Unity 12, 9-19 Rose Road
Southampton
SO14 6TE
admin@crestahealthcare.com
Web: www.crestahealthcare.com
Tel: 03301336439
Company Number: 12905462

Referee Details

APPLICANT DETAILS

Would you re-employ this person?

SECTION 1

HOW WOULD YOU ASSESS THE FOLLOWING?

Ability to follow care plans

Reliability, time keeping, attendance

Character

Attitude

Ability to ensure dignity is upheld

Communication

Relationships with colleagues

Ability to work under own initiative

SECTION 2

Please answer the following questions

Has the applicant been subject to any disciplinary action?

Are you aware of the applicants involvement in any safeguarding investigations?
(previous or current)

Are you aware of any reasons why the applicant should not be employed to work with children or vulnerable people?

To the best of your knowledge, has the applicant been convicted or cautioned of a criminal offence*?

*Due to the nature of care work, all spent convictions must be disclosed (Rehabilitation of offenders act 1974)
PLEASE CONFIRM: I can confirm tha t all the de tails provided are accurate at the time that this reference was completed. I understand t hat the applicant has the legal right to re quest a copy of their reference.
Signature