Solomon Care Limited: Reference Request
Name of Applicant:
Name of Referee:
If you are a representative of the Applicant’s current or previous employer, please complete both Part A and
Part B below. If you are giving a reference in any other capacity, please complete only Part B. If necessary,
please include further details on a separate sheet.
Part A
What is the name of your Barchester Healthcare – Kingswood Court Care Home
organisation?
What position do you hold? Senior
How long have you worked/did you Yes, I have worked with the applicant for 10 months.
work with the Applicant?
Please confirm the Applicant’s role Maintenance Assistant
and/or duties
Please confirm the Applicant’s dates Employment Employment
of employment: commenced: 17/04/2023 ended: 25/12/2023
Please confirm the reason for the The applicant started his own company, so he resigned from his
termination of the Applicant’s position.
employment. If the Applicant was
dismissed, please explain the reason
for the Applicant’s dismissal and the
surrounding circumstances.
Please confirm the Applicant’s current £23,000
salary (or their salary on termination).
Please rate the Applicant against the Needs
Needs
following criteria: (please continue on substantial Acceptable Strong Outstanding
development
separate sheet if required) development
Attitude to work
Attendance
Reliability
Working relationships with other staff
Skills
Experience
Part B
Please confirm the number of days' sickness The applicant has not been absent.
absence the Applicant took during the final 12
months of their employment.
Has the Applicant been the subject of disciplinary No
proceedings (whether formal or informal) during the
last 12 months of their employment? If so, please
provide details of the allegation (s) against the
Applicant and the outcome of the proceedings.
Has the Applicant been the subject of disciplinary No
proceedings (whether formal or informal) involving
issues related to the safety and welfare of children
or vulnerable adults. If so, please provide details of
the allegation (s) against the Applicant and the
outcome of the proceedings.
Please provide details of any allegations or concerns
that have been raised (whether formally or
No
informally) about the Applicant which relate to the
safety and welfare of children or vulnerable adults.
Are you satisfied that the Applicant has the ability Yes, he is suitable for this role.
and is suitable to undertake this role? If not, please
give specific reasons for your concerns.
Are you completely satisfied that the Applicant is Yes, I’m completely happy and satisfied for his
suitable to work with children and vulnerable position for this work
adults? If, not please give specific reasons for your
concerns.
Would you be willing to re-employ the Applicant? If -
your answer is “No”, please explain why.
Part C
What is your relationship to the Applicant? Friend
How long have you known the Applicant? 30 Years
Based on your knowledge and experience of the Yes, he is suitable for this post.
Applicant, do you believe that he/she is suitable for
the post applied for?
Based on your knowledge and experience of the No
Applicant, do you have any reason to believe that
he/she is unsuitable to work with children or
vulnerable adults?
Please include any other information which you Nothing much to add up. He is suitable for this role
consider may be relevant to the Applicant’s for your company.
application?
Signed: SHINIVARGHESE
Dated: 06/11/2024
