CROSSROADS CARE SOUTH THAMES Role applied for:

SECTION A: Personal Details

PLEASE COMPLETE IN BLACK PEN/TYPESCRIPT 1. 2. FORENAME/S SURNAME. ADDRESS . .. Post Code 3. 4. E-mail ...............................................................

Telephone Number (Day)(Evening) ... Do you have a current driving licence? Do you have use of a vehicle? Yes/No. Yes/No

5. If appointed, when would you be able to start work? . 6. Referees Please give two referees, one of whom should be your present or most recent employer. References will only be taken up if you are offered the post. Name .. Address .. .. .. Telephone No Occupation 7. Name .. Address .. .. .. Telephone No Occupation

I declare that to the best of my knowledge the information provided by me on this application form is correct. Signed . Date

SECTION B: Employment History

Please complete in reverse historical order, i.e. starting with your current/most recent employment (providing address) and ending with your first employment. Please include both paid and unpaid jobs, and continue on a separate sheet if necessary.

Employer

Post Held

Salary

From

To

Reason for Leaving

SECTION C: Knowledge Relevant to the Job

List below examination results and professional qualifications and courses attended (include specialised knowledge and training). Please continue on a separate sheet if necessary.

Education and qualifications (Secondary School and beyond) Establishment attended Course attended Qualifications (if any) Dates attended

Other courses attended which you consider relevant to this post Title & nature Organised by: Dates attended

SECTION D: Experience
Please use this section to give details of any experience and/or training, which you believe may be relevant to this post. When completing please refer to the person specification and give details of how your experience, skills and aptitudes match those as set out. Please continue on a separate sheet if necessary.

SECTION E: About Yourself

Please add any other information about yourself that you feel may be relevant, which has not been covered elsewhere in the application. Please explain your reason for applying for this post. Include any skills or personal qualities you have which you feel could be important in doing the job. Please continue on a separate sheet if necessary.

SECTION F: Are you an ex-offender?

Yes / No

(If you selected YES, please refer to the enclosed policy of recruitment of ex-offenders)
The personal data will only be used in connection with processing your application for employment and in compliance with the Data Protection Act 1998

Please return your completed application form to:

CROSSROADS CARE SOUTH THAMES Vestry Hall London Rd Mitcham CR4 3UD

(October 2011)

SOUTH THAMES CROSSROADS - CARING FOR CARERS LTD. Project Worker Peer Support Mentoring Service- Job Description
Job Title: Hours: Project Worker Older People Full time flexible hours and home working considered. Some evening and weekend work will be required

Length of contract: 2 years. Continuation of the project subject to successful outcomes and the identification of further funding Salary: Responsible to: Responsible for: NJC ScalesS01 pt 29: 26,401 Volunteer Services Manager A team of volunteer mentors

Overall Purpose: Over a two-year period identify and work with ethnic minority groups and the gay and lesbian community, within the catchment area of South Thames Crossroads, to identify the barriers faced by older carers in these communities accessing generic support and develop strategies for the recruitment of former/current carers to provide peer support volunteers and referrals to the mentoring project from these communities Principle Roles and Responsibilities Service 1. Develop a strategy and work plan for the Identification, tracking and engagement of older carers from ethnic minority groups and the gay and lesbian community within the catchment area of South Thames Crossroads 2. To recruit volunteers from diverse backgrounds within the target communities, including former and current carers, for the Volunteer Mentoring project 3. Act as a facilitator to develop peer support groups of carers and former-carers ensuring that the groups become self supporting 4. Work with ethnic minority groups within the borough to identify older carers and former carers who may benefit from the project as clients Page 1 of 4

5. Work with the volunteer mentors to facilitate their access to training opportunities as necessary 6. Operate the assessment and reassessment process for clients within South Thames Crossroads guidelines. 7. Allocate clients to volunteer mentors and co-ordinate the service to best meet the needs of the client 8. Undertake individual supervision and appraisal for the volunteer mentors and provide ongoing support on a day-to-day basis. 9. To identify and be aware of the particular needs of older carers and formercarers from the specific communities General: 10. Participate in South Thames Crossroads supervision and appraisal system. 11. To compile and maintain accurate records, service data and reports on service, submitting these as required for monitoring purposes both internally and externally to funders and as appropriate to other partners 12. Develop and operate the project in line with the recommendations set out in Investors in Volunteers 13. Facilitate specific relationships with other voluntary groups in the community who represent/support the target client group 14. Work in partnership with the Carers Hub Lambeth 15. To be aware of own training needs and attend study days as requested. 16. To represent and promote the aims and objectives of South Thames Crossroads 17. To be self supporting administratively 18. To attend and contribute to team, supervision and other relevant meetings 19. To act at all times in accordance with the organisations policies and procedures 20. To carry out other duties consistent with the post, as required by the Volunteer Services Manager

Page 2 of 4

Person Specification
Essential
Experience Working with diverse communities Community and/or campaigning work Gathering information through assessment or market research Facilitation of small groups In health and/or social care Knowledge and Skills A good understanding of and an empathic approach to the needs of older carers A good understanding and knowledge of the barriers to participation of minority community groups Good standard of education A level and above Good communication skills Understanding and commitment to confidentiality Self supporting in administrative work and able to maintain accurate records and statistics Knowledge and understanding of Equal Opportunity issues Ability

Develop and promote a service To develop creditability with minority groups in the community Work on own initiative Work flexibly as part of a team Work successfully with a wide range of people Interpret statistical information Use of Information Technology Database programmes and excel spreadsheets

Desirable
Qualifications A counseling certificate Experience Development of projects Development of database programmes Development of questionnaires Page 3 of 4

Organisation and running of public meetings Work with carers

Knowledge and Skills Employment and training issues for carers Awareness of legislation concerning carers Awareness and understanding of the statutory and voluntary service sector

Page 4 of 4

RECRUITMENT OF EX-OFFENDERS

1.0 GENERAL PRINCIPLES 1.1 As an organisation using the Criminal Records Bureau (CRB) disclosure service to assess applicants suitability for positions of trust, Crossroads Care complies fully with the CRB Code of Practice and undertakes to treat all applicants for positions fairly. It undertakes not to discriminate unfairly against any subject of a disclosure on the basis of conviction or other information revealed. 1.2 Crossroads Care is committed to the fair treatment of its staff, potential staff or users of its services, regardless of race, gender, marital status, sexual orientation, gender re-assignment, age, ethnic origin, disability, religion or belief, lack of religion or belief, political opinion or offending background. 1.3 This written policy on the recruitment of ex-offenders is made available to all disclosure applicants at the outset of the recruitment process. 1.4 We actively promote equality of opportunity for all with the right mix of talent, skills, and potential and welcome applications from a wide range of candidates, including those with criminal records. We select all candidates for interview based on their skills, qualifications and experience. 1.5 A disclosure is only requested after a thorough risk assessment has indicated that one is both proportionate and relevant to the position concerned. For those positions where a disclosure is required, all application forms, job adverts and recruitment briefs will contain a statement that a disclosure will be requested in the event of the individual being offered the position. 1.6 Where a disclosure is to form part of the recruitment process, we encourage all applicants called for interview to provide details of their criminal record at an early stage in the application process. We request that this information is sent under separate, confidential, cover to a designated person within Crossroads Care, and we guarantee that this information is only seen by those who need to see it as part of the recruitment process.

Crossroads Care

Recruitment of ex-offenders

1.7 Unless the nature of the position allows Crossroads Care to ask questions about an applicants entire criminal record we only ask about "unspent" convictions as defined in the Rehabilitation of Offenders Act 1974. 2.0 TRAINING 2.1 We ensure that all those in Crossroads Care who are involved in the recruitment process have been suitably trained and have adequate support and guidance to enable them to identify and assess the relevance and circumstances of offences. We also ensure that they have received appropriate guidance and training in the relevant legislation relating to the employment of ex-offenders, such as the Rehabilitation of Offenders Act 1974. 3.0 INTERVIEW 3.1 At interview, or in a separate discussion, we ensure that an open and measured discussion takes place on the subject of any offences or other matters that might be relevant to the position. Failure to reveal information that is directly relevant to the position sought could lead to withdrawal of an offer of employment. 3.2 We make every subject of a CRB disclosure aware of the existence of the CRB Code of Practice and make a copy available on request. 3.3 We undertake to discuss any matter revealed in a disclosure with the person seeking the position before withdrawing a conditional offer of employment. 3.4 Having a criminal record will not necessarily bar anyone from working with us. This will depend on the nature of the position and the circumstances and background of the offences.

CROSSROADS CARE SOUTH THAMES

EQUAL OPPORTUNITIES POLICY STATEMENT
1.1 Equality of opportunity is a basic right and will be given the priority it deserves by all involved in Crossroads Care. 1.2 Crossroads Care is committed to the principle of equal opportunity in employment for all its employees and applicants for employment, regardless of race, gender, marital status, sexual orientation, gender re-assignment, age, ethnic origin, disability, religion or belief, lack of religion or belief, political opinion or offending background. 1.3 Crossroads Care seeks to fulfil its aims regarding equal opportunities through the application of employment policies and practices which will ensure that individuals are selected, appointed, paid, trained and promoted fairly and equitably on the basis of criteria relevant to job performance. 1.4 Crossroads Care will endeavour to ensure that the services provided to individuals and their families are in accordance with the policy. 1.5 Crossroads Care is committed to preventing direct and indirect discrimination on the grounds of race, gender, marital status, sexual orientation, gender re-assignment, age, ethnic origin, disability, religion or belief, lack of religion or belief, political opinion or offending background. 1.6 Crossroads Care is opposed to all forms of discrimination and values diversity. 1.7 Breaches of policy and practice will be regarded as misconduct and could lead to disciplinary proceedings. 1.8 Crossroads Care is committed to providing training and guidance in relation to equal opportunities for all staff and trustees. 1.9 Crossroads Care is committed to promoting a harmonious working environment in which no worker or trustee feels under threat or intimidated because of their race, gender, marital status, sexual orientation, gender re-assignment, age, ethnic origin, disability, religion or belief, lack of religion or belief, political opinion or offending background. 1.10 Crossroads Care will ensure that all members of staff, trustees and potential members of staff are aware of the equal opportunities policy. 1.11 Crossroads Care will review periodically its recruitment policies to ensure continued compliance with the equal opportunities policy statement. 1.12 The chairperson of the committee / other designated trustee will have overall responsibility for ensuring the equality of opportunity within the scheme / Association.

Equal opportunities monitoring form

The recruitment panel will not see this questionnaire. All information received will be treated in strict confidence. Crossroads strives to be an equal opportunities employer and has a clear policy in terms of challenging discriminatory practices. In order to have accurate information about our performance we would be grateful if you would complete this monitoring form and return it with your application form. If you feel that our recruitment procedure has unfairly discriminated against your application to work with us, please take this opportunity to tell us.

Post applied for: 1 How would you describe your ethnicity? White British Irish Any other white background
(please specify:)

Asian or Asian British Bangladeshi Indian Pakistani Any other Asian background
(please specify:)

Black or Black British African Caribbean Any other black background (please specify:)

Mixed White and Black Caribbean White and Black African White and Asian

Any other mixed background (please specify:) Chinese Chinese Other ethnic group Other ethnic group (please specify:) If you would like to further describe your ethnicity, please do so here:

Which age category do you fit into? 18 - 24 years 25 - 33 years 34 - 40 years 41 - 48 years 49 - 56 years 57 - 65 years 66 - 70 years Over 70 years

Crossroads Care

Equal Opportunities Monitoring Form

Are you male or female? Male Female

Do you consider yourself to be a person with a disability? This includes people with long term health conditions. If you tell us you have a disability we will make reasonable adjustments to where you work and to your work arrangements and at interview. Yes No

Are you a carer? A carer is someone, who, without payment, provides help and support to a partner, child, relative, friend or neighbour, who could not manage without their help. This could be due to age, physical or mental illness, addiction or disability. Yes No

Please tell us how you heard about the job you are applying for so we can find out how good our advertising is
Newspaper (which one) Other (please give details) Web site (which one) ... ..

Name: _________________________________________________________________