El Roi Ltd
Full Policy Manual
More Than Care. We See People

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

1. Absence and Timekeeping Policy
Punctuality and attendance are essential for all El Roi Ltd agency workers. Agency workers must arrive at their booked care home shifts on time and be prepared to work professionally. Reliability is crucial for maintaining trust with client organisations and ensuring continuity of care.
Shift Attendance Expectations
  • Arrive at the booked care home shift on time and ready to work
  • Contact the care home directly if running late, following their preferred communication method
  • Notify El Roi Ltd immediately if you are running late or unwell
  • Be prepared and professional throughout your shift
Cancelling Shifts
  • Standard notice: 12-24 hours minimum notice required
  • Emergency situations: Contact El Roi Ltd immediately for illness, family emergencies, or unforeseen circumstances
  • Procedure: Contact El Roi Ltd first, then the care home if instructed to do so
Impact on Client Trust
As a care staffing agency, reliability from our agency workers directly impacts our contractual relationships with client organisations. Unreliable attendance:
  • Damages El Roi's reputation with care homes
  • Affects continuity of care for vulnerable residents
  • Places additional burden on care home staff
  • May result in loss of future placement opportunities
Consequences of Poor Attendance
  • First instance: Verbal discussion and guidance
  • Repeated lateness: Formal review and potential reduction in shift offers
  • No-shows or persistent unreliability: May result in removal from the agency rota
  • Serious breaches: Immediate termination of agency relationship
Record Keeping
Agency workers must maintain accurate records of their working hours and report any discrepancies to El Roi Ltd promptly.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

2. Client & Worker Feedback Policy
El Roi Ltd values feedback from clients and workers as an essential part of maintaining high standards of service and ensuring continuous improvement.
Feedback Principles
We believe open communication helps build trust, strengthen relationships, and identify opportunities to enhance our services. Feedback, both positive and constructive, is encouraged and welcomed at all times.
Feedback Process
Provide Feedback
Clients and workers can provide feedback verbally, in writing, or through the feedback form available on our website or in person.
Management Review
All feedback is reviewed by management within five working days.
Investigate Concerns
Concerns or complaints are logged, investigated, and responded to promptly and fairly.
Share Positive Feedback
Positive feedback is shared with staff to recognise good performance and encourage best practice.
Monitoring and Review
Feedback trends are monitored monthly and form part of the company's quality assurance process. A summary of key findings and improvements is included in quarterly review meetings.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

3. Code of Conduct Policy
We expect high standards of behaviour, professionalism and reliability from our agency workers. Our Code of Conduct is aligned with Skills for Care and CQC expectations. Agency workers must work with integrity, respect, and compassion, always prioritising the welfare of the service users within the host organisations, and adhering to both El Roi Ltd's policies and the host organisation's procedures.
Our Core Values in Action
El Roi Ltd's Code of Conduct reflects our commitment to excellence in providing professional agency staff for care settings. Every agency worker, regardless of role, is expected to embody our values of compassion, integrity, respect, and accountability. These values guide decision-making, shape interactions with service users at host organisations, colleagues, and host organisation staff, and underpin everything we do. Our reputation depends on each person upholding these standards consistently, recognising their dual responsibility to El Roi Ltd and the host organisation.
Compassion
Show kindness and empathy in every interaction with service users and colleagues at host organisations
Honesty
Be truthful and transparent in all communications with El Roi Ltd, host organisations, and service users
Respect
Value diversity and treat everyone, including service users, host organisation staff, and colleagues, with dignity
Reliability
Be punctual, dependable and consistent, fulfilling all commitments to both El Roi Ltd and host organisations
Excellence
Strive for the highest standards in all duties, adhering to both El Roi Ltd's standards and host organisation's procedures
Teamwork
Collaborate effectively with El Roi Ltd, colleagues, and staff at host organisations to ensure seamless service delivery
Expected Standards of Behaviour
Agency workers must arrive on time for shifts at host organisations, properly prepared and equipped for their duties. Communication with service users, their families, host organisation staff, and El Roi Ltd colleagues must be respectful, clear, and professional at all times. Agency workers must maintain confidentiality, follow both El Roi Ltd's policies and the host organisation's procedures diligently, and take responsibility for their actions. Bullying, harassment, discrimination, dishonesty, or behaviour that brings El Roi Ltd or the host organisation into disrepute will not be tolerated. Agency workers must be fit for duty and must not work under the influence of alcohol or non-prescribed drugs.
Personal conduct outside of work should not compromise professional standing or public confidence in the care sector, or negatively impact El Roi Ltd's relationship with client organisations. Agency workers must disclose any criminal convictions, cautions, or investigations promptly to El Roi Ltd. Safeguarding concerns must be immediately reported to both the host organisation's designated safeguarding lead and El Roi Ltd. Social media use must be professional and respectful – never post about service users or staff at host organisations, or content that could bring El Roi Ltd or the client organisation into disrepute.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

4. Communication Policy
El Roi Ltd promotes open, clear, and respectful communication. All verbal and written interactions, both internal and external, must be professional and adhere to our policies and host organisation procedures, especially regarding incident reporting and confidential information.
Effective Communication Principles
Clear, timely communication is vital for safe, person-centred care and effective teamwork. Agency workers must proactively and professionally engage with El Roi Ltd colleagues, host organisation staff, service users, their families, and external professionals to ensure coordinated support and prompt issue resolution.
Active Listening
Give full attention, ask clarifying questions, and demonstrate understanding when interacting with service users and host organisation staff.
Clear Expression
Communicate clearly, avoiding jargon, and adapt your style to the audience, always verifying understanding.
Accurate Recording
Document information objectively, factually, and promptly, adhering to the host organisation's record-keeping policies.
Respectful Dialogue
Maintain professionalism in all conversations, being constructive, non-judgmental, and solution-focused.
Communication Channels and Tools
Use El Roi's internal systems (secure messaging, email, phone) and the host organisation's methods (handovers, care records, incident forms). Select channels based on urgency and confidentiality. Urgent safeguarding concerns require immediate verbal and written reporting to both organisations. Confirm receipt of critical communications.
All written communication must be professional and objective. Use accessible language with service users and families, checking understanding and using interpreters when needed.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

5. Complaints Policy
We value all feedback and aim to resolve complaints promptly and fairly. El Roi staff must respond professionally to any dissatisfaction expressed. Agency workers, client organisations, and stakeholders are encouraged to report concerns using our complaints process. Records of all complaints will be kept and reviewed to improve services and ensure regulatory expectations are met.
5. Complaints Policy
El Roi Ltd views complaints as opportunities to learn and improve. We welcome feedback from agency workers, client organisations, and El Roi staff. Every complaint is taken seriously and handled with sensitivity and professionalism. We aim to resolve issues at the earliest possible stage, maintaining open communication throughout the process.
Raise Concern
Complaint received verbally or in writing from an agency worker or client organisation.
Acknowledge
Response within 3 working days to the complainant.
Investigate
Fair and thorough review of all evidence, engaging relevant parties from El Roi and/or the client organisation.
Resolve
Outcome communicated with clear actions to address the complaint and prevent recurrence.
Making a Complaint
Agency workers or client organisations can make complaints verbally to any member of El Roi staff or in writing to the registered manager. We will acknowledge receipt within three working days and aim to provide a full response within 28 days. If we need more time for complex investigations, we will keep you informed of progress. All complaints are recorded, investigated impartially, and used to identify themes and drive continuous improvement in our services and agency worker placements.

Independent Support: If you are not satisfied with our response regarding a complaint related to care services provided via an agency worker, you can contact the Local Government and Social Care Ombudsman or the Care Quality Commission (CQC) for independent review.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

6. Confidentiality and GDPR Policy
All personal information related to agency workers, client organisations, and any individuals encountered within host care settings must be handled with care and only shared on a need-to-know basis. El Roi Ltd complies with the Data Protection Act 2018 and UK GDPR. El Roi staff are not to disclose agency worker, client organisation, or sensitive information from host settings without proper authorisation. Breaches will result in disciplinary action.
Lawfulness and Fairness
We process personal data lawfully, fairly and transparently. Agency workers and client organisations are informed about how their information is used and have the right to access their records.
Purpose Limitation
Personal data is collected only for specified, explicit and legitimate purposes, primarily for recruitment, placement, and ensuring regulatory compliance. We do not use information in ways incompatible with those purposes.
Data Minimisation
We collect only the information necessary for our agency operations and business purposes. Excessive or irrelevant data is not retained.
Security and Accountability
Appropriate technical and organisational measures protect personal data from unauthorised access, loss, or damage. We maintain records of all processing activities and ensure agency workers understand their responsibilities regarding data in host settings.
Handling Confidential Information
Agency workers must never discuss confidential information in public or with unauthorised persons, except for safeguarding purposes. Workers must follow both El Roi's and host organisation's confidentiality policies. Documents must be stored securely, electronic records password-protected, and sensitive emails encrypted where possible.
Any confidentiality breach must be reported immediately to your line manager and El Roi's Data Protection Officer. Host organisation breaches must also be reported to the relevant contact within that organisation. Serious breaches may require ICO reporting within 72 hours. Deliberate breaches will result in disciplinary action up to dismissal.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

7. Contractual and Fee Structure Policy
El Roi Ltd maintains transparent, fair, and legally compliant contractual and financial arrangements with all clients, staff, and partners, clearly defining obligations and rates.
Scope
This policy applies to all agreements with clients, staff (Healthcare Assistants, Support Workers, Nurses), and partner organisations.
Key Aspects of Our Contractual & Fee Structure
Client Agreements
  • Written Service Level Agreements (SLA) and Rate Sheets provided.
  • Rates include statutory costs; reviewed and updated regularly.
  • Clients are notified of any changes.
Worker Agreements
  • Workers are engaged on Zero-Hour Contracts with weekly/fortnightly pay.
  • Pay complies with UK employment law and national minimum wage.
  • Deductions (tax, NI, pension) are per HMRC regulations; holiday pay rolled up where applicable.
Fee Structure
  • Rates reflect staff pay, statutory costs, and operational overheads.
  • Competitive, transparent, and regularly reviewed rates.
  • El Roi Ltd aims to match or beat verified competitor rates.
Invoicing and Payment
  • Weekly invoices issued with authorised timesheets.
  • Payment terms are 14 days from invoice date.
  • Late payments may incur administrative fees.
  • All transactions via El Roi Ltd's registered business account.
Dispute Resolution
Payment or rate disputes are handled promptly by management as per our Complaints Policy.
This policy is reviewed annually or upon regulatory changes.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

8. Dementia Awareness Policy
Purpose
El Roi Ltd is committed to ensuring all staff understand the needs, experiences, and dignity of people living with dementia.
Policy Statement
Dementia affects memory, communication, and behaviour in different ways for every individual. Our approach is grounded in empathy, patience, and respect. We expect all staff to adopt person-centred care practices that promote comfort, inclusion, and safety.
Our Commitment
Staff Training
Staff will complete dementia awareness training before placement.
Calm Communication
Communication should always be calm, clear, and reassuring.
No Arguments
Staff should avoid correcting or arguing with individuals who are confused.
Recognise Triggers
Staff should recognise and record behavioural or environmental triggers.
Dignity and Choice
Staff must support dignity, privacy, and choice at all times.
Individualised Care
The care provided should reflect the individual's life history and preferences.
Monitoring and Review
Training compliance and staff feedback will be reviewed annually.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

9. Net Zero and Environmental Sustainability Policy
Purpose
El Roi Ltd recognises its responsibility to protect the environment and reduce its carbon footprint through responsible business operations.
Policy Statement
We aim to operate in a way that minimises environmental impact while maintaining high standards of service delivery. Sustainability is a shared responsibility across our organisation.
Our Commitments
Reduce paper use
Through digital documentation wherever possible.
Encourage recycling
And proper waste segregation in all work settings.
Promote energy conservation
By turning off lights and equipment when not in use.
Encourage eco-friendly transport
Staff and partners are encouraged to use eco-friendly transport options.
Engage responsible suppliers
Who demonstrate environmentally responsible practices.
Review environmental impact annually
And update targets accordingly.
Long-Term Goal
El Roi Ltd is committed to supporting the UK's Net Zero strategy by 2050 through continuous improvement in sustainability practices.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

10. Third-Party Referral Policy
Purpose
This policy ensures transparency and integrity in all referral arrangements made by El Roi Ltd involving clients, care homes, or candidates.
Policy Statement
El Roi Ltd may occasionally receive or make referrals to other organisations. These will always be handled professionally, ethically, and in accordance with data protection and confidentiality laws.
Guidelines
All referral agreements must be transparent and documented.
No referral will take place without the individual's consent.
El Roi Ltd will never sell, trade, or misuse personal data.
Any referral fees or incentives will be clearly declared and compliant with relevant regulations.
Information shared with third parties must be limited to what is necessary for safe and lawful operation.
All data transfers must comply with UK GDPR and confidentiality policies.
Monitoring and Review
This policy will be reviewed annually to ensure compliance with CQC standards and data protection law.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

11. Specialist Training Policy
Purpose
El Roi Ltd is committed to ensuring that all staff receive training beyond mandatory requirements, supporting them to deliver safe, effective, and person-centred care in specialist areas.
Policy Statement
Specialist training covers additional subjects such as Dementia Care, Learning Disabilities, Autism Awareness, Challenging Behaviour, Mental Health, Diabetes, Epilepsy, and End-of-Life Care.
Our Approach
All staff will complete mandatory training before being offered placements.
Specialist training needs will be identified during induction and supervision.
Courses will be delivered by accredited training providers such as Careskills Academy.
Training certificates will be verified and recorded on the staff training matrix.
Staff are encouraged to request further training to enhance their professional development.
Refresher training for specialist areas will be provided every 12–24 months, depending on the topic.
Compliance
This policy supports the CQC Single Assessment Framework quality statements on workforce competence, induction, and ongoing training.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

12. Conflict of Interest Policy
Purpose
The purpose of this policy is to protect the integrity and reputation of El Roi Ltd by ensuring that all employees and representatives act in the best interests of the company and its clients.
Definition
A conflict of interest occurs when personal, financial, or other considerations could compromise or appear to compromise an individual's professional judgement or integrity.
Examples of Potential Conflicts
Working for or having financial interest in another care provider without disclosure.
Making decisions that could benefit family or friends over clients.
Accepting gifts or benefits that could influence professional actions.
Procedure
  • Employees must declare any potential conflict immediately to management.
  • Management will review the situation and determine if action is needed.
  • Breaches of this policy may result in disciplinary action.
Responsibility
All staff and representatives are expected to act with honesty, transparency, and accountability in all dealings on behalf of El Roi Ltd.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

13. COVID-19 Guidelines
El Roi Ltd continues to follow public health guidance on infection prevention, including COVID-19 protocols. All agency workers must remain vigilant and follow current guidelines to protect themselves, colleagues, and the vulnerable individuals they support.
Health Monitoring and Reporting
  • Report any COVID-19 symptoms immediately to El Roi Ltd before attending any shift
  • Follow current isolation guidelines if experiencing symptoms or testing positive
  • Inform both El Roi Ltd and the placement setting of any positive test results
  • Do not attend work if unwell, even with mild symptoms
Personal Protective Equipment (PPE)
  • Wear PPE as required by the placement setting and current guidelines
  • Follow proper donning and doffing procedures
  • Report any PPE shortages to the care home and El Roi Ltd immediately
  • Maintain good hand hygiene practices at all times
Testing and Vaccination
  • Adhere to testing requirements as instructed by placement settings or El Roi Ltd
  • Follow any vaccination requirements where applicable
  • Keep El Roi Ltd informed of your vaccination status if required for specific placements
Workplace Protocols
  • Follow all COVID-19 protocols specific to each placement setting
  • Maintain appropriate social distancing where possible
  • Support infection control measures within care environments
El Roi Ltd will continue to monitor public health guidance and update protocols as necessary to ensure the safety of all agency workers and the individuals they support.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

14. Equality, Diversity and Inclusion Policy
El Roi Ltd promotes inclusion, equality, and respect across all operations, agency workers, and client interactions. Discrimination, harassment, or victimisation will not be tolerated. Agency workers must treat others fairly regardless of protected characteristics and uphold these principles in all placements.
Our Commitment to Equality
El Roi Ltd celebrates diversity and believes everyone deserves dignity and respect. We actively challenge discrimination and ensure agency workers are equipped to operate in inclusive environments across all placements.
Age
Equal treatment and opportunities for agency workers of all age groups, within El Roi and client settings
Disability
Reasonable adjustments and inclusive practices for agency workers, in collaboration with client organisations
Gender
Fair treatment for all agency workers regardless of gender identity or expression, reflecting El Roi's values and those of client organisations
Race & Religion
Respect for cultural backgrounds and beliefs among agency workers and within client organisation environments
Sexual Orientation
An inclusive environment for all agency workers, ensuring respect and understanding in all placements
Challenging Discrimination
Agency workers experiencing discrimination must report it immediately to their El Roi line manager. All complaints will be investigated thoroughly. Workers are encouraged to challenge inappropriate behaviour constructively. Training is provided on Equality Act 2010 duties and client organisation policies.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

15. Health and Safety Policy
The health, safety and welfare of El Roi's staff, agency workers, and the public are paramount. El Roi agency workers are required to comply with the health and safety policies and procedures of both El Roi Ltd and the client organisations they are placed with. We aim to provide safe working conditions, conduct risk assessments, and comply with the Health and Safety at Work Act 1974. All agency workers must follow procedures, use PPE correctly, and report any hazards or incidents without delay.
Our Commitment
El Roi Ltd takes its legal and moral obligations seriously. We conduct regular risk assessments of our own operational activities, premises, and equipment. El Roi agency workers receive comprehensive training on health and safety procedures relevant to their roles, encompassing both El Roi's policies and general best practices for care settings. We maintain up-to-date records of incidents, near misses, and corrective actions taken involving our agency workers.
01
Identify Hazards
Be constantly aware of potential risks in your working environment, adhering to both El Roi and host organisation guidelines.
02
Assess Risks
Evaluate the likelihood and severity of potential harm in line with host organisation policies.
03
Implement Controls
Put measures in place to eliminate or minimise risks, following host organisation and El Roi procedures for safe practice.
04
Report and Review
Report all incidents, hazards, or near misses immediately to both the host organisation and El Roi Ltd, and continuously improve safety procedures.
Agency Worker Responsibilities
Agency workers must ensure their own safety and that of others by following both El Roi and host organisation procedures, using equipment properly, wearing PPE, and reporting incidents to both parties. Workers must only undertake tasks they are trained for and follow host setting protocols for medication, infection control, and care procedures.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

16. Induction and Training Policy
All new agency workers must complete a comprehensive induction and mandatory training before undertaking unsupervised work. Training must be refreshed according to legislation, El Roi Ltd's policies, and client needs. Agency workers are responsible for actively engaging with all required training to ensure continued professional development and compliance for placement.
Comprehensive Induction Programme
New agency workers undertake a structured induction, aligned with the Care Certificate framework, preparing them for professional placements. It covers El Roi's policies, health and safety, safeguarding, person-centred care, communication, equality/diversity, duty of care, and role-specific competencies. Induction includes guided learning, scenarios, and assessments, tailored to experience and placement requirements.
1
Mandatory Training Modules
Key training includes safeguarding adults, health and safety, infection control, safe moving and handling, first aid, food hygiene, GDPR, equality/diversity, mental capacity/consent, and medication administration (where applicable). Emphasis is placed on adhering to client organisation policies.
2
Refresher Training Schedule
Most mandatory training requires annual refreshers, with specific modules having defined renewal periods dictated by regulatory bodies. Agency workers receive advance notification and are responsible for prioritising attendance to remain eligible for placement.
3
Continuous Professional Development
El Roi Ltd encourages agency workers to pursue additional learning relevant to professional growth and care setting demands, such as specialist training or qualifications, to enhance skills for future placements.
Training Records and Accountability
El Roi Ltd maintains accurate training records. Agency workers are responsible for attending all scheduled training and completing e-learning modules on time. Failure to maintain up-to-date mandatory training may lead to temporary suspension from placement opportunities or disciplinary action. We invest significantly in our agency workers' development and expect active engagement to enhance care quality.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

17. Infection Control Policy
El Roi Ltd's agency workers must adhere to stringent infection prevention and control (IPC) procedures, including diligent hand hygiene, appropriate PPE use, and safe waste disposal. Agency workers must always follow the specific COVID-19 and other infection-specific protocols of the client organisation they are placed with, in addition to El Roi Ltd's general guidance. Compliance with the client organisation's Standard Infection Control Precautions (SICP) is everyone's responsibility and a legal requirement for safe care delivery, protecting all individuals within the care setting and the wider community.
Hand Hygiene
Wash hands before and after every contact with an individual supported by the client organisation and after removing PPE
Use PPE
Wear appropriate gloves, aprons, and masks as required by the task and client organisation's policy
Waste Disposal
Segregate and dispose of waste according to client organisation's procedures and regulations
Clean Environment
Maintain high standards of cleanliness and disinfection as per client organisation's guidelines
Laundry Safety
Handle soiled linen safely and wash at appropriate temperatures, adhering to client organisation's protocols
Managing Outbreaks and Specific Infections
El Roi Ltd's agency workers must be alert to signs of infection in the individuals they support within the client organisation's setting (e.g., fever, cough, rash). Suspected infections must be reported immediately to both the relevant contact at the client organisation and El Roi Ltd for appropriate measures. During outbreaks, strict adherence to client-directed additional precautions (e.g., restricted movement, enhanced PPE, increased cleaning) is mandatory. Agency workers must follow the specific COVID-19 protocols of the client organisation they are placed with, staying updated on testing, isolation, and mask requirements. If symptoms of an infectious illness develop, do not attend work; notify both the client organisation and the El Roi Ltd office immediately, and follow NHS guidance.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

18. Lone Working Policy
Agency workers engaged in lone working must inform El Roi management and the host organisation of their location and expected return times, and have access to a phone and emergency procedures. All lone working situations require a joint risk assessment by El Roi and the host organisation to ensure safety, balancing care delivery independence with worker wellbeing.
Managing Lone Working Risks
Risk Assessment
Collaborate with host organisations on individual risk assessments for each lone working situation. Agency workers must be familiar with both El Roi's and the host organisation's assessments.
Communication Protocol
Agency workers must carry a charged mobile phone and inform both El Roi and the host organisation of their location and completion time.
Check-In Procedures
Follow agreed regular check-in calls or messages with both El Roi and the host organisation, with escalation if contact is not made.
Emergency Response
Agency workers must be aware of and follow both El Roi's and the host organisation's emergency procedures, accessing relevant contacts and summoning help when needed.
Agency Worker Responsibilities
Before lone working, ensure you have received appropriate training from both El Roi and the host organisation and have access to necessary safety equipment. Always inform El Roi and the host organisation of your schedule. If a situation feels unsafe or circumstances change, contact both immediately and do not proceed. Trust your instincts – your safety is our priority. Never put yourself at risk.

Emergency Situations: If you feel threatened or unsafe during a lone working placement, leave immediately and contact emergency services if necessary. Then inform both El Roi management and the host organisation. We will support you fully.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

19. Medication Support Policy
El Roi Ltd agency workers may only administer medication where they have received appropriate training and where the client organisation has provided clear guidance and authorisation. Agency workers must follow the specific medication policy and procedures of the host organisation at all times.
Training Requirements
All agency workers involved in medication support must complete "Safe handling of medication" training as a pre-condition before undertaking any medication-related duties. This training must be refreshed as required by legislation and El Roi standards.
Recording and Documentation
  • All medication administration must be recorded accurately on the host organisation's MAR (Medication Administration Record) charts
  • Follow the host organisation's specific recording procedures and timings
  • Any errors, omissions, or concerns must be reported immediately to both the host organisation's designated person and El Roi Ltd
Medication Refusal Protocol
When an individual refuses medication, agency workers must:
  • Respect the person's right to refuse
  • Follow the host organisation's refusal protocol
  • Record the refusal accurately on the MAR chart
  • Report the refusal to the appropriate person within the host organisation
  • Inform El Roi Ltd if required by the host organisation's procedures
Host Organisation Responsibility
The client organisation retains full responsibility for their medication policy, procedures, and oversight. Agency workers are expected to work within these established systems and seek guidance from the host organisation's designated staff when needed.
Incident Reporting
Any medication incidents, errors, or near misses must be reported immediately to both El Roi Ltd and the host organisation's designated contact, following both organisations' incident reporting procedures.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

20. Mental Capacity and Consent Policy for Agency Workers
El Roi Ltd agency workers must operate within the framework of the Mental Capacity Act 2005. This includes always assuming an individual has capacity to make their own decisions unless formally assessed otherwise, and seeking consent for all care and support. If an individual lacks capacity for a specific decision, agency workers must ensure decisions made on their behalf are in their best interests, in collaboration with the host organisation's team.
The Five Statutory Principles
1. Presumption of Capacity
Assume capacity unless proven otherwise through formal assessment.
2. Support to Decide
Take all practical steps to help individuals make their own decisions, guided by host procedures.
3. Unwise Decisions
Individuals have the right to make what others might consider unwise decisions; this does not imply a lack of capacity.
4. Best Interests
Any decision for someone lacking capacity must be in their best interests, as determined by host processes.
5. Least Restrictive
Consider less restrictive options before any actions impacting an individual's liberty or autonomy.
Assessing Capacity and Best Interests in Host Settings
Capacity is decision-specific and time-specific. When concerns arise, El Roi Ltd agency workers must follow the host organisation's procedures for capacity assessment, which evaluates the person's ability to understand, retain, weigh, and communicate a decision. Best interests discussions, involving family and professionals, must respect the individual's wishes and values, using the least restrictive option. Agency workers must also be aware of and adhere to host organisation policies regarding Deprivation of Liberty Safeguards (DoLS) and complete Mental Capacity Act (MCA) training, seeking guidance from both El Roi Ltd and host management when necessary.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

21. Modern Slavery & Human Trafficking Policy
Purpose
El Roi Ltd is committed to preventing modern slavery and human trafficking across all operations and supply chains.
Policy Statement
We maintain a zero-tolerance approach to modern slavery, acting ethically and transparently with robust controls to prevent exploitation.
Our Commitment
Ensure rigorous safer recruitment checks for all staff.
Partner only with suppliers upholding anti-slavery standards.
Provide staff training on exploitation signs and reporting.
Investigate and report all suspicions of slavery or trafficking.
Responsibility
This policy applies to all employees, agency staff, contractors, and partners, with annual review by management.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

22. Professional Boundaries Policy
El Roi Ltd staff must maintain clear, respectful, and appropriate boundaries with agency workers and professional boundaries with client organisations at all times. Personal relationships, financial involvement, or overfamiliarity are not permitted with agency workers. All contact must be professional and within the scope of your role as a representative of El Roi Ltd.
Why Boundaries Matter
Professional boundaries protect El Roi Ltd, its staff, and its agency workers. They ensure that the relationship remains professional, purposeful, and in the best interests of the agency worker, aligning with the needs of client organisations. Clear boundaries maintain professional integrity, prevent exploitation, and uphold public trust in care staffing services. While we encourage supportive and professional relationships with agency workers, these must always remain within professional limits. Boundaries are not about being cold or distant – they are about maintaining a safe and respectful framework for engagement.
Prohibited Behaviours (with Agency Workers)
  • Accepting gifts of significant value or money
  • Borrowing or lending money
  • Entering into business arrangements
  • Romantic or sexual relationships
  • Sharing excessive personal information
  • Contact outside work duties (calls, social media)
  • Taking agency workers on personal outings
Appropriate Behaviours (with Agency Workers & Client Organisations)
  • Warm, friendly, professional manner
  • Respect for personal space and dignity
  • Cultural sensitivity and awareness
  • Clear communication about your role as an El Roi Ltd representative
  • Declining gifts politely or seeking permission
  • Maintaining confidentiality
  • Reporting boundary concerns promptly
Managing Difficult Situations
El Roi Ltd staff may occasionally face situations where maintaining boundaries is challenging, particularly when dealing with agency workers or representatives from client organisations. If an agency worker becomes overfamiliar, makes inappropriate requests, or offers gifts, you must politely decline and explain your professional obligations as an El Roi Ltd employee. Document the incident and inform your line manager immediately. If you feel uncomfortable or unsafe, remove yourself from the situation and seek support. We provide training and supervision to help staff navigate these complex interpersonal dynamics whilst maintaining compassionate and professional support for our agency workers.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

23. Quality Assurance Policy
Purpose
The purpose of this policy is to ensure that El Roi Ltd consistently delivers high-quality staffing services that meet the expectations of our clients, uphold CQC standards, and promote continuous improvement.
Commitment to Quality
We define quality as providing safe, reliable, and person-centred staffing support. Quality assurance is embedded into every aspect of our work — from recruitment and training to feedback and ongoing review.
Our Quality Standards
All staff are fully vetted and trained before placement.
Regular performance reviews and spot checks are conducted.
Clients are encouraged to provide ongoing feedback to monitor satisfaction.
Lessons learned from any concerns or incidents are shared and used to improve service delivery.
Monitoring and Review
Quality audits are completed quarterly, with findings reported to the Managing Director. This policy will be reviewed annually or sooner if required by regulatory change.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

24. Recruitment and Selection Policy
El Roi Ltd is committed to fair, transparent and safe recruitment of agency workers. All applicants for agency worker roles are subject to thorough checks, including right to work and Enhanced DBS. Shortlisting and interviews are based on merit, ensuring candidates are suitable for placement within our client organisations. We ensure compliance with safer recruitment practices in health and social care settings.
Safer Recruitment Principles
Recruiting the right agency workers is fundamental to supporting our client organisations in delivering safe, high-quality care. Our recruitment process is designed to attract, select, and appoint individuals who share our values and possess the competence to fulfil their roles effectively in diverse care settings. We follow best practice guidance from Skills for Care, the CQC, and the Disclosure and Barring Service.
1
Application Review
Scrutinise applications for gaps in employment history and verify qualifications relevant for agency worker roles.
2
Interview Assessment
Structured interviews exploring values, competencies, and scenarios relevant to working as an agency worker in various care settings.
3
Reference Checks
Obtain and verify references, exploring any concerns or gaps in employment history, crucial for agency worker suitability.
4
DBS and Right to Work
Enhanced DBS checks and verification of identity and eligibility to work in the UK for all prospective agency workers.
5
Conditional Offer
Employment offered conditional on satisfactory completion of all pre-employment checks, leading to placement eligibility.
Equal Opportunities in Recruitment
All recruitment decisions are based solely on merit, skills, qualifications, and suitability for agency worker roles within client organisations. We do not discriminate on the basis of any protected characteristic. Interview panels receive training on fair selection practices and unconscious bias. Job descriptions and person specifications clearly define the requirements for each agency worker role. We welcome applications from diverse candidates and are committed to making reasonable adjustments for disabled applicants throughout the recruitment process.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

25. Reference Policy
El Roi Ltd requires at least two references for agency workers during recruitment for placement with client organisations. While employment references are preferred, character references or recent payslips may be accepted in specific circumstances, ensuring a balance between safe recruitment and confidentiality.
Reference Requirements and Verification
References are crucial for assessing an agency worker's suitability and work history. We typically seek two employment references covering the most recent two years, ideally from supervisors with direct knowledge of performance.
Employment References
Written references from previous employers confirming employment dates, role, performance, conduct, attendance, and reason for leaving. We investigate any concerns or employment gaps.
Character References
Accepted when employment references are unavailable (e.g., new entrants). These must verify integrity, reliability, and suitability for care work from professional contacts.
Payslip Verification
A recent payslip may be accepted as proof of employment for confidentiality reasons, supplemented by other verification methods.
Reference Verification Process
All references are verified for authenticity by contacting referees directly using independently sourced details. We ask specific questions regarding suitability for working with vulnerable adults, disciplinary history, and re-employment prospects. Vague responses prompt further investigation, and concerns may lead to withdrawal of a placement offer.
For internal promotions or role changes, external previous employer references are still required if the agency worker has been with El Roi Ltd for less than two years, ensuring a complete work history.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

26. Safeguarding Policy
El Roi Ltd is committed to safeguarding vulnerable individuals. Agency workers must report any concerns about abuse or neglect immediately to both their El Roi line manager and the host organisation's safeguarding lead. We operate in accordance with the Care Act 2014 and expect workers to follow both El Roi's and client organisation's safeguarding policies. All allegations will be investigated promptly. Mandatory safeguarding training is required for all agency workers.
Dual Reporting Obligation
Report all concerns about abuse or neglect without delay to your El Roi line manager AND the designated safeguarding lead within the host client organisation.
Compliance & Adherence
Agency workers must comply with the Care Act 2014, local safeguarding authority requirements, and the safeguarding policies of the host client organisation.
Mandatory Training
Regular safeguarding training and refresher courses are required for all El Roi agency workers to meet industry standards.
Key Responsibilities of Agency Workers
Every El Roi agency worker has a personal responsibility to protect vulnerable individuals from harm within the client organisations where they are placed. This includes being vigilant to signs of abuse, whether physical, emotional, financial, sexual, or neglect. Agency workers must maintain professional boundaries whilst building trusting relationships with the individuals they support. Any suspicion or disclosure must be documented accurately and reported through proper channels to both El Roi and the host client organisation. El Roi Ltd takes a zero-tolerance approach to abuse and will work closely with client organisations, local authorities, police, and regulatory bodies to ensure swift and appropriate action for any reported incidents involving our agency workers.

Remember: Safeguarding is everyone's responsibility. As an El Roi agency worker, if you see something concerning, speak up immediately to both El Roi and the host organisation. Your vigilance could protect someone's life and wellbeing.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

27. Supervision and Appraisal Policy
El Roi Ltd provides regular supervision and annual appraisals for all agency workers. These sessions offer essential support, feedback, and opportunities for performance review and training discussions, tailored to roles within client organisations. Supervision is a recorded, two-way process, often conducted remotely to accommodate off-site placements.
Purpose of Supervision
Supervision is crucial for professional development and quality care. It allows agency workers to reflect on their practice, discuss challenges, identify learning needs, and feel supported and valued. It also enables El Roi managers to monitor performance, address concerns early, incorporate client feedback, and ensure compliance with all policies.
Supervision Frequency
Agency Support Workers and Health Care Assistants receive supervision at least every 6-8 weeks, with increased frequency for new or probationary workers. Senior staff and managers have quarterly supervision, often via remote communication.
Supervision Agenda
Sessions cover workload, performance, adherence to procedures, training needs, wellbeing, and policy updates. Client feedback is discussed, and workers are encouraged to contribute agenda items.
Annual Appraisals
Comprehensive annual reviews evaluate performance against objectives, incorporating client feedback. They identify career aspirations, set future goals, and ensure continuous professional development and adherence to standards.
Effective Supervision Practice
Supervision sessions should be confidential and free from interruptions. Both supervisor and supervisee must prepare by reflecting on key issues and feedback. Discussions should be honest, constructive, and solution-focused. Records are confidential, and agreed actions must be followed up.

Your Wellbeing Matters: Supervision is an important opportunity to discuss your wellbeing, work-life balance, and any personal circumstances affecting your work. We aim to ensure you feel fully supported to perform effectively and safely in any placement.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

28. Training Requirements Policy
All El Roi Ltd agency workers must complete comprehensive training before undertaking any unsupervised work within client organisations. Training ensures competency, safety, and regulatory compliance across all placements.
Mandatory Induction Training
New agency workers must complete mandatory induction training covering:
01
Safeguarding vulnerable adults
02
Moving and handling
03
Infection prevention and control
04
Health and safety awareness
05
Equality, diversity, and inclusion
06
Professional boundaries and conduct
07
Confidentiality and GDPR compliance
Home-Specific Training
Additional training may be required by client organisations, including specific care procedures, emergency plans, medication policies, and equipment use.
Shadowing
Agency workers may be required to complete shadowing with experienced staff for familiarity with specific practices before independent work.
Training Refreshers
Training must be refreshed according to:
Legislative requirements
(typically annual)
El Roi Ltd standards
Client requirements
Industry best practice
Workers are responsible for attending scheduled training and maintaining competency.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

29. Uniform and PPE Policy
Where applicable, El Roi Ltd will provide uniform and required PPE. Agency workers are responsible for keeping uniforms clean and wearing them appropriately. PPE must be worn according to health and safety guidance provided by El Roi Ltd and the client organisation. Damaged PPE should be reported immediately.
Professional Appearance
Uniforms promote a professional image and help client organisations identify El Roi Ltd agency workers. Where uniforms are provided, they must be worn for all duties within client organisations' settings unless otherwise instructed. Uniforms should be clean, well-maintained, and worn with appropriate footwear.
Disposable Gloves
Single-use gloves must be worn for all personal care tasks and when handling bodily fluids, adhering to the client organisation's infection control policies. Change between tasks and never wash and reuse disposable gloves. Dispose of in clinical waste bins.
Disposable Aprons
Wear aprons during personal care, food preparation, and cleaning tasks, as per the client organisation's guidelines. Change aprons between different service users within a client organisation's setting and different tasks. Remove carefully to avoid contamination and dispose of properly.
Face Masks
Use appropriate face masks when indicated by the client organisation's infection control procedures or when working with immunocompromised service users. Follow current public health guidance and client-specific care plans and procedures.
PPE Stock and Maintenance
El Roi Ltd provides adequate supplies of PPE to all agency workers and ensures regular replenishment. Agency workers must check PPE supplies before shifts and request additional stock in advance if running low. Any defective or damaged PPE must be reported immediately and replaced before use. Never use damaged or ill-fitting PPE as it compromises both your safety and infection control procedures. Training on correct PPE usage is mandatory and will be refreshed regularly to ensure competence and confidence. Agency workers must also adhere to the PPE maintenance and storage policies of the client organisation during their placement.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025

30. Whistleblowing Policy
El Roi Ltd agency workers are encouraged to raise concerns about wrongdoing, risks, or malpractice observed within their placement with client organisations. You can report issues to your El Roi manager, or confidentially to a senior leader. We protect whistleblowers from victimisation under the Public Interest Disclosure Act 1998.
Protecting Agency Workers
El Roi Ltd is committed to maintaining high standards of honesty, openness, and accountability. We recognise that agency workers may sometimes need to raise serious concerns about practices that could harm vulnerable individuals, other staff, client organisations, or El Roi Ltd itself.
What to Report
  • Danger to health and safety of individuals in care settings
  • Criminal activity or fraud (e.g., within the client organisation or by other staff)
  • Failure to comply with legal or regulatory obligations (e.g., CQC, local authority)
  • Miscarriages of justice or abuse
  • Environmental damage
  • Breaches of care procedures or policies within the host setting
  • Deliberate concealment of wrongdoing
How to Report
  • Speak to your El Roi line manager
  • Contact an El Roi senior manager or director
  • Use El Roi's confidential hotline
  • Submit a written report to El Roi Ltd
  • For safeguarding concerns, report immediately to both El Roi Ltd and the host organisation's designated safeguarding lead.
  • Contact external bodies (e.g., CQC, police, local authority safeguarding teams) if internal routes are not appropriate or adequately addressed
Your Protection
  • Confidentiality maintained wherever possible
  • No victimisation or dismissal for genuine concerns raised by agency workers
  • Support provided throughout the process by El Roi Ltd
  • Legal protection under PIDA 1998
  • Anonymous reporting options available
Our Response
All whistleblowing concerns will be taken seriously and investigated promptly in conjunction with relevant client organisations. You will receive acknowledgement and updates where possible. El Roi Ltd will not tolerate harassment or victimisation of whistleblowers. Agency workers raising genuine concerns in good faith will be supported, even if unfounded. Malicious allegations may result in disciplinary action.

El Roi Ltd – Policy Manual | Version 1.0 | October 2025