Application Form

Job Reference Number

Title (please specify e.g. Mr)

Your Name (required)

Previous Surname(s)/Family Name(s)

National Insurance Number

Do you need a UK work permit or Visa? If yes, date of expiry

Home telephone (required)

Mobile (required)

Your Email (required)

Your Address

Please answer the following question if the job description/person specification for the job states this as either essential or desirable:

Do you hold a current full driving licence?

Do you currently have endorsements?


If Yes, please give details including expiry date(s)

Do you have access to a vehicle for work purposes?

Have you ever had an application for Motor Insurance either cancelled or refused.

If Yes, please give more information

Education Qualifications - Enter Course and Grades

Membership of Professional Bodies: Nursing/Midwifery

If Applicable. Enter Name, Renewal Date, Membership/Status and Pin Number.

Work History

Please enter dates, name and address of employers and job role. Enter a reason for leaving.

Gaps in work history or experience

Enter dates and reasons.

Supporting Statement

Please set out below any further information which you feel supports your application. In particular, you should provide examples to illustrate how you meet the competencies and experience set out in the Person Specification and Job Description.

Current / Previous Employer References

Current/Previous Employer (1)

Enter Name, Job title, Address, Telephone Number and Dates of Employment.

Current/Previous Employer (2)

Enter Name, Job title, Address, Telephone Number and Dates of Employment.

References; we require references which cover at least 3years of your employment. One reference must be your present or most recent employer. If this is your first job since leaving full time education, your head teacher or further education tutor should be given as referee. Your personal reference must be someone who knows you well.

After interview and prior to any conditional offer of employment, can we contact your current employer (see note below)?

Employment referees will be requested to provide details on, salary, performance, and, where applicable, reasons for leaving. Where relevant, referees will be asked for/ about their knowledge of your work and suitability to work with children, young people and vulnerable adults.

If you are shortlisted, are there any special arrangements we would need to make for your interview and any selection tests? (If Yes, and you are successful in obtaining an interview, we will contact you to discuss your stated needs)?

Where did you see the post advertised

Notice Period: If appointed, how soon could you take up your new post

Do you have any criminal convictions


If yes, please give details below of any criminal convictions, cautions or bind over orders. The post applied for is exempt from the provisions of the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986 and therefore you are required to disclose your criminal background, if any. We undertake not to discriminate unfairly on the basis of conviction or other information received. We have a policy statement on the recruitment of ex-offenders a copy is available on request.

For all staff working with children and vulnerable adults a Disclosure Barring System (DBS) current Disclosure check will be required before taking up employment. We have a policy statement on the secure storage, handling, use and retention & disposal of Disclosures and Disclosure information.

Declarations

Data Protection
"I give permission for AJ Case Management Ltd to process and hold on computer the information or data I have supplied or referred to on it, including any information that I consider to be sensitive and personal. I understand and agree that this information will also be held on my personal file, if I am appointed."
"I agree that AJ Case Management Ltd may use the information provided in this application form for equality monitoring purposes, compiling statistics, maintaining other employment records and completing statutory returns as required."
“Should I be unsuccessful in this position I give permission to AJ Case Management to keep my records on file and contact me with information on any future positions unless I state otherwise”

References
"I agree that AJ Case Management Ltd may ask my referees for comments on my suitability for the post and in respect of employment referees request details on my salary, performance, conduct, reasons for leaving and suitability to work with children, young people and Vulnerable adults, where applicable."

Application submission
"In submitting this application form, I confirm that the information I have given is correct and complete and I understand that giving misleading or untruthful statements may result in my dismissal if they become known after my appointment."

Agreement:

 I Agree

Name

Date

For electronically submitted forms you will, if shortlisted, be asked to provide a signature at interview.

Testimonials

Lisa joined our team in 2012 to support a client as his Personal Assistant following a traumatic brain injury he received as a result of a car accident.
The client made a good physical recovery but due to his injury he had difficulty with his motivation and initiation.
Before Lisa started in her role he would tend to sit around all day and never get anything done, so bills piled up and he missed appointments.
Lisa has supported our client to become more organized and with her support he is now managing his bills and attending his appointments.
Even more importantly Lisa has helped him make goals and plans for the future.
The client was unable to work but wanted to fill his time and give something back. With the help of Lisa they organized a family fun day to raise money for Air Ambulance. It was a great success and loads of fun was had by all.
The client was then keen to try a sky dive for charity. Unfortunately he was not medically fit and required a volunteer to jump out of the plan on his behalf. Understandably this was asking a bit much of Lisa and his mum volunteered but Lisa is now supporting him to raise even more money for this organization that saved his life.
Do you want to give something back? The role of a buddy or personal assistant is life changing for our clients and without this type of support our clients can become extremely down and struggle to see what life can offer them.

Thank you Lisa for making a true difference in our client’s life and rehabilitation journey.

Simon is relatively new in his post as Therapeutic Support Worker to a 19 year old man who suffered a severe traumatic brain injury as a result of a road traffic accident.
Already he is making a difference. Simon loves his job and reports that he now feels that he has a career in Health and Social care and not just a job.
Following his induction with AJCM’s Registered Manager, he has completed on-line training courses, attended moving and handling training and has received bespoke training from the therapists.
He is currently working alongside the physiotherapist and is helping the client to stand. He is working with the occupational therapist to increase the client’s upper limb functions. He is ensuring that speech therapist recommendations are put in place and the client is supported using an alphabet chat.
In his previous role Simon felt that he did not have enough time working with clients to make a real difference – not anymore!
Simon has regular contact with the Case Manager to include supervision and training.
Simon is a vital part of a large multi-disciplinary team and he spends most of his time with the client. His knowledge of the client will ensure that the therapy team are focused on the client’s goals.

Karen joined the AJCM team in 2008 to work with our client who had suffered a severe traumatic brain injury in 2005.
Karen has worked as part of a team that provide 24 hour care for our client who lives in his own home.
Karen has been trained by therapists to provide consistent and structured support to our client.
No two days are ever the same for our client or for Karen. Due to her training Karen is able to ensure that the client receives support that is going to maximize his choices and involvement.
All the team have responsibilities and Karen is tasked with ordering and auditing the medication. Karen is fully trained in this role and is supported by the Team Leader and Case Manager.
Karen attends monthly supervision and team meetings, which ensures that the team are supported to give the best care to our client. Karen works from a rolling rota that ensures she has a least one full weekend off each month, plus 2 days off together each week and the rota is organized at least 2 months in advance.
Karen recently applied for a Team Leader role in another package. Karen has been successful and we know that Karen will support her new team to achieve outstanding quality of care for her client.
Karen is keen to hear from support workers that are interested in providing the highest quality of care and support for her client.

Current Vacancies

Support Worker – Hereford (HR4)

Ref: AJCM/LAJ/SCH/1117

 Full-time or job share considered Permanent – 40 hours per week 

An exciting opportunity to support a 23 year old woman, with a brain-injury, living in the community and attending University.

The successful candidate must be able to demonstrate: 

Previous experience in a similar role or demonstrate a willingness to learn

An interest in sports and physical fitness 

Ability to work as part of a team on a rota, to include weekend working

A full driving licence and access to own vehicle 

Excellent computer, verbal, non-verbal and written communication skills 

A flexible and positive attitude 

A caring disposition and an excellent sense of humour

The ability to motivate and enable 

This role does not involve personal care

This is a fantastic opportunity to work with a quality Case Management company which values long term personal and professional development and treats staff with respect. In addition, your commitment and attention will be rewarded with excellent rates of pay and a great deal of job satisfaction.

Please note that employment will be subject to excellent references and an enhanced DBS disclosure being obtained.

Closing Date: 15.12.2017

Part-Time Support Worker – Telford (TF3)

Ref: AJCM/LAJ/GOM/1117

Permanent – 11 hours per week

An exciting opportunity to support a lady, in her 30s, with a brain-injury, with day to day activities including social and leisure activities 

The successful candidate must be able to demonstrate: 

Previous experience in a similar role or demonstrate a willingness to learn 

An interest in supporting, and finding, a range of different community-based activities 

Ability to work flexibly as part of a team, on a rota 

A full driving licence and access to a vehicle 

Excellent computer, verbal, non-verbal and written communication skills 

A flexible, positive attitude and patient nature 

A caring and friendly disposition and a sense of humour 

The ability to motivate and enable the client and to apply strategies as advised by therapists 

An understanding of the impact of mental health issues 

This role does not involve personal care

This is a fantastic opportunity to work with a quality case management company which values long term personal and professional development and treats staff with respect. In addition, your commitment and attention will be rewarded with excellent rates of pay and a great deal of job satisfaction.

Please note that employment will be subject to excellent references and an enhanced DBS disclosure being obtained.

Closing Date: 14.12.2017

Support Worker – Northwich, Barnton

Ref:

AJCM/SB/TRK/1117

Permanent – 33 hours per week

Are you caring, outgoing and looking to assist a child through their
rehabilitation journey?

An exciting opportunity to support a child with a brain injury at home and in the
community, who enjoys swimming, trampolining and horse riding and being part of
the community.

The successful candidate must be able to demonstrate:

 Previous experience in a similar role or demonstrate a willingness to learn

A full driving licence

Excellent computer, verbal, non-verbal and written communication skills 

A flexible and positive attitude

A caring disposition and an excellent sense of humour

The ability to motivate and enable

This is a fantastic opportunity to work with a quality case management
company which values long term personal and professional development and
treats staff with respect.

In addition, your commitment and attention will be
rewarded with excellent rates of pay and a great deal of job satisfaction.
Please note that employment will be subject to excellent references and an
enhanced DBS disclosure being obtained.

Closing Date: 12.12.2017

Support Worker – LE16

Ref:

AJCM/LAJ/HJW/1017

I’m a happy, easy-going 9 year old boy with additional needs. I need some more support, especially at weekends and in school holidays. I like people who are enthusiastic and will help me try new things. I enjoy going to Cubs, trampolining and horse-riding.

The successful candidate must be able to demonstrate:

 Previous experience in a similar role or demonstrate a willingness to learn

Ability to work as part of a team on a rota to include days, evenings and weekend working  

A full driving licence

 Excellent computer, verbal, non-verbal and written communication skills

A flexible and positive attitude

A caring disposition and sense of humour

The ability to motivate and enable

This is a fantastic opportunity to work with a quality case management company which values long term personal and professional development and treats staff with respect. In addition, your commitment and attention will be rewarded with excellent rates of pay and a great deal of job satisfaction.

Please note that employment will be subject to satisfactory references and an enhanced DBS disclosure being obtained.

Closing Date: 04.12.2017

Part-Time Support Worker – Sutton Coldfield (B74)

Ref: AJCM/LAJ/TP/1117

Permanent – 9 hours per week in term-time, 20 hours per week in school holidays 

(Term-time hours needed on Thursday and Saturday afternoons, holiday hours are negotiable)

An exciting opportunity to support an 18 year old young man, with cerebral palsy, with social and leisure activities He has a great sense of humour, a sense of adventure and is keen to try new things

The successful candidate must be able to demonstrate:

 Previous experience in a similar care role

 A proactive, positive attitude and patient nature

 An interest in supporting a range of activities, including finding new activities to try

 A flexible approach, the role includes weekend working

 A full driving licence, and a willingness to drive the client’s adapted vehicle

 Excellent computer, verbal, non-verbal and written communication skills

 A caring and friendly disposition and an excellent sense of humour 

The ability to motivate and enable through support and care

This is a fantastic opportunity to work with a friendly and welcoming family and a Case Management company which values long term personal and professional development and treats staff with respect. In addition, your commitment and attention will be rewarded with good rates of pay and a great deal of job satisfaction.

Please note that employment will be subject to excellent references and an enhanced DBS disclosure being obtained.

Closing Date: 5.12.2017

Personal Assistant – Bedworth

Ref:
AJCM/WR/PW/PA1017

Temporary to cover maternity leave– 35 hours per week

An exciting opportunity to support a brain-injured person in the community. The post involves supporting a client who lives independently in his own accommodation to enhance his life skills and social activity.

The successful candidate must be able to demonstrate:
 Previous experience in a similar role or demonstrate a willingness to learn

 Driving licence
 Excellent computer, verbal, non-verbal and written communication skills

 A flexible and positive attitude

 A caring disposition and an excellent sense of humour

The ability to motivate and enable

This is a fantastic opportunity to work with a quality case management company which values long term personal and professional development and treats staff with respect.
In addition, your commitment and attention will be rewarded with excellent rates of pay and a great deal of job satisfaction.

Please note that employment will be subject to excellent references and an enhanced DBS disclosure being obtained.

Closing Date: 30/11/2017

Therapy Assistant

Ref: AJCM/AJM/SRH/1017

35 hours per week, Term Time Only

This is an exciting opportunity to provide therapeutic support and rehabilitation to a 5-year old `girl with cerebral palsy within a specialist school setting in

Coventry. 

The role is term-time only and will involve supporting the client to complete her therapy programmes in a safe and consistent way, and to

feedback to the family and wider team.

Full time or job share considered.Relevant experience is essential. Experience of working with children with physical, cognitive, communication and/or behavioural problems desirable. Personal care required, therefore this role will be open to females only.

*For genuine occupational requirement reasons we are looking to appoint a female only for this post (exemption under the Equality Act 2010 Part 1 Schedule 9).

This is a fantastic opportunity to work with a quality case management company which values long term personal and professional development

and treats staff with respect. 

In addition, your commitment and attention will be rewarded with excellent rates of pay and a great deal of job satisfaction.

Please note that employment will be subject to excellent references and an enhanced DBS disclosure being obtained.

Closing Date: 4th December 2017

Contact Us

Tel: 01902 244 170

Email:ajrecruitment@ajcasemanagement.com

AJ Case Management Ltd
James House,
Newport Road,
Albrighton
WV7 3FA

Paul has worked with an AJCM client since February 2014.
He has an interesting and challenging role and his achievements have been outstanding.
Prior to starting in his AJCM role Paul worked as a Manager in a small group home for clients with learning disabilities.
He applied for the role of Therapy Assistant as a new challenge. What a challenge it has been over the last 16 months!
Paul initially worked in a rehabilitation unit providing support for our client who had suffered a severe traumatic brain injury, 4 years previously. It is always a challenge working in someone else’s environment but due to his excellent communication skills Paul was able to forge positive relationships with the unit’s team.
Paul spent his time getting to know the client and developing an understanding of his complex support needs.
Paul is part of a skilled therapy team who developed a transition plan for the client to move into his home with 24 hour support.
Paul’s role included recording triggers to the client’s behavior and ensuring that the client received a consistent support from the care team.
The client moved into his own home in May 2014 and Paul has been vital in ensuring that the client is kept safe, has outstanding standards of care, and has his best interests met at all times.
At a 12 month review the team acknowledged that the role of Paul as Therapy Assistant has made a massive difference in our client’s life.

Lynn joined the AJCM team in 2008 to work with our client who had suffered a severe traumatic brain injury in 2005.
Lynn initially joined us as a support worker and she worked with a small support team to support the client with his rehabilitation journey.
Prior to the team’s involvement the unit were having to use 2/3 staff for personal care.
The support team were trained and supported by the Case Manager and therapy team.
The client suffered with severe agnosia and did not recognize objects and this caused him to feel very anxious.
Lynn and the team were taught to provide all his care in a gentle, structured and consistent way.
We are 7 years on now and most of the initial team recruited still work with our client. He now lives in his own home and due to the skills of our support team he is no longer frightened or anxious and he is supported on a one to one for all of his care.
Lynn took on the Team Leader role 12 months ago and is supported by the AJCM team to ensure that the care provided is to the highest quality and meets CQC standards of Caring, Responsive, Effective, Well Led and Safe.
One of Lynn’s team has now been recruited to set up another 24 hour support package for AJCM and Lynn would love to hear from support workers who want to be part of an outstanding 24 hour support package that truly maximizes the client’s quality of life.