Prime Care at Home Ltd

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Interview Start

• Time of commencement of interview :

  Date

Personal Details

• Surname

• First Name & Middle Name

• Gender

  Male

  Female

  Other

• Children

  Yes

  No

  N/A

• Photograph at time of interview

  Media

Contact Details

• Address

• Postcode

• Home phone

• Mobile phone

• Email

• Living arrangements

Appearance

• General hygiene of acceptable level (i.e bathed and deodorized) ?

  Yes

  No

  N/A

• Hair neat and groomed ?

  Yes

  No

  N/A

• Clean shaven or facial hair (if any) of neat appearance ?

  Yes

  No

  N/A

• Clothing worn of suitable standard for interview ?

  Yes

  No

  N/A

• Were any tattoos visible at time of the interview ?

  Yes

  No

  N/A

• Was any body jewellery worn at the time of interview of an unacceptable nature ?

  Yes

  No

  N/A

• Comments

• Overall score for appearance and presentation at time of interview (10 being highest) ?

Background Knowledge

• Where did you hear about this job vacancy ?

• Do they know anyone that works for us?

  Yes

  No

  N/A

• If yes, who?

• What do you know about us? The services we provide and to whom we provide them?

• Comments

• On a scale of 1-10, rate their background knowledge (10 being the highest) ?

IT Skills

• Do they have regular access to a computer?

  Yes

  No

  N/A

• Can they use basic functions of Microsoft Excel (e.g create a basic spreadsheet) ?

  Yes

  No

  N/A

• Can they send and receive emails ?

  Yes

  No

  N/A

• Do they have any other applicable IT skills or training ?

  Yes

  No

  N/A

• Comments

• On a scale of 1-10, rate their IT skills (10 being the highest) ?

Basic skills

• Is their handwriting acceptable?

  Yes

  No

  N/A

• Do they have any learning disabilities? i.e dyslexia

  Yes

  No

  N/A

• Do they have a maths qualification?

  Yes

  No

  N/A

• Do they have an English qualification?

  Yes

  No

  N/A

• Comments

• On a scale of 1-10 do they have the relevant basic skills or would they need further training?

Education/Training

• Do they hold any certificates relevant to the position they are applying for ?

  Yes

  No

  N/A

• Comments

• Take photos of the Certificates supplied

  Media

• Do they have any supervision or management training ?

  Yes

  No

  N/A

• Comments

• On a scale of 1-5, rate their training and qualifications with 5 being the highest

Work History and Experience

• Have they worked in the care industry previously ? If yes, who for and doing what ?

  Yes

  No

  N/A

• Comments

• Have they any unpaid experience? Ie looking after family, neighbour

  Yes

  No

  N/A

• Comments

• Are they currently employed ?

  Yes

  No

  N/A

• Comments

• Have you previously worked as a lone worker? Do they understand what this means?

  Yes

  No

  N/A

• Have they ever worked in any supervisory or management capacity previously ? If yes, provide details?

  Yes

  No

  N/A

• Comments

Further training

• What areas do they believe they could do with further training or experience in to make them a better potential employee of Prime Care at Home Ltd ?

• On a scale of 1-10, rate their suitability based on their answers above (10 being the highest) ?

• Comments

What are they looking for ?

• What are your goals for the next 6 to 12 months ?

• What are your goals for the next 2 to 5 years ?

• Comments

• On a scale of 1-10, rate their suitability based on their answers above (10 being the highest) ?

Questions

• What qualities do they believe a good support worker must have? Do they feel that they have these qualities and why?

• What do you believe is your greatest achievement to date in your personal life ?

• Describe the most difficult decision you have had to make in your work life and how you made it ??

• What do you believe is your greatest achievement to date in your work life ?

• If you they were to be offered a position - what would they be most apprehensive about?

• On a scale of 1-10, rate their suitability based on their answers above (10 being the highest) ?

Personality

• Were they cheerful, outgoing, shy, talkative, etc?

  Yes

  No

  N/A

• Comments - suitable for which service users?

• On a scale of 1-10 - do we have service user's that we can match them to?

Applicant Questions

• Do you have any questions regarding this interview or Prime Care at Home Ltd in general ?

• Comments

Final Question

• Why do you feel we should employ you? What makes you the person we want to employ in preference to the next applicant ?

• Comments

• On a scale of 1-10, rate their answer above (10 being the highest) ?

Interview Conclusion

• Time of conclusion of interview :

  Date

Recommendation

• Overall, are they suitable for this position ?

  Select Yes, highly recommended Yes, suitable Yes, but emergency only Not at this time No, not ever

  • Yes, highly recommended
  • Yes, suitable
  • Yes, but emergency only
  • Not at this time
  • No, not ever

• Why ?

• Signed

  Sign

• Signed

  Sign