Application Pack (Care at Home)
Job Applying For:
Date of Birth:
Please provide details covering FULL previous work/educational experience, including any gaps, starting with the present position. YOU MUST INCLUDE ALL PREVIOUS WORK/EDUCATION EXPERIENCE. A FULL WORK HISTORY (INCLUDING GAPS) MUST BE PROVIDED FROM THE DATE YOU LEFT EDUCATION.
Most Recent Employer
Name & Address of Employer:
Reason for Leaving:
Referee Full Name:
National Insurance Number:
You need to select only one of the following statements A, B or C.
A. This is my ﬁrst job since last 6 April and I have not been receiving taxable Jobseeker’s Allowance, Employment and Support Allowance, taxable Incapacity Beneﬁt, State or Occupational
B. This is now my only job, but since last 6 April, I have had another job, or received taxable Jobseeker’s Allowance, Employment and Support Allowance, or taxable Incapacity Beneﬁt. I do not receive a State or Occupational
C. As well as my new job, I have another job, or receive a State or Occupational
Do you have student loan which is not fully repaid? YesNo
If yes, go to next question.
If no, go to bank details.
Are you repaying your Student Loan direct to the Student Loans Company by agreed monthly payments? YesNo
If yes, go to bank details.
If no, go to question 11.
Student Loan Plans
You will have a Plan 1 Student Loan if:
You will have a Plan 2 Student Loan if you lived in England or Wales and started your course on, or after 1 September 2012.
What type of Student Loan do you have? Plan 1Plan 2
Did you ﬁnish your studies before the last 6 April? YesNo
For further guidance about repaying Student Loans go to www.gov.uk/new-employee/student-loans
Name of Account Holder:
Bank Sort Code:
Bank Account Number:
Applicants who are applying for roles in the Healthcare Sector are exempt from the Rehabilitation of Oﬀenders Act 1974. You are therefore required to declare any prosecutions or convictions, including any considered 'spent' under this Act.
If you have answered yes to any of the above questions, please provide details below.
Company Who Conducted the Check:
If you have signed up to the DBS Update Service, please provide your DBS Number:
Smeaton Healthcare will undertake an Enhanced DBS Check on your behalf. You will not begin working with the company until the company receives a completed DBS check. Smeaton Healthcare work with uCheck Ltd for all DBS checks. You will be directed to a link to complete the DBS check, in due course. Please note that at any stage whilst working with Smeaton Healthcare, if we receive any indication that highlights information you have not declared, you will be removed from the organisation with immediate eﬀect.
GP Full Name:
GP Practice Name:
If you have answered yes to any of the above questions, please provide full details below:
I declare that the information I have given is true. I agree to inform Smeaton Healthcare Limited of any changes to my health and other circumstances.
Anyone who joins the organisation will be asked to create an account on our staﬀ portal (www.smeatonhealthcare.co.uk/myportal), you will be given access to over 100 Policies & Procedures including our Staﬀ Handbook. It is essential to your role that you read the Policies, Procedures & Handbook.
Please confirm the following:
I agree I am responsible for, and I agree I will read the Policies & Procedures on myPortal.
I agree I am responsible for, and I agree I will read the Staﬀ Handbook which can be found by clicking here.
Working Time Regulations 1998
Under the Working Time Regulations 1998 a worker’s average weekly working time (including overtime) calculated over a rolling 17 week period must not exceed 48 hours. The Regulations provide that this limit will not apply where a worker has agreed with his Employer, in writing, that it should not apply in his case. We are therefore asking you to agree to opt out to enable you to decide on your own hours of work.
You may withdraw your agreement by giving the Company three months advance notice in writing. Please conﬁrm your agreement by signing where indicated on the section below.
I agree that the limit speciﬁed in Regulation 4 (1) of the Working Time Regulations 1998 shall not apply in my case.
I hereby give my permission for Smeaton Healthcare Limited to contact my referees to conﬁrm my dates of employment immediately to establish my suitability for the role which I have applied for.
Please upload the following documents (if applicable), please note that without the correct documentation, you will not be able to commence work - therefore if you haven't got the required documentation, you must get in touch immediately.
Position: Homecare Worker/ Support worker
Responsible to: Registered Manager
Purpose of Position
To share with other staff in meeting the personal care needs of service users in a way that respects the dignity of the individual and promotes independence. Care provided by care assistants is expected to include care that would reasonably be given by members of the service user’s own family and will not include tasks that would normally be undertaken by a trained nurse. Only when trained to do so would care workers undertake any specialist tasks.
The above list is not exhaustive but should be used as a template of chosen tasks to form the required job description e.g. care worker, care assistant and support worker. This job description should be a minimum of 12 principle responsibilities and any from a current job description can still be included.
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Application Pack (Care at Home)
Agree & Sign