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Personal Assistant Application Form Submission

Title (required): Mr.
Town (required): PontypriddCounty (required): Mid Glamorgan

I confirm that I have the right to work in the UK and am able to prove my eligibility status when required to do so. (required): Yes


Please read the Job Description carefully before providing information in this Section of the Application Form. Give details of your previous employment or experience which you think would help you to do this job. (required): Work Experience Dec 2021- Sep 2022: St. Marys Hospital and Maternity, Enugu, Nigeria Health Care Assistant Key Responsibilities Provision of specialised rehabilitation to people with complex care Helping patients with their personal care routines Provision of personal-centred care Provide care to people with neurological conditions such as Spinal cord injuries and acquired brain injuries. Aug 2020 -2021: Faith Foundation Mission Hospital, Enugu, Nigeria Health Care Assistant Key Responsibilities Ensuring that the residents home/ward is always clean and tidy. Helping and supporting patients with their personal care routines such as washing, dressing Assisting patients with domestic duties such as: changing, making beds and laundry Preparing and serving meals and assisting patients who need extra help with eating and drinking. Keeping detailed and daily records on the patient behaviour, moods, medication, and incidents according to their care plan. July 2018 -Dec2019: St. Augustine Hospital, Anambra State, Nigeria Health Care Assistant Key Responsibilities Providing support and help to the patients with mental health in the hospital ward. Aided in meeting the physical needs of patients. Aided patient group interaction and supporting them in their daily activities. Communicating with the patients and encouraging them to be positive in following their care plan. Keeping detailed daily records on the patient’s behaviour, mood, medications, and incidents in line with their care plan.


What qualities do you think are important when working as a personal assistant with a disabled person? (required): 1. You must be able to communicate effectively (Communication skills ) 2. Be Patient and respectful 3. Be Problem solver 4. You must be professional with your job


How do you think you can contribute towards the needs and the independence of a disabled person? (required): 1. Make learning a daily habit for both of you. 2. Always be positive both in your attitude and celebrate small improvement 3. By empowering he or her to make decisions and actively involve he in decision-making


What is it about PA work which appeals to you? (required): Im a highly-organised professional and have always been passionate about helping others, is something I enjoy doing as a lifestyle.


What are your hobbies/interests?: Football and music


Would you consider a casual position if you are unsuccessful with this job? (required): Yes


Do you speak any other languages? (required): I speak English language very well


Do you drive? (required): NoAre you a vehicle owner?  (required): NoDo you smoke? (required): No


Are you able to undertake training? (required): No


What days/nights are you able to work, or prefer to work?  (required): Thursday, Friday, Saturday and Sunday


Are there any circumstances which would prevent you from providing cover or swapping a shift? (required): No


Do you have portable DBS (which has been paid for and renewed for the current year)? (required): No/


Is there is any such information you wish to disclose, relating to any cautions or convictions which will appear on your mandatory DBS check? (required): No/

I agree that there is nothing which would prevent me from doing this job. (required): Yes


I consent to the above (required): Yes


I agree that the information I provide will be posted to the Dewis CIL PA noticeboard (all personal information will be withheld).: Yes


What geographical area’s are you able to cover?: Within Wales and part of England


How many hours of work can you offer per week? (required): More than 37 hours


Please indicate the approximate times that you are available for work throughout the week.: Monday Overnight/Tuesday Overnight/Wednesday Overnight/Thursday AM/Thursday PM/Thursday Overnight/Friday Overnight/Saturday Overnight/Sunday AM/Sunday PM /Sunday Overnight/