Contact Form222

Company Portfolio Form

Follow the instructions and fill in the form with relevant information. Make sure that all the information provided is accurate to the best of your knowledge.

Business Name:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Your Company House:

Are you CQC Registered?

YesNo

CQC Registration Link:

Do you have DUNS Number?

YesNo

DUNS Number

Are you VAT Registered?
YesNo

VAT Number

Do you have a Website?
YesNo

Website URL

Kindly indicate the total workforce within your organisation, covering Registered Managers, Care Workers,
Senior Carers, Nurses, and the Management team.

Care Workers

Senior Carers

Nurses

Management

Please outline your approach to staff induction, recruitment, and retention, as well as the measures you follow to manage workforce shortages.

Applicant Eligibility Criteria

Platforms Used for Staff Recruitment

Please specify the software or platform you use for staff recruitment.

Are your organisational policies managed through QCS, or do you use a different platform?

Do you possess relevant previous experience?

YesNo

Total number of contracts in place (Public / Private):

123

	Contract 1	Contract 2	Contract 3
Name of customer organisation who signed the contract
Name of supplier who signed the contract
Point of contact in the customer’s organisation.
Position in the customer’s organisation
E-mail address
Description of contract.
Contract Start date.
Contract completion date.
Estimated contract value

Description of the Contract

How many service users are supported through this contract?

Service Capacity Information (e.g., number of beds or placements)

Information on Variable Service Capacity

Please select the types of services or accommodation you provide

Residential Care – Long-term accommodation with 24/7 support (e.g., care homes).Supported Living – Independent or semi-independent living arrangements with tailored support.Domiciliary Care (Home Care) – Personal care and assistance delivered in the service user’s own home.Live-In Care – Continuous care provided by a carer residing in the service user’s home.Respite Care – Short-term care provision to give relief to family or primary caregivers.Day Centre Services – Structured daytime activities and support programmes.Specialist Accommodation – Purpose-designed housing solutions (e.g., for individuals with autism, dementia, or complex needs).

Monitoring & Evaluation Tools for Outcomes

4. What IT systems and infrastructure are in place (or planned) within your organisation?

Designated IT Administrator:

Please specify the software used for Care Management:

Tools Used for Data Security & Protection:

Use of Cloud-Based Servers:

Encrypted Email Solution Used:

4. What IT systems and infrastructure are in place (or planned) within your organisation?

Name and Contact Information of Safeguarding Lead

Systems/Software for Compliance Monitoring:

Organisation Workforce Structure

Role within Organisation: Registered Manager or Director

Name

Relevant Qualifications and Certifications:

Experience:

Role: Care Coordinator/Care Assessor

Name

Professional Qualifications & Certifications:

Additional Training:

Role/Position: HR or Compliance Manager

Name

Professional Qualifications

Experience:

Role/Position: Care Assessor (Registered Nurse)

Name

Professional Qualifications & Certifications:

Experience:

Designation – Administrator

Name

Professional Qualifications & Certifications:

Experience:

Please confirm (tick ‘Yes’) if your Care Workers comply with each item listed, and add more if applicable.
Experienced & Competent – Care workers are professionally trained and formally signed off as competent.Care Certificate – All care workers obtain their Care Certificate within 8 weeks of recruitment.Qualifications – NVQ Level 2 – At least 60% hold NVQ Level 2 (or equivalent) in Health & Social Care or related subjects.Qualifications – NVQ Level 3+ – At least 40% hold NVQ Level 3 or higher qualifications.Training Matrix Compliance – In line with your training matrix policy, each employee receives 14 days of training, covering the 15 standards of the Care Certificate.

Accreditations & Affiliations – Please list any memberships with recognised industry bodies or quality assurance organisations (if applicable).

Experience & Expertise – Please outline your organisation’s years of experience, notable projects, and key achievements in healthcare or social care.

Testimonials & Case Studies – Provide positive feedback or examples of successful work, if available, to demonstrate trust and credibility.

Partnerships & Collaborations – Please outline any joint work with reputable healthcare organisations or local authorities (if applicable).

Technology & Innovation – Outline any advanced systems or digital solutions you use to enhance service quality and efficiency.

Community Impact – Outline any community initiatives or activities your organisation is involved in, demonstrating your commitment to social value.

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Contact Form222

Company Portfolio Form

4. What IT systems and infrastructure are in place (or planned) within your organisation?

4. What IT systems and infrastructure are in place (or planned) within your organisation?

Organisation Workforce Structure

Role within Organisation: Registered Manager or Director

Role: Care Coordinator/Care Assessor

Role/Position: HR or Compliance Manager

Role/Position: Care Assessor (Registered Nurse)

Designation – Administrator

Quick Links

Legal Policies

Information

07392 565676

info@hsacare.co.uk

Address