I declare that I am physically and mentally fit to undertake the job applied for. I can confirm that the above information is correct to the best of my knowledge. I accept providing deliberately false information could result in my dismissal.
Equal opportunities monitoring form
Private and confidential
We are committed to equal opportunities in employment and as part of this policies, all applicants are asked (but not required) to complete the details below. This information will not be used to decide whether to invite you to interview or offer you employment. We aim to ensure that no job applicant or staff member receives less favourable treatment on the grounds of colour, race, ethnic origin, marital status, nationality, gender, disability or criminal records barring.
This sheet will be separated from your application and use only to monitor our equal opportunities policy.
Please help us to achieve our aim why completing the following questions.
Night workers declaration
This declaration is to assess if you have any health conditions that may affect your ability to perform night work.
This assessment is now a requirement of the Working Time Regulations Act 1988.
In order to work for WELLCARE 24/7 you are required to carry out a CRB with us. The cost of this is £20. (Only for the applicants who has not registered for DBS update service)
I give consent for WELLCARE 24/7 to complete a CRB along with my application documents.
Please provide the following information in order to complete your CRB check:
I name* confirm that during every assignment and afterward I understand the importance of
·Holding information relating to the client in the strictest confidence, ensure
It is kept safely and securely when not in use. I acknowledge that no information is to be removed from the client’s premises without permission of the client.
· Using such information only for the purpose of the work for which it was given.
· You must under no circumstances disclose any entry codes, security procedures, keep or make copies of any keys for any placement to any third parties without the express permission of the place of work, and wellcare 24/7.
· Under NO circumstances must you use foul language, disruptive behavior, use mobile phones during contract hours, or sleep during contracted work hours, even during breaks.
·Please remember that all candidates must act professional all times, and respect the wishes of the staff and clients.
·Not disclosing to any third party or copy the information except as is required in the course of my duties
·Any breach, either by me or a third party, may result in legal proceedings being bought by the client against me to recover any losses that have occurred as a result of a breach
·If you are a qualified nurse its your responsibility to work according to NMC code and Guidelines and also to be upto date with the mandatory training.
·For Limited Company/ self-employed nurses we insist the applicant to have your own indeminity insurance cover and training arrangements.
I can confirm that if I do become injured, diagnosed with any medical conditions or become pregnant I will let the agency know straight away so they can undertake necessary provisions and ensure that I am not exposed to any work conditions which could cause risk.
In line with UKBA guidance on the prevention of illegal working we will need to verify and take a copy of your original ID documentation as evidence of your right to work in the UK if you are to be engaged by wellcare24/7 for temporary work
I Name * field. agree that I may work for more than an average of 48 hours a week. If I change my mind, I will give my employer blank* noticesin writing to end this agreement.
If you are successful in yourapplication your documents may be required for auditing purposes.I blanks* confirms that I gave permission for my file to be audited by a third-party company.
Well Care will share your profile with the client for the 3rd party Audit. We request the staff to follow the GDPR policy at Work. Well care has shared the GDPR policies on the commencement of the job.
Employer Name: blanks* Employee Name: First Name* Last Name* Date of commencement of employment: Date* Main place of work: Care HomeJob title: Type a label* There is a need for the employee to be flexible and these hours may be changed as required according to the employer’s needs. Under these circumstances, where hours need to be changed or additional hours worked, the employer will give as much notice as possible. The minimum amount of time you can be required to work is …… hours per week.Your working hours will vary depending upon the care home’s time, either night or day. Basis of Employment:Your employment is on a temporary basis. You may not take up additional employment that is in any way in conflict with the work you undertake for the employer without the express approval of the employer or their nominee. Such approval will not be withheld unreasonably but any such employment must not, in the view of the employer conflict with the interests of the employer. During holidays, you need to submit a proper Term letter from the university if you wish to work more hours. You may not, under any circumstances, whether directly or indirectly, undertake any other duties, of whatever kind, during your hours of work for the employer.Salary:As an hourly paid employee, your minimum salary will be £ … .and it may vary on public holidays depending upon Care homes. The employer will deduct National Insurance and Income Tax as required by law. The employer may also deduct any overpayment of wages or holiday entitlement. Timesheets:You will be required to complete a weekly depending on payment of salary) signed timesheet and submit this to the employer before Monday 10 AM week giving time to work out wages or send to payroll agency to ensure wages can be paid on the given date. Duties and responsibilities:As set out in the job description. The employer may require you to carry out other reasonable duties as required.· Helping the patient/residents with exercises· Turning a bedridden patient on a schedule· Feeding the patients and helping them drink· Cleaning patient’s teeth and assisting them during a shower and bath· Making the patient’s bed, changing the bedding, and providing them with toileting assistance· Keeping patient records up to date and taking their medical histories· Reporting all changes in the patients and other important observations to the Nurse· Monitoring patient vital signs and health· Adhering to professional standards, following policies and procedures and aided by government regulatory requirements, as well as Nursing standards· Helping with domestic and cleaning works.· Assisting with personal care include washing, Dressing, toileting, brushing. Probationary period:There will be a probationary period of 3 months. At the end of this period, the position will be reviewed and if satisfactory the continuation of your employment will be confirmed. During the probationary period, either party can terminate employment by giving one week’s notice. The employer can provide a valid reference only after the completion of 6 months of employment.Well Care 24/7 is supplying Health care assistants for many homes in this region.If you are planning to join a home to which you have been introduced by well care 24/7 has to pay a liability charge of £ 2500 it is to avoid the conflict between the care Hones and our business. At the beginning of the probationary period, your employer will discuss what is expected of you whilst carrying out your role. Lateness & Persistent Absence:Timekeeping is a very important element of work, and it is mandatory to reach care homes 20 minutes before the LFT test, if you have completed LFT you can reach it 10 minutes before, and you can present the valid LFT result. If you fail to reach a care home within this time period, you will be monitored, and this lateness will be added to your employment history. We won’t encourage Last minute shift cancellations if you are doing this continually, we will monitor, and it will be reflected on your employment record.Uniform Policy: As a Well Care employee you are only supposed to wear a proper uniform (Well Carer T-Shirt, Black trousers, and Black Shoes.Mobile phones are not to be used while at work, mobile phones only are used during the allowed time. All communication between staff and co-workers must be in English while at work. Pensions:
When required, a contributory pension scheme to which you will be auto-enrolled into (subject to the conditions of the scheme) will apply. Further details are available from your employer.
Sick leave:If you are ill and unable to attend work you should inform your employer as soon as possible* to enable other arrangements to be made. (Please inform the office atleast before 4 hrs if you are sick) Health and Safety at WorkThe employer will take all reasonably practicable steps to ensure your health safety and welfare while at work including preventing and dealing with bullying and harassing behaviour. All employees have a legal duty to take all care needed for the safety of themselves and others who may be affected by their activities and to co-operate with the employer in complying with statutory requirements. You should not do anything either intentionally or recklessly which might interfere with what is provided in the interests of health, safety, and welfare, nor should you undertake any job in any way which might be a danger either to yourself, the employer, or the employer’s family or to any member of the public.You must not consume alcoholic drinks while you are on duty and if you do, you will be liable for disciplinary action.Disciplinary procedures: Minor problems will be dealt with and resolved informally.In cases of more serious problems, depending on the seriousness of the breach of terms and conditions of contract or conduct and performances of your duties, disciplinary actions may include the following:You will be asked to produce a written statement in case we got any complaints or concerns about you, you may have to submit a detailed statement. If you fail to produce the valid statement, you will be removed immediately without any notice.Gross Misconduct:In case of gross misconduct, there will be no period of notice given. If you are in your probationary period or first year of employment, only one warning is required before dismissal. The following is a non-exhaustive list of examples that are normally regarded as gross misconduct:§ Theft, fraud, deliberate falsification of records§ Fighting, assault on another person§ Deliberate damage to the employers or employers’ family property§ Serious incapacity through alcohol or being under the influence of illegal drugs§ Serious negligence which causes unacceptable loss, damage, or injury§ Refusal to carry out duties or reasonable instructions§ Wilful or reckless failure to follow the employer’s safety rules.If, following investigation and after a full disciplinary meeting, the employer is satisfied that there has been gross misconduct, the outcome will normally be summary dismissal without notice or payment in lieu of notice. Changes in your Terms of EmploymentYou will be notified of minor changes of detail by way of a general notice and any such changes take effect from the date of the notice. You will normally be given notice of any such change in line with statutory notice periods which may be given by way of individual notice. Such changes will be deemed to be accepted unless you notify the employer of any objection writing before the expiry of the notice period. I agree to the terms and conditions of this contract of employment and understand that any breach of these conditions may result in the termination of my employment.
Date : Date*