[For OACP use only] Approval Number APP/SWC/PA/191/1217

Title Mrs

Your Full Name

First Name DIANA

Family Name WALTON

Gender Female X

Mobile 07486312255

Email [email protected]

Date of last DBS check 26 January 2017

1 | P a g e Relevant training undertaken and dates

Course type Completed ddmmyyyy 1. Social Psychology June 2003 2. Sociology January 2003 3. International English Language Testing System 10 July 2004 4. Mathematics for Higher Education 10 August 2004 5. Access TO HE - Science 10 August 2004 6. Diploma of Higher Education in Mental Health Nursing 17 January 2013 7. Dementia care mapping 8th Edition June 2013 8. Pressure Ulcer Prevention & Management and Equipment Awareness 23 March 2016 9. Food Safety - Safer Food Healthier Patients 28 April 2016 10. Equal diversity and human rigfhts 29 April 2016 11. Safeguarding Vulnerable Adults 1 May 2016 12. Infection Prevention & Control 16 May 2016 13. Facilitating workplace learning June 2016 14. Resuscitation Assessment -ABLS & AED - UK CSTF L2 - (Classroom) 8 November 2016 15. Safeguarding Combined - UK CSTF - (Adults L1 & Children L3) 21 November 2016 16. Clinical Risk Assessment and Management - MH 17 November 2016 17. Immediate Life Support course 22 Febuary 2017 18. Rususcitation – ILS RCUK – UK CSTF L3 22 February 2017 19. Medicines Management eLearning 18 July 2017 22 September 2017 20. Assessment Skills MH – study days 2 October 2017 20 October 2017 21. Information Governance - competency 8 November 2017

2 | P a g e Car Driver Yes

Approximate charges:

Per hour 8am – 8pm Monday to Friday £ 17- 25 Per hour 8am – 8pm Weekends and Bank Holidays £ 17- 25 Per hour 8pm – 8am Overnight care £17-25 Per task if appropriate £

Short description about you – max 100 words [a summary of your personal qualities] I am caring ,reliable, honest and trustworthy I have good working relationship with service users while maintaining personal boundaries. I am able to work independently but within policies and procedures I care and respect vulnerable adults and children, I understand the need to maintain confidentiality also I am aware of the importance of safeguarding and promoting welfare of vulnerable adults and children.I have the ability to communicate with and relate to people from all walks of life. I work as a mental health nurse and I have been working in this profession for over four years, my job description requires working with various clients of different backgrounds using a variety of communication skills. I have demonstrable listening, writing and verbal communication skills and can tailor these to meet individual patient needs while liaising with their families and or carers. I am able to employ the same skills to foster partnership and collaborative working with colleagues and the wider multidisciplinary team. I am empathic and culturally sensitive to individuals I work with. I respect and communicate well with colleagues, have a clear understanding of professional roles, I accept responsibility and act according to instructions and on my own initiative, I possess the necessary leadership skills to manage my own responsibilities in a safe and supportive way. As a nurse my duties include administration of medication to services users and day to day care of service users

Which tasks are you interested in doing as a Personal Assistant? Personal care √ Social & Leisure activities √ Domestic Assistance √ Work or study support √ Other, please state: support with medication

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

Tick Postcode Including X OX1 Boars Hill, Oxford (Central and South), Kennington, New Hinksey, Osney, South Hinksey X OX2 Botley, Jericho, Oxford (North and West), North Hinksey, Summertown, Wytham, Wolvercote X OX3 Beckley, Elsfield, Headington, Marston, Noke, Oxford (North East), Woodeaton, Woodperry Forest Hill, Holton, Horspath, Horton-cum-Studley, Littleworth, Milton Common, Stanton St. John, Waterperry, Waterstock, X OX33 Wheatley, Woodperry

4 | 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 flexible flexible flexible flexible

Tuesday flexible flexible flexible flexible

Wednesday flexible flexible flexible flexible

Thursday flexible flexible flexible flexible

Friday flexible flexible flexible flexible

Saturday flexible flexible flexible flexible

Sunday flexible flexible flexible flexible

5 | P a g e