Application form

Application number
(Internal use only)

Please complete this form in black ink or black type.

A Curriculum vitae will not be accepted.
Post applied for: Dementia Support Worker
Newcastle upon Tyne
Location:

Personal details
First name:
Last Name:
Email:
Primary Tel No:
(Please indicate if this is a textphone
number)
(If you are shortlisted, we may contact you by
phone.)
Secondary Tel No:
Home address inc. post code:

Paul
Welburn
paul@welburn8.wanadoo.co.uk
07709769872

01207 581845
86 Briardale
Delves Lane
Consett
Co.Durham / DH8 7BD

Present or last post

Employer:
Address:

Durham County Council

Ebony Woodwork
No. 1 Industrial Estate

Consett
Co. Durham
Position held:

Care Support

Current salary:

18,376

Date started:

17th October 2005

Date left (if

applicable):
Reason for
leaving:

N/A

Main duties and responsibilities:

To support people in community based activities,
choices and interests, including the use of public
resources and transport.
To help facilitate 'social inclusion' by assisting people
to develop their own community networks of
community support.
To assist in developing 'local community links with
others, e.g. voluntary agencies, local councils,
community centers etc.
Maintain appropriate records where necessary.
To follow the appropriate policy, procedues and
guidelines relating to learning disabilities services
and durham county council.

Website www.alzheimers.org.uk
Registered charity no 296645. A company limited by guarantee and registered in England no 2115499.

Previous posts (most recent first)

Employer:
Address:

Serco

Main duties and responsibilities:

Hassockfield Secure Training Centre

Corbridge Road
Medomsley Edge

Preparing trainees for education, escorting trainees to

Consett

History and P.E. I was also teaching crime avoidance

Position held:

Custody Officer

Date started:

20th June 1999

Date left:

17h October 2005

education and assisting the teacher in class to conduct

a number of lessons such as, I.T, Maths, English,
and creating crime avoidance packages.
Other duties included regular MDT meetings, High
risk assessment meetings, making sure units where
safe and secure.
Working with admissions on a weekly basis.

Employer:
Address:

Durham & Darlington NHS Trust

Earls House Hospital

Main duties and responsibilities:

Lanchester Road
Durham

using expert communication skills to engage with

vulnerable people.

Position held:

Nurse Assistant

Date started:

2nd January 1999

Interpreting and understanding behaviour and

evidence-based outcomes to develop individual care
packages;

Date left:

20th June 1999

Coordinating healthcare reviews/care plans with other

health and social welfare professionals, and
completing appropriate paperwork
Seeing to their personal care needs.

Other previous posts (please continue on a separate sheet if necessary)

Employer
European Services for People with
Autism
Luigi o Flanagans

Date
from
22.06
1998
02.04
1997

Date
to
02.01
1999
13.01
1998

Job title
Support Worker
Head Wine Waiter

Website www.alzheimers.org.uk
Registered charity no 296645. A company limited by guarantee and registered in England no 2115499.

Education, qualifications and training

Please note: where a specific qualification is an essential requirement in the person specification you
will be required to produce original certificates if you are offered the post.
Qualification or course

Place of study

Date

Grade
achieved (if
applicable):
Pass

Preparing to Teach in the Lifelong

Stanley One Point

completed
January 2014

Learning Sector (C&G Level 4)

Information Technology (OCR Level 2)
Principles of Business and

E: Learning
E: Learning

August 2013
October 2012

Pass
Pass

Administration (QCF Level 2)

Photography (Level 3 Diploma)
Photography (Level 3 Certificate)
Adult Literacy (C&G Level 2)
Dementia Awareness NCFE Level 2
Adult Numeracy (C&G Level 1)
NVQ Level 3 Health & Social Care
NVQ Level 2 Health & Social Care
Safe Handling of Medicines (NCFE 2)
Infection Control

Newcastle College
Newcastle College
DCC
Bishop Auckland college
DCC
Hartlepool College
Hartlepool College
Bishop Auckland college
New college Durham

July 2012
July 2012
Sept 2010

Merit
Merit
Pass
Pass
Pass
Pass
Pass
Pass
Pass

August 2010
March 2010
July 2008
Dec 2007
May 2006

References
Please give the name and addresses of two referees. One must be your current or most recent
employer, or tutor if you are a student or school leaver. Please note references from personal friends
or relatives are not acceptable.

Name
Position
Organisation
Address

Current or most recent

employer
Paul Graydon
Area Manager
Durham County Council
Priory House,
Abbey Road,
Pity Me,
Durham
DH1 5RR

Mobile: 07766785219
Telephone
Email
Paul.graydon@durham.gov.uk
May we contact this referee if you are shortlisted?
Yes
No

Name
Position
Organisation
Address

Steven Laws
Previous Senior Care Support
HMP Frankland Prison
25 Raby Road,
Newton Hall Estate,
Durham,
DH1 5NJ

07800940784
Telephone
Email
Not Known
May we contact this referee if you are shortlisted?
Yes
No

Additional information
Do you have any unspent criminal convictions?

Yes

No

(If yes, please give brief details)

Please note: If the post for which you have applied is exempt from the provisions of the Rehabilitation of
Offenders Act 1974, you will be required to complete a criminal records check (through the Disclosure
and Barring Service in England and Wales, or AccessNI in Northern Ireland).

Website www.alzheimers.org.uk
Registered charity no 296645. A company limited by guarantee and registered in England no 2115499.

Are there any restrictions on your right to work in the UK?

Yes

No

Yes

No

Yes

No

If yes, please specify:

Are you connected to a business which trades with Alzheimers Society?

If yes, please state relationship and business:

Are you related to or a partner of an Alzheimers Society employee?

If yes, please state the name(s), relationship
and if an employee, their job title:

How did you hear about this vacancy?

Please specify which job board / social media site / newspaper / agency if applicable.

Northeast Jobs

Personal statement
Please explain why you are applying for this post, stating your relevant experience and skills.
Please refer to the job description and person specification and continue on a separate sheet if
necessary.
While I have been working for Durham County Council, I worked on a Dementia care unit with 10 people.
During the time working on this unit, I supported the people with various activities including memory test
activities and sorting out old memorabilia such as post cards, pictures and books to allow the people to
recollect their past. Stories of old were also used to help the people I worked with remember aspects of
their past. Other duties included taking food orders, keeping the people safe within the building,
escorting the people to their relevant transport.

Personal statement (continued)

My current role involves assisting with risk assessments and working with other community groups such
as parents and carers whom i have created an excellent relationship with. I work in a person centred
way and encourage choice and independence by interacting with the service user and understanding
what their needs are, and how they want to achieve their goals. In my role as a community coach, I
managed a football team consisting of service users who live in and around the Consett area. The team
have entered into a learning disabilities Abilility Counts League and played around the north east one
sunday every month, which allows myself work flexable to the organisational demands and to meet the
Website www.alzheimers.org.uk
Registered charity no 296645. A company limited by guarantee and registered in England no 2115499.

needs of the service user. The service users also trained at consett Belle Vue leisure centre on a
Tuesday afternoon.
I have succesfully supported people to access public transport around the North East, giving them
confidence in developing their own social network and promoting social inclusion. I have also
encouraged the service user to help me in situations to enable empowerment for the service user and
also independence from my support.
I have developed myself a large social and educational network around the Derwentside area,these are
community centres, leisure centres, college, this has helped me start new activities and courses for the
people which whom I work with and has proved very effective in their learning. These activities and
courses are fun and has an educational value. I have encouraged physical exercise to stay fit and
healthy, and also to teach the service user new and exciting opportunities that has allowed the service
user enjoy what he/she has done.
I have also helped reintroduce some service users back into the service who have been away for some
time and that lost the confidence to interact with people they once knew.
I am always willing to take the opportunity to learn knew aspects of my role and to do extra duties that is
asked of me. I organise my work load well and keep up to date of my paperwork. I gather information
and share with my colleagues and other agencies but keep confidentiality.
Part of my role is to be key worker to to an individual person who's review meeting's I have attended with
their parents or carers and their social workers. In these meeting I have discussed their person centred
plan and how this is working with the activities they do.
I am approachable , friendly and professional and work as a team player, this reflects how I have been
seen to do my job well in the community and praised by otside agencies.

Starting 12th of january 2009 i was given role of acting senior community coach. I maintained this role
Iuntil january 2010. In this role, I managed a small unit based in Consett Methodist church consisting of
four staff and over twenty service users. My duties included organising rota's, dealing with petty cash,
dealing with any problems with outside agencies and also parents & carers, making sure all files and
paper work are up to date, dealing with transport money, keeping working area safe and tidy, dealing
with any staffing issues. These duties are not exhaused.
I worked in Apopka, Florida, U.S.A. on the Camp America program, working with people with learning
and phisical difficulties on a summer camp. Duties included assisting with personal hygiene of the
resident, assisting with the daily activities which included swimming, canoeing, sports and games,

Website www.alzheimers.org.uk
Registered charity no 296645. A company limited by guarantee and registered in England no 2115499.

nature, and arts and crafts and helping the resident make costumes or songs for the night time activities.
When summer camp had ended I was offered a place working in one of the group homes owned by the
company quest who owned the summer camp in which I worked. I worked with some of the residents
Who were on the summer camp for the 12 week duration. This included feeding, personal hygeine,
laundrey duties, cleaning and report writing.
I have very good organisational skill and able to communicate effectivly. I have a great knowledge of
computer packages such as word and excel and use the internet with great effect. Since i have joined
Durham county council, I have aquired numerous qualifications including NVQ level 2 and level 3 in
health & social care. I have completed a certificate in dementia Awareness and I am always willing to
learn more.
Short courses I attended with Durham County Council, this list is not exhausted:
Equality & Diversity
Moving & Handling
Mental Health Awareness
First Aid
Dater Protection Act 1998
Anaphylaxis
Handling Violence & Aggression at Work
Recording
Communication Workshops

Declaration
I confirm that the details given in this form are correct and understand that any false declaration may
result in disciplinary action being taken, which could result in my dismissal from post.
I hereby explicitly consent to Alzheimers Society holding my personal details within a manual or
electronic filing system in relation to the Data Protection Act 1998.
Signature

P A Welburn

Date

14th February 2016

To submit your completed application form, please refer to the advert for contact details of the
recruiting manager.

Website www.alzheimers.org.uk
Registered charity no 296645. A company limited by guarantee and registered in England no 2115499.