Job summary
An exciting opportunity has arisen for a band 5 community nurse in the CLDT.
The team is a forward thinking team that supports people with a learning disability over the 18. We are passionate about the people we support and over the coming years want to embed co-production in the service and ensure people have the equal access to health and social care.
The Community Nurse is responsible for assessing,planning, coordinating and reviewing a caseload of adults with learningdisabilities. They may have either or both physical and mental health care needs.This will include relationships with Primary and Secondary health care, as wellas private and voluntary care agencies.
To be responsible for providing clinicalsupport whilst promoting the effective and efficient delivery of high quality outcomefocused service in a person centered approach.
This is a generic community care roleproviding support and cover across Plymouth city localities.
To be responsible for providing clinicalsupport whilst promoting the effective and efficient delivery of high qualityservice to the population.
There is responsibility forparticipating in reviewing a persons eligibility for Continuing Healthcarefunding and is responsible for making consistent and well-informed professionaldecisions about the determination of CHC funding, ensuring that the nationalframework is applied and they adhere to all local policies and procedures.
Main duties of the job
Participating in the undertaking of health needs reviews/assessments to identify needs &plan care accordingly.
To identify/plan/manage risk of an individuals care needs, relating to physical health/behavioural & or mental health.
To be responsible for assessing/planning/making recommendations for future care in partnership with patient, carer & multi-professional agencies including case conferences for reviewing the packages of care & care co-coordinating as appropriate.
To liaise with Primary/Secondary care agencies to ensure better health outcomes for individuals.
To ensure consideration of Capacity in Best Interest decision making.
To maintain effective & appropriate communication networks with members of the multi-disciplinary team, the independent sector homes & all stakeholder agencies &organisations to ensure that the individual care needs can be met.
To contribute to multi-disciplinary team specialist assessments.
Ability to work as an autonomous practitioner, planning/prioritising/organising workload according to the needs of the service.
To provide any relevant information/explanation to clients &carers using total communication.
To provide evidence-based advice/guidance to care staff on the management of health needs to patients & signpost to other services
To work with all other agencies with regards to the safe guarding process
All Livewell Southwest staff are expected to able and willing to work across a 7 day service
About us
Livewell Southwest is an independent, award-winning social enterprise providing integrated health & social care services for people across Plymouth, South Hams & West Devon, as well as some specialist services for people living in parts of Devon & Cornwall. With teams in community hospitals, GP practices, sports centres, health & wellbeing hubs.
As an organisation with a strong social conscience, we always value being kind, respectful, inclusive, ambitious, responsible and collaborative. Transforming services to make them sustainable, ensuring that we value, support & empower each other.
We are committed to involving the people we care for, families & carers in everything that we do, working towards co-production where we can. Helping us to deliver the right care for people, in the right place & at the right time. By putting people at the centre of what we do, we ensure to support people to lead, healthy independent lives & be the very best at helping people to live well.
Valuing our employees making an investment in their development a priority. We offer:
Protected CPD time for registered staff
Various development pathways and ongoing regular training packages for all staff
Leadership & mentoring programmes
Access & funding for training including Care Certificate, Assistant Practitioners Course & Scholarship Into Nurse Training
A Robust Preceptorship
A bespoke induction programme
Existing members of the NHS Pension Scheme can continue their membership when they join the organisation.
Job description
Job responsibilities
1.Tobe responsible for coordinating reviews as per guidelines
2.Prioritisecaseload to meet competing demands
3.Tobe aware of and abide by the Plymouth Community Healthcare policies, standardsand Clinical Governance initiatives.
4.Presentconfidentiality and be aware of the Data Protection Act, access to health recordsand consent for assessment process..
5.Involvementin continual audit and review of services to determine quality.
6.Maintainsafe record-keeping and confidential practice, in line with PCH andprofessional guidance and be aware of the Data Protection Act, access to healthrecords and consent for assessment process.
7.Toensure electronic record keeping policy is adhered to
ProfessionalResponsibilities
1.Tomaintain a high professional standard of conduct at all times in accordancewith NMC/ professional bodies code of professional conduct. Maintain an active status on NMC/professional bodies register.
2. Tomaintain own re-validation portfolio.
3.Assumeresponsibility for own professional development and personal knowledge.Undertake and contribute to research where appropriate.
4.Monitorown performance against agreed objectives through the process of appraisal andpersonal development plans and professional body regulations.
5.Maintainprofessional expertise by arranging and attending meetings, study days andmandatory training and service training.
6.Planand participate in the supervision and provision of experience for all nurselearners and other personnel as appropriate.
7.Participatein regular line management, caseload management and clinical supervision.
To deliver appropriate training and subsequentsupport to other staff, students and outside agencies when required
Toact as a role model for other staff and students demonstration high standardsof practice and professional conduct.
To undertake health promotion/education wheneverpossible to all adults with LD and also to contribute to planned healthpromotion activities
Person Specification
Experience
Essential
1. Experience undertaking comprehensive health needs assessments
2. Working in multidisciplinary teams and across health and social care.
Desirable
3. Experience of working with people with learning disabilities / mental health issues.
knowledge
Essential
4. Able to demonstrate understanding and competency in assessment, care planning and review.
5. Knowledge of recent developments in Learning disability health care.
6. Understanding of the complexities of physical health care needs in adults with LD.
7. Knowledge and understanding of the political dimensions of health and social care.
8. Knowledge of Personalize care framework
9. Good knowledge and understanding of the Mental Capacity Act, Deprivation of Liberty and reasonable adjustments.
10. Understanding of the safeguarding adults process and relevant issues
Desirable
11. Understanding of the work and role of the independent sector and care homes in provision of long-term care
12. Understanding of the continuing care eligibility for fully funded NHS care.
13. Demonstrate an understanding of the Primary Care service delivery.
Qualifications
Essential
14. Registered Nurse LD
15. Evidence of continuing professional development.
Skills
Essential
16. Excellent communication skills
17. Excellent interpersonal skills
18. Ability to prioritise against tight deadlines.
19. Good presentation skills
20. Excellent organisational skills
21. Able to present relevant information in a concise format.
22. Able to write in plain, easy and understandable style
23. Capacity to work with clinicians and staff at all levels to develop a shared vision of outcomes for individuals.
Desirable
24. Able to engage effectively in dialogue with individuals at all abilities effectively managing barriers to communication.