[For OACP use only] Approval Number APP/SWC/PA/091/0512
Title Mr Mrs x Miss Ms Dr Prof
Full Name
First Name Nazneen
Family Name Ahmed
Gender Male Female X
Daytime Telephone Number 07526081811
Mobile 07626081811
Email [email protected]
Date of last DBS check, or state never Dec 2014
Course type Completed ddmmyyyy
1. Principal of care 02/07/2012
2. Food saftey level 2 10/02/2017
3. Infection control Aug 2011
4. Safegurding Adult level 1 Aug 2011
5. Basis firstaid awareness 21/0/2015
6.Introduction to Parkinson’s Disease (optional) Aug 2011 7,Introduction to stroke awareness (optional) Aug 2011 8.Shared care protocol Aug 2011
9.Communication skill 10/02/2017
10. Risk Assessment 18/02/2011
1 | P a g e 11. Person centred support course 18/02/2017
12. Mental Health issues 11/11/2013
Medication 07/08/2017
Personal care 01/08/2017
Car Driver Yes x No
Approximate charges:
Per hour 8am – 8pm Monday to Friday £14 to £18 Per hour 8am – 8pm Weekends and Bank Holidays £ 16 to £20 Per hour 9pm – 7am Overnight care £ 20 Mileage £0. 54 Sleep over £ 100
Short description I have been working as a PA since June 2012
Which tasks are provided as a Personal Assistant? Personal care X Social & Leisure activities X Domestic Assistance X Work or study support Other,:- Personal care and Complex Care needs. Especially with the depressed clients.
2 | P a g e Which area the Personal Assistant works 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 X OX4 Blackbird Leys, Cowley, Oxford (East), Iffley, Littlemore, Rose Hill, Sandford-on-Thames X OX5 Begbroke, Charlton-on-Otmoor, Fencott, Islip, Kidlington, Murcott, Tackley, Yarnton, Abingdon, Appleford-on-Thames, Burcot, Clifton Hampden, Culham, Drayton, Little Wittenham, Long Wittenham, Milton, X OX14 Radley, Sutton Courtenay X OX28 Witney Ascott, Chalgrove, Chippinghurst, Chiselhampton, Cuddesdon, Denton, Garsington, Great Haseley, Great Milton, Little X OX44 Baldon, Little Haseley, Little Milton, Marsh Baldon, Nuneham Courtenay, Stadhampton, Toot Baldon
3 | P a g e Days and times the Personal Assistant is available, or specific hours.
Day Morning Afternoon Evening Night
Monday 8 am to 1 pm 1pm to 6pm 6pm to 10 pm
Tuesday 8 am to 1 pm 1pm to 6pm 6pm to 10 pm
Wednesday 8 am to 1 pm 1pm to 6pm 6pm to 10 pm
Thursday 8 am to 1 pm 1pm to 6pm 6pm to 10 pm
Friday 8 am to 1 pm 1pm to 6pm 6pm to 10 pm
Saturday 8 am to 1 pm 1pm to 6pm 6pm to 10 pm
Sunday 8 am to 1 pm 1pm to 6pm 6pm to 10 pm
4 | P a g e