Provide high-quality, person-centred nursing care to adults and / or children with complex learning disabilities and associated health needs in their own homes. You will work autonomously within a community setting, support paid carers, ensure safe clinical practice, and deliver specialist LD nursing interventions that promote independence, wellbeing and positive risk-taking. The role blends hands-on clinical work with professional leadership, training and quality assurance.
Key Responsibilities
Clinical Care & Specialist Support
* Deliver safe and effective nursing care for people with complex LD, autism and co‑existing physical, sensory, behavioural or mental health needs.
* Undertake holistic assessments, risk assessments and ongoing reviews.
* Create, implement and evaluate person‑centred care plans and clinical support plans.
* Support clients with complex health interventions such as :
* Enteral feeding (PEG / PEJ)
* Seizure management
* Tracheostomy care (if applicable)
* Respiratory support
* Medication administration (including rescue meds)
* Behavioural distress and positive behaviour support
* Monitor physical and mental health changes and escalate concerns urgently and appropriately.
* Use LD nursing expertise to maximise independence, promote communication, reduce restrictive practice and improve quality of life.
Leadership, Training & Clinical Governance
* Provide clinical guidance, coaching and supervision to Support Workers / HCAs.
* Deliver competency assessments, refreshers and annual sign‑offs for carers delivering delegated healthcare tasks.
* Ensure compliance with clinical protocols, NICE guidance, organisational policies and CQC regulations.
* Participate in incident reviews, root cause analysis, and learning processes to improve safety and care quality.
* Contribute to audits including medication, infection control, care plans and documentation.
* Support safe onboarding of new packages and transitions of care from hospital to home.
Safeguarding & Risk Management
* Act as an advocate for clients, ensuring their voices, rights and preferences are central to all decisions.
* Identify and respond to safeguarding concerns in line with local authority and organisational procedures.
* Implement positive risk‑taking approaches, balancing autonomy with safe practice.
* Follow Duty of Candour requirements and maintain openness and transparency.
Collaboration & Communication
* Work alongside MDT members : GPs, LD teams, SALT, OT, physio, psychiatry, behaviour specialists and social workers.
* Build strong relationships with families, promoting trust and partnership.
* Represent the organisation in MDT meetings, reviews and case conferences.
* Maintain professional, timely documentation to support continuity of care and legal compliance.
Professional Development
* Maintain NMC registration and follow the NMC Code of Conduct.
* Engage in reflective practice, clinical supervision and ongoing CPD.
* Contribute to service development, quality improvement and better ways of working.
Skills, Experience & Qualifications
Essential
* Registered Nurse (Learning Disabilities) with valid NMC PIN.
* Experience supporting individuals with complex LD and behaviours that may challenge.
* Strong understanding of PBS (Positive Behaviour Support) and trauma‑informed care.
* Skilled in risk assessment, care planning and managing clinical complexity.
* Confident working autonomously in community settings.
* Excellent communication skills across multidisciplinary teams and with families.
* Ability to train and supervise support staff.
* Full UK driving licence (if travel is required).
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