[For OACP use only] Approval Number APP/SWC/PA/187/0917

Title Mr Mrs X Miss Ms Dr Prof

Your Full Name

First Name Yonit

Family Name Sapwell

Gender Male Female X

Daytime Telephone Number 07717 277153

Email [email protected]

Date of last DBS check, or state never December 2017

Relevant training undertaken and dates

Course type Completed ddmmyyyy

1. Safeguarding Adults and Children 2016

2. Health and Safety, Food Hygeine and First Aid Awareness 2016

3. Moving and Handling of People 2017

4. ‘All in one day’ Mandatory training for nursing and care 2016 staff.

5. Death, Dying and Bereavement Training 2016

6. Safe administration of Medication Training 2016

7. Awareness of Dementia Level 3 2016

2016 8. Infection Control management

1 | P a g e Car Driver Yes X No

Approximate charges:

Per hour 8am – 8pm Monday to Friday £20.00 Per hour 8am – 8pm Weekends £25

Bank Holidays £30 Per hour 8pm – 8am Overnight care N/A Per task if appropriate N/A

Short description about you – max 100 words [a summary of your personal qualities] Warm-hearted, conscientious Health Care Assistant, outcome focussed Family, Child and Adult Support Worker

I have extensive experience in domiciliary care as well as experience in family support, youth-work, sheltered housing, supporting children and adults with learning disabilities and group work.

I have worked in Social Care for the last 10 years as a Carer, in the community, support agencies and in nursing / residential homes. I am now a carer / Personal Assistant supporting adults to keep active and live independantly, as safely as possible at home. This allows me to give a professional, non-rushed service, where communication and knowing the client is equally as important as delivering good quality care.

Which tasks are you interested in doing as a Personal Assistant? Personal care X Social & Leisure activities X Domestic Assistance X Work or study support X Other, please state: hoisting, meal preparation, assist with feeding, collect prescriptions, transport to appointments and help to access social and leisure activities, companionship, End of Life Care, catheter and stoma care, management of the care package, liaison with GP’s, OT’s, DN,s, Social Services and the family. References are available from clients and relatives. I work with two other PA’s allowing continuous care to cover holidays and days off.

2 | P a g e Which area[s] are you planning to work in?

Tick Postcode Including  OX5 Begbroke, Charlton-on-Otmoor, Fencott, Islip, Kidlington, Murcott, Tackley, Yarnton,  OX20 Bladon, Glympton, Kiddington, Woodleys, Woodstock, Wootton  OX28 Witney  Barnard Gate, Brighthampton, Church Hanborough, Combe, Crawley, Curbridge, Ducklington, Eynsham, Freeland, Hailey, OX29 Hardwick, High Cogges, Long Hanborough, New Yatt, Newbridge, North Leigh, East End (North Leigh), Old Shifford, Shifford, Standlake, Stanton Harcourt, Stonesfield, Sutton, Yelford

3 | P a g e On which days and times would you like to work? Add specific hours if needed.

Day Morning Afternoon Evening Night

Monday 8.00 – 15.00  19.30 - 2100

Tuesday 8.00 – 15.00  19.30 - 2100

Wednesday 8.00 – 15.00  19.30 - 2100

Thursday 8.00 – 15.00  19.30 - 2100

Friday 8.00 – 15.00  19.30 - 2100

Saturday 8.00 – 15.00  2100

Sunday 8.00 – 15.00  2100

4 | P a g e