Registered Manager Application Form

Please read the Job description below before applying for this role.
Name:*

First NameLast Name
Mothers maiden name:*
Birth Date*

DayMonthYear
Country of birth: *
National insurance number: *
E-mail Address:*
Mobile number:*
Address:*

Street Address

Street Address Line 2

TownCity

Post code
Updated CV:*

Upload a File
CV must include and in-depth employment history and evidence of education and qualifications. Cancelof
When are you available to commence work?*

DayMonthYear
Date
Date application completed:

DayMonthYear
Date
How were you referred to us?

Job advertOther (please specify)Employee (please specify)
Employee details:

First NameLast Name
Other:
Are you related or connected to another employee in the company? (If yes please specify below)*
Persons name Role
Due to the age of the young people in our care all candidates must be at least 21 years old to apply.
(Care standards Act 2000).
DATA PROTECTION ACT: The information provided within this application may be used for statistical analysis and to obtain references from past and current employees. For applicants joining Brinscall Care, the information provided will be used to administer company operations in connection with their employment. Unsuccessful applications will be destroyed after six months.
Employment history

All previous employment should also be reflected on your attached CV
References

Please provide the contact details for referees (none of whom should be close friends or family), who are able to comment on your suitability for the post for which you are applying. One of these must be your present or last employer and your references should cover no less than 3 years. We will request references from all referees named and reserve the right to request additional references. All offers of employment will be subject to the receipt of satisfactory references.

NB: It is imperative for the speed of the process that you make your referees aware that you have named them and that they should complete and return requests as soon as possible.
Reference 1

References will only be sought when applicant has been notified of successful interview.
Most recent employer name:*
Address of employer:*

Street Address

Street Address Line 2

TownCity

Post codeCountry
Date employment started:*

MonthDayYear
Date
Date employment ended:*

MonthDayYear
Date
Reasons for leaving? *
Name of referee:*

First NameLast Name
Role:
Employer email:*
Phone number:*
Please give a brief description of duties and responsibilities:*
Notice period required:*
In weeks*
Reference 2

References will only be sought when applicant has been notified of successful interview.
Most recent employer name:*
Address of employer:*

Street Address

Street Address Line 2

TownCity

Post code
Date employment started:*

MonthDayYear
Date
Date employment ended:*

MonthDayYear
Date
Reasons for leaving? *
Name of referee:*

First NameLast Name
Role:
Employer email:*
Phone number:*
Please give a brief description of duties and responsibilities:*
Reference 3

References will only be sought when applicant has been notified of successful interview.
Most recent employer name:*
Address of employer:*

Street Address

Street Address Line 2

TownCity

Post code
Date employment started:*

MonthDayYear
Date
Date employment ended:*

MonthDayYear
Date
Reasons for leaving? *
Name of referee:*

First NameLast Name
Role:
Employer email:*
Phone number:*
Please give a brief description of duties and responsibilities:*

Please state your reasons for applying for this specific post and provide details of your career objectives if relevant.*
In the last 5years, have you worked for at least 2 years in a position relevant to the residential care of children?
Have you at least one years experience worked in a role that required the supervision and management of staff working in a care role?
Do you hold a Level 5 Diploma in Leadership and Management for Residential Childcare (England) (“the Level 5 Diploma?
Do you hold a qualification which you consider to be equivalent to the Level 5 Diploma?
How do your experiences, skills and/or knowledge relate to the post for which you have applied? Please take your time and really think about the reasons you are applying for this role. We want to see what makes you different from everybody else and how your skills and experience can benefit the lives of our young people, the team, and the organisation as a whole. Please include details that support your ability to meet the essential requirements for this post as per job description. *
Describe your experience managing or supporting a children’s home or similar service. In your response, include specific examples of how you have ensured compliance with Children’s Homes Regulations, Quality Standards, and Ofsted requirements, as well as how you have promoted high-quality care and positive outcomes for children.*
Safeguarding is central to this role. How do you ensure that safeguarding and the welfare of children remain a priority?Provide examples of how you have handled safeguarding concerns in the past, ensured compliance with policies and procedures, and created a safe, nurturing environment where children feel valued and supported.*
Outline your approach to leadership and team development in a children’s home. Discuss how you inspire, support, and manage a team to deliver exceptional care. Include examples of how you have addressed challenges such as underperformance, staff retention, or morale, and explain how you promote a positive and supportive workplace culture.*
Leisure interests (please give brief details of your interest, hobbies, membership of clubs or anything you feel would give our company an insight into you as a person)*
Do hold a full UK driving license? *
Have you received any driving convictions and or penalty points in the last 3 years? *
Do you have an up to date DBS?*
DBS number:*
Are you on the DBS update service?*
Update service number:*
Do you have any convictions, cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offend ers Act 1974 (Exceptions) Order 1975 (as amended in 2013)?*
If you have answered yes to the above question, we will send a Rehabilitation of Offenders form for you to complete. After you have completed this and sent back, we will review and update you of the process .The post for which you have applied is defined as exempted employment within the terms of The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013). You are therefore required to declare any convictions, cautions, reprimands or final warnings that are not ‘protected’ as defined by the Act, whether or not they would be, in terms of the Act, classed as spent. Declaration of any convictions will not necessarily bar you from employment, as this will depend on the circumstances and background to your offence(s). All applicants who are offered employment will be subject to a criminal record check before the appointment is confirmed. See The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) page for details of how to check what information is required under the new legislation.
The rehabilitation of offenders act 1974 (exceptions) order 1975 (as amended in 2013)

We actively promote the equality of opportunity for all with the right mix of talent, skills and potential, and welcomes applications from a wide range of candidates, including those with criminal records. Brinscall Care selects all candidates for interview based on their skills, qualifications and experience. Legislation now in force in England and Wales, allows certain old and minor cautions and convictions to no longer be subject to disclosure, however, cautions and convictions for specified serious violent and sexual offences, and other specified offences of relevance for posts concerned with safeguarding children, like those within our homes, still remain subject to disclosure. In addition, all convictions resulting in a custodial sentence, whether or not suspended, will remain subject to disclosure as will all convictions where an individual has more than one conviction recorded.The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers, and therefore cannot be taken into account when making decisions. If you are unsure what should or should no longer be disclosed, then guidance and criteria on the filtering of these cautions and convictions can be found on the following website:

https://www.gov.uk/government/publications/dbs-filtering-guidanceor by accessing the Unlock website resources: http://hub.unlock.org.uk/section/about-criminal-records/disclosure-and- barring-service

All applicants who are offered employment will be subject to an enhanced criminal record check from the Disclosure and Barring Service before the appointment is confirmed. You are therefore required to declare any convictions, cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013). Information declared will be used only to consider suitability for the post in question and will not be used as the sole criteria to decide your fitness for the post. Unless an appointment is prohibited by law (under the terms of the Protection of Children Act 1999 (as amended by the Criminal Justice and Court Services Act 2000), a criminal record will not automatically debar you from being considered for employment. Changes to the way the DBS deals with disclosures means that certificates are now only sent to you, no longer the employer, so we may ask you to bring your copy for us to view any cautions, convictions, reprimands or final warnings that it may contain in order for us to be able to make an informed decision. Furthermore, applicants will be given an opportunity to discuss any details supplied before any decision is taken regarding their appointment. In reaching such a decision, Brinscall care will consider the nature of the record/action, the length of time since the offence(s), its relevance to the position applied for, and any other information provided.You should note that failure to bring any unfiltered conviction to our attention, either on this form or at subsequent interview, may lead to withdrawal of the job offer or disciplinary action, including summary dismissal where appropriate.The form will only be read after successfully clearing short listing. All information in the form will be treated in the strictest confidence. However, it will be available to the relevant Manager and Officers of Regulatory bodies as required. If you are offered an appointment, the completed form will be retained as part of your confidential Personnel File. If your application is unsuccessful, it will be kept for six months, along with your application form, after which time both documents will be destroyed in accordance with data protection procedures. Please note that it is illegal for a person who is barred from working with children by the DBS, to apply for any position within Brinsall care
Details of incident
Date of incident

MonthDayYear
Date
Is the conviction spent or unspent?
I confirm that the caution(s) and/or conviction(s) listed below has/have been imposed on me. (Please give details of the offence, the date and whether it is spent or unspent)
DECLARATION
I understand that appointment to this post is conditional on the information supplied with my application being correct and that if I have withheld any information or any information is found to be false, I will be liable to disciplinary action.

• The statements made by me in this application form and on any additional forms supporting my application are true to the best of my knowledge.

• I hereby consent to the processing of the above data in accordance with the current Data Protection legislation.
Signature*
Should be Empty:

DECLARATIONI understand that appointment to this post is conditional on the information supplied with my application being correct and that if I have withheld any information or any information is found to be false, I will be liable to disciplinary action.

• The statements made by me in this application form and on any additional forms supporting my application are true to the best of my knowledge.

• I hereby consent to the processing of the above data in accordance with the current Data Protection legislation.

DECLARATION
I understand that appointment to this post is conditional on the information supplied with my application being correct and that if I have withheld any information or any information is found to be false, I will be liable to disciplinary action.