6. Gender
Female / Male
Transgender (female to male)
Transgender (male to female) / Other (Please specify)
12. STATEMENT TO BE SIGNED BY THE APPLICANT
I understand that the appointment, if offered will be subject to information given on this form being correct. I have read and, if appointed am prepared to accept, the terms set out in the conditions of employment and job descriptionSigned Dated
Please return this form to: Please return to or HR Team, 109 Antill Road, London, E3 5BW
Thank you for completing the application form.
Flexible Hours Support Worker (including personal assistant)Department: / Reports to: Deputy Manager / Manager / Support Worker
Why / Main Purpose of the Job:
· Provide care and support to individuals, in line with an agreed support and care plans, supporting people in all aspects of their everyday lives, delivering practical, physical and emotional support.
· Promote choice, independence and self determination.
What / Key Accountabilities:
· Provide a high quality service that incorporates the values of the organisation, working within our policies and procedures. Work in partnership with all service users, irrespective of their needs or disability.
· Provide flexible care and support in accordance with risk assessments and support plans.
· Support service users in developing and maintaining interesting and enjoyable activities within the community (social, educational, and employment opportunities). Assist service users with planning holidays and accompany them where necessary
· Undertake household duties, including cooking, making sure the living environment is well maintained, clean and tidy involving service users in carrying out all tasks in accordance with their skills and abilities. Support service users to report and record maintenance issues
· Provide physical support to service users including support with personal care where necessary
· Encourage service users to be involved in the practical day to day running of their own home, providing assistance and life skills training that is appropriate to their abilities and which seeks to maximise their level of independence.
· Respect the confidentiality of the service user and the organisation at all times.
· Maintain essential records regarding medication in compliance with organisational policies and procedures, and where appropriate, with registration requirements.
· Administer medication when necessary and help service users access appropriate medical services.
· Support service users to maintain and exercise their rights as a citizen of the UK, ensuring that they receive the maximum level of welfare, and other benefits to which they are entitled.
· Support service users to manage their personal finances and to understand and maintain their tenancy.
· Work alongside volunteers and where appropriate support them in their roles
This role description is supported by behavioural and technical competencies that set out the requirement of the role in more detail.
This job description does not reflect an exhaustive list of the requirements of the post. You are expected to undertake any other reasonable duties as decided by your line manager.
Context / Environment:
· Evenings, weekends, nights and bank holidays as required by the rota
· Working across services
· Working in different services as the need arises
Scope:
· Working with external professionals
· Communicating with a range of service users, employees, parent, carers and other stakeholders
Salary range:
Date JD reviewed: March 2010
Person Specification / All our staff are expected to work to our values. Our values are –
- We are responsible – we act responsibly, openly and honestly. We do what we say we will.
- We are flexible and creative– we take measured risks, try out new things and even sometimes get things wrong.
- We are welcoming, inclusive and involving – we are interested in you and we bring energy and enthusiasm to our work. We involve, enable and empower.
- We are committed – we are engaged, passionate and hard working.
- We provide quality – that enables people to maintain / grow their independence.
Requirements
Knowledge of risk assessment and support planning is desirable
Good level of English language, literacy and numeracy skills
NVQ level 2 in care is desirable
Experience of providing support to vulnerable people is desirable
Use of IT Skills (Word, Excel Outlook) to prepare and monitor recording information and reports
Skills
To be an ambassador for Outward
Be committed, enthusiastic and willing to give people support in whatever they are doing
Team work - working consistently, to agreed goals and be able to take instruction
Creative thinking, using initiative and finding practical solutions to problems
Ability to support the physical needs of service users, including intimate personal care, in a way that is respectful and promotes individual needs and rights.
Ability to support service user with their dietary needs, including the ability to plan and cook nutritious well balanced meals.
Able to listen and observe, and support emotional needs of a person the individual
Ability to recognise, assess and effectively deal with risk.
A commitment to working in an anti-discriminatory way and a positive view of people with learning disabilities
A commitment to promote choice, and to empower people with disabilities to have control over their own lives, irrespective of their needs or disability
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