Please call our Head Office: 01485 570 611 or Email:

Home Care Norfolk
Established 1993 Dementia Specialists

job Application Form

Please fill in the application form below, or download and fill out the form by clicking this link

Job Title:
Date Posted: 01/01/1970


Step 1: Personal Information - Tell us a little bit about yourself

First Name:*
Please enter your First Name
Please enter your Last Name
Telephone Number:*
Please enter your Telephone Number
Mobile Number:
Please enter your Email Address
National Insurance Number:

Step 2: Your Employment Information

Position Applied For:
Range of Hours Requested:
Have you previously been employed by Extra Hands or applied for a position before?
If yes, please give details:
Where did you see the post you are applying for advertised?
Do you hold a full driving licence?
Have you any penalty points?
Do you have the use of a car at all times (if applicable)?
How much notice would you need to give to leave your present job?
Please give details of any experience you have of caring (including family and neighbours etc.):
Please state any training, both general and specific techniques, you have in caring (e.g. moving and bathing etc.):
What personal qualities do you feel you have to offer for this position?
Please state the date you were first employed in Social Care (if applicable):
Details of previous and current employment over the last 5 years (if you are unable to supply at least 3 years history, please briefly explain why)
Do you have any criminal convictions/cautions? (if yes, please refer to the guidance on our PDF Application Form download)
Would you have any objections to Extra Hands carrying out a police check?

Step 3: Referee Information - Have you got any references?

Please supply two referees plus their telephone numbers. One should be your most recent employer. References will be taken up prior to the interview
Reference One Name:
Tel. No.
Email Address:
Can we approach prior to interview?
Reference Two Name:
Tel. No.:
Email Address:
Can we approach prior to interview?
Please attach your CV

Job Description: Social Carer

1. Purpose and Scope

To provide support and practical help to Service User to enable them to maintain their independence within their own environments.
To work alongside colleague, other agencies and Health Care Professionals to achieve a high standard in delivery of service whilst promoting dignity and respect in meeting the individuals needs.

2. Organisational Relationships

Responsible to the Directors Mr D. Evans, Mrs H. Evans and Mrs A. Walter.

3. Principal Duties and Responsibilities

To encourage Service Users to maintain maximum independence taking into account their emotional and physical conditions.
To communicate with our Service Users, their relatives, friends or other professional people to maximise their well being.
To assist our Service Users with getting up, putting to bed, dressing/undressing, changing, washing, bathing, showering, bed bathing, oral hygiene, hair care and shaving which could include Manual Handling, hoisting and transferring Service Users.
To assist our Service Users with feeding (including preparation of meals).
To assist the service user / Carer administer prescribed drugs within an individual framework agreed with the purchaser’s representative.
Toileting / emptying commodes.
To assist or undertake general housework in order to keep the house clean and tidy for the Service User.
To assist with or undertake washing, drying, mending, ironing and storage of clothing and household linen.
To assist with or undertake the care of children and, if necessary, to prepare them for school.
If required, to light coal fires, clear grates and refill coal buckets.
To provide general support to the service user, liasing with other services as necessary.
To share in the service users social activities, including talking to service user, helping in attempts to make and maintain contact with family, friends and the community and assist with shopping and Recreation.
To identify changes on our Service Users condition both physically and mentally and report these to the appropriate personnel.
To attend training, meetings and supervisory sessions as required.
To be responsible for maintaining and improving your own knowledge and skills through experience & training.
To ensure, as far as is reasonably practical, observance of and adherence to the provisions of the Health & Safety at Work Act 1974/1993, Manual Handling Operations Regulations 1992 & Equality Act 2010.
To comply with all Policies and Procedures.
To perform such other duties, of a like nature, as may from time to time be required by Mr D. J. Evans.

4. Wages

NVQ II and above trained staff are paid £8.00 per hour for evenings* and weekends, Daytime** work is £6.65 per hour.
Care staff training towards and who also do not hold recognised qualification are paid £7.23 per hour for evenings and weekends and Daytime work is £6.37 per hour.
Night Sit : Awake - £7.23 Sleep - £6.37 Induction Training Rate - £6.08
(*Evening working hours are between 4.00pm and 11.00pm and **Daytime working hours are between 6.00am and 4.00pm)

Person Specification: 'Social Care Assistant'


Essential: Good General Education. Willingness to obtain NVQ II in care or equivalent. Willingness to attend and undertake required training including updates.
Desirable: NVQ Level II or above in Care.


No experience necessary. Previous care experience in Social or Health Care Services desirable.

Essential Skills and Knowledge

To communicate with Service Users and colleagues clearly and appropriately.
Car Driver (desirable)
To record information accurately and legibly.
To follow instruction from written care plan in Service Users home.
To confidently complete all tasks as identified in the job description.
To work without supervision and use own initiative.
To be able to react in an emergency, if required.
To maintain professional working relationships.
To monitor, evaluate and report.

Essential Personal Qualities

Ability to work within a team.
Good interpersonal skills.
Good Communication skills.

Other Essential Factors

Own telephone.
Ability to be flexible in working hours subject to negotiation.

The work for which you are applying involves substantial opportunity for access to children and/or vulnerable adults. It is therefore exempt from the Rehabilitation of Offenders Act 1974. You are therefore required to declare any prosecutions or convictions you may have, even if they would otherwise be regarded as “spent” under this Act, and any cautions or bind-overs.

The information you give should be supplied in a sealed envelope clearly marked ‘Strictly Private and Confidential’ and be addressed to Mrs A. Walter; Managing Director. This information will be treated in the strictest confidence and will only be taken into account in relation to an application where the exemption applies.

We are also entitled, under arrangements introduced for the protection of children and vulnerable adults, to carry out an enhanced Disclosure and Barring Service (DBS) check of the successful applicant. Information received from this check will be kept in strict confidence. We comply fully to the DBS Codes of Practice and a copy is available upon your request.

The disclosure of a criminal record, or other information, will not debar you from appointment unless the selection panel considers that the conviction renders you unsuitable for appointment. In making this decision we will consider the nature of the offence, how long ago and what age you were when it was committed and any other factors which may be relevant, including appropriate considerations in relation to our published Equal Opportunities Policy.

Failure to declare a conviction, caution or bind-over may, however, disqualify you from appointment, or result in summary dismissal if the discrepancy comes to light.

If you would like to discuss what effect any conviction you might have on your application, you may telephone (Mrs A Walter, Managing Director on 01485 570 611) in confidence, for advice.


As an organisation using the Disclosure and Barring Service to assess applicants’ suitability for positions of trust, Extra Hands of Heacham Ltd. complies fully with the DBS 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 a conviction or other information revealed.

Extra Hands of Heacham Ltd. is committed to the fair treatment of its staff, potential staff or users of its services, regardless of race, gender, religion, sexual orientation, responsibilities for dependants, age, physical/mental disability or offending background.

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.

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.

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 Anita Walter, Managing Director of Extra Hands. and we guarantee that this information will only be seen by those who need to see it as part of the recruitment process.

Unless the nature of the position allows Extra Hands of Heacham Ltd. to ask questions about your entire criminal record, we only ask about ‘unspent’ convictions as defined in the Rehabilitation of Offenders Act 1974.

We ensure that all those in Extra Hands of Heacham Ltd. who are involved in the recruitment process have been suitably trained 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, e.g. the Rehabilitation of Offenders Act 1974.

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 matter 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.

We make every subject of a DBS aware of the existence of the DBS Code of Practice and make a copy available on request.

We undertake to discuss any matter revealed in a Disclosure with the person seeking the position before withdrawing a conditional offer of employment.

Home Care Norfolk - Accreditations