To be added to the approved Support with Confidence Personal Assistant listings, all

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1 [For OACP use only] Approval Number APP/SWC/PA/196/0308 To be added to the approved Support with Confidence Personal Assistant listings, all of the information must be provided. Checks will be carried out to verify it. The details in the bold boxes will make up your public profile and will be displayed to the public on the OACP website. Title Mrs Your Full Name First Name Family Name Sarah Keen Gender Female Mobile Date of last DBS check, or state never Oct 15 (updated annually) 1 P a g e

2 Relevant training undertaken and dates Course type (listed courses are essential for SwC approval) Completed ddmmyyyy 1. Care of medicines and administration Emergency First Aid Food hygiene Health & Safety Infection control Mental Capacity Act Moving & assisting (manual handling) Person centred care Record keeping / Report writing / Information management Safeguarding adults Fire safety awareness 22/6/ Stroke awareness 23/6/ Dementia awareness 23/6/ End of life care 23/6/ Risk assessment and care planning 22/4/16 2 P a g e

3 Car Driver Yes Approximate charges: Per hour 8am 8pm Monday to Friday Per hour 8am 8pm Weekends and Bank Holidays Per hour 8pm 8am Overnight care Per task if appropriate weekend 32 BH by negotiation N/A Short description about you max 100 words [a summary of your personal qualities] I have worked within care since 2015, mainly within home care providing care for people in their own homes but also a short time within a nursing home. During this time I have gained a wide experience including the office side involved with writing care plans and risk assessments etc. I have also been an urgent response carer, covering the whole of Oxfordshire and having to work on own initiative. I now work self employed as am disheartened with working for companies who have the best intentions but due to pressures never manage to fulfill them for either clients or staff. I am honest, reliable and believe in giving the best care and consistency of care. Which tasks are you interested in doing as a Personal Assistant? Personal care Social & Leisure activities Domestic Assistance Work or study support Other, please state End of life care 3 P a g e

4 Which area[s] are you planning to work in? Tick Postcode GL7 O12 O13 O14 O18 Including O28 Witney O29 SN6 SN7 Broadwell, Claydon, Claydon Pike, Downington, Filkins, Fyfield, Kelmscott, Kencot, Langford, Little Faringdon, Little London, Southrop, Thornhill, Warrens Cross Ardington, Charney Bassett, Childrey, Challow (East & West), Denchworth, Farnborough (Berks), Fawley, Ginge (East & West), Grove, Hanney (East & West), Hendred (East & West), Kingston Lisle, Letcombe Bassett, Letcombe Regis, Lockinge (East &West), Lyford, Sparsholt, Wantage Appleton, Bayworth, Besselsleigh, Cothill, Dry Sandford, Frilford, Garford, Longworth, Marcham, Shippon, Steventon, Southmoor, Sunningwell Abingdon, Appleford-on-Thames, Burcot, Clifton Hampden, Culham, Drayton, Little Wittenham, Long Wittenham, Milton, Radley, Sutton Courtenay Alvescot, Asthall, Aston, Bampton, Barrington, Black Bourton, Bradwell, Brize Norton, Burford, Carterton, Chimney, Clanfield, Cote, Fulbrook, Grafton, Holwell, Lew, Little Clanfield, Radcot, Shilton, Signet, Swinbrook, Taynton, Upper Windrush, Upton, Weald, Westwell, Widford, Windrush Barnard Gate, Brighthampton, Church Hanborough, Combe, Crawley, Curbridge, Ducklington, Eynsham, Freeland, Hailey, Hardwick, High Cogges, Long Hanborough, New Yatt, Newbridge, North Leigh, East End (North Leigh), Old Shifford, Shifford, Standlake, Stanton Harcourt, Stonesfield, Sutton, Yelford Highworth, Cricklade, Shrivenham, Watchfield, Ashton Keynes, Ashbury, Bishopstone, Castle Eaton, Hannington, Idstone, Marston Meysey, Leigh Faringdon, Stanford in the Vale, Uffington, Longcot, Fernham, Buckland, Great Coxwell, Little Coxwell, Littleworth, Shellingford, Buscot 4 P a g e

5 On which days and times would you like to work? Add specific hours if needed. Day Morning Afternoon Evening Night Monday negotiable negotiable negotiable negotiable Tuesday negotiable negotiable negotiable negotiable Wednesday negotiable negotiable negotiable negotiable Thursday negotiable negotiable negotiable negotiable Friday negotiable negotiable negotiable negotiable Saturday negotiable negotiable negotiable negotiable Sunday negotiable negotiable negotiable negotiable 5 P a g e

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