Job Reference — CLIA Care

CLIACare Reference

We've emailed you as an applicant has given your name as a referee. We would be grateful if you could answer the following questions, along with any relevant additional comments that you may care to offer. Thank you very much!

Your Details

Your Name

First Name

Last Name

Company Name

Your position

Your Email Address

About the candidate

Candidate's Name

First Name

Last Name

How long have you known the candidate?

In what capacity do you know the candidate?

Applicant's most recent job title:

Applicant's most recent salary:

Period of employment: Start Date

YYYY

Period of employment: End Date

YYYY

Reason for leaving (if no longer in employment)

Brief description of duties

Would you re-employ the applicant?

If no, please state why

Current/Last Employer Only

How many days were lost due to absences in the last 2 years of employment?

How many separate occasions?

What reasons were given for the absences?

Any additional comments regarding the applicant's attendance?

Working with Vulnerable Adults

CLIA Care works with vulnerable client groups including young persons, elderly people with dementia, people with mental health needs, people with learning disabilities and people with physical care needs. The applicant will be expected to work respectfully with all service users to protect their rights, maintain their dignity and promote independence. Applicants may also be required to carry out aspects of personal care of a sensitive and personal nature. In the interest of protecting vulnerable adults from abuse and mistreatment, please complete the following questions.

Was the applicant dismissed from your employment or subject to disciplinary action during employment?

Have you any reason to doubt the applicant’s suitability for employment with vulnerable adults?

Have you any concerns around the applicant’s ability to work in a professional and appropriate manner with vulnerable adults?

Have you any reason to believe the applicant may pose potential /actual risk to vulnerable adults?

If you responded YES to any of the above, please explain:

Please advise as to whether you believe the applicant to be suitable for the post in question given his/her suitable skills, qualifications, knowledge and experience.

Where possible, please refer to attached Job Description and Person Specification for the post in the original email.

Ability and Character

Please complete the table below to indicate from your own assessment, the applicant’s ability and character. (Please note this information is required for all applicants & posts with CLIA Care)

Trustworthiness, conduct and general character

Attendance and Reliability

Punctuality

Interpersonal Skills

Use of Initiative

Analytical and problem soliving abilities

Ability to work effectively in a team

Willingness to work flexibly

Self organisation, prioritisation and time management skills

Achievement of work tasks within agreed timescales.

Motivation, effort and application

Planning and co-ordination skills

Attitude, values and general approach to service users, customers and colleagues

Written communication skills

Diligence and attention to detail

Willingness to respond positively to supervisor/linemanager and to follow instructions

Personali resilience and ability to manage stress

Leadership skills

Supervision and management of others

Submission

Thank you for the time taken in completing this reference, should you wish to discuss any aspect of the reference this further please do not hesitate to contact a member of the recruitment team at: sohail.edwin@cliacare.com

We are CQC accredited to provide regulated care.