Band 6 Charge Nurse - Secure Services, Bristol
Are you keen to develop your skills and CV further?
Are you passionate about providing high quality care as part of a skilled multi-disciplinary team?
We are looking for experienced staff that are motivated to:
1. Be part of new developments, and be at the forefront of planning, implementing, and evaluating quality improvement plans.
2. Help us take these services to the fore in the field of forensic services!
Secure services are currently working hard to develop and improve our services and we require outward thinking and innovative approaches from our staff whilst remaining committed to maintaining safety and security.
We are currently recruiting for B6 RMN's/RNLD's.
We believe in recovery and hope and we want all of our service users in our service to reach their potential and to live fulfilling lives.
We strive to provide Service User centred care whilst fostering hope, empowerment, and choice. This is an exciting challenge in a secure setting that’s calling for outward thinking and innovative approaches from our staff.
If you are interested in working in a compassionate and inventive way and supporting the existing teams in further developments, this could be the post for you. Or if you are curious and want to know more, please get in touch and come and meet one of the team!
Main duties of the job
To supervise Band 5 staff and below in developing, implementing, and assessing individual programmes of care. An integral part of the role is to undertake appraisals, clinical supervision, and teaching.
Responsible for specific management duties within the ward, which are commensurate with their grade, you will be expected to provide general management in the absence of the Ward Manager.
To carry out clinical practice within the designated clinical areas, ensuring that high quality evidence-based nursing assessment, care planning, interventions, and evaluations for patients is provided. This will include:
1. Undertaking a comprehensive, patient-focused, nursing assessment and preparing care plans in consultation with the service user to provide the best nursing care.
2. Carrying out clinical audit to evaluate and improve clinical services in partnership with service users.
About us
We are AWP (Avon and Wiltshire Mental Health Partnership NHS Trust): a diverse organisation with over 5,000 dedicated staff providing inpatient and community-based mental health care.
We provide services from a range of locations to approximately 1.8 million people living in Bath and North East Somerset (B&NES), Bristol, North Somerset, South Gloucestershire, Swindon, across the county of Wiltshire, and in parts of Dorset.
Our outstanding people promote mental health and wellbeing. The expertise and resources within AWP are dedicated to a person-centred approach for those who use our services and for all employees. We recognise that happy and fulfilled employees give better care.
At AWP, we actively encourage applicants from all backgrounds; we are particularly keen to encourage applications from people from Black, Asian and minority ethnic backgrounds, those with disabilities, and from the LGBTQ+ community. We want people to bring their unique blend of experiences, backgrounds, perspectives, and knowledge to AWP, as diversity makes us stronger.
Job responsibilities
Scope & Range
As per the NMC Code, operational responsibility for the day-to-day clinical management of the Unit and the safe running of the shift, ensuring mechanisms are in place to support, develop, and monitor all aspects of care and service delivery.
To take the role of Nurse in Charge on a rota basis as allocated.
Oversee and deliver clinical practice within the designated clinical areas, ensuring that high quality evidence-based nursing assessment, care planning, risk assessments, interventions, and evaluations for patients is provided.
Being an accountable, candid, and responsible point of contact and facilitator for clinical quality, collaboratively responsible for reporting, presenting, and acting upon improvement actions (in accordance with internal, Care Quality Commission, Local Authority, or Clinical Commissioning Group requirements).
Facilitate a learning environment that coaches and enables others to develop advanced clinical skills e.g., specialist assessment, planning, and evaluation for individuals with a Learning Disability and Autism.
Demonstrate competence in complex decision making, assessment, and the management of clinical needs.
Monitor standards, conduct audits, and lead innovative processes to improve quality and the operational management of the unit.
Ensuring the team works in accordance with organisational, regional, and statutory guidelines, as well as best practice guidance as outlined in formal benchmarks or standards (e.g., National Institute for Health and Care Excellence etc.).
Mentor and teach as required with specific responsibility for the provision of leadership and clinical practice using a just culture, compassionate management, and coaching approach as required to develop and maintain the skills required within a forensic environment.
To rotate and ensure others work with different service users to ensure maintenance of skills and to manage their own wellbeing. Qualified staff are allocated as named nurse for a service user; however, are responsible each shift for their own wellbeing of all of the service users.
Clinical Practice Leadership
Ability to administer medicine within relevant Trust and legislative guidance e.g., NMC Standards for Medicines Management 2010, the Misuse of Drugs Act 1971, MHA 1983. Ensure all others apply these, to support safe practice.
Be a clinical leader within the inpatient environment, responsible for the shift management and accountable for the quality of all clinical activity within the designated area working independently in the absence of senior management.
Confidential, sensitive, and comprehensive, person-centred assessment of the full range of patient safety and wellbeing needs (includes risk, behavioural, and mental state assessments).
Work with the team to ensure that every service user has a SMART, person-centred, evidence-based, and holistic care and treatment plan ensuring service users are supported to reach the optimum level of independence and that robust processes are in place to keep such plans under continual review.
Work with the team to ensure that service users are able to take an active role in the assessment, management, and evaluation of their care and treatment plan, as well as all relevant risk and personal safety plans.
Enabling service users to be at the centre of their care, ensuring patient and carer participation in decision-making, and promoting health and independence through raising awareness and care navigation to other professionals as appropriate.
As directed, setting and maintaining high standards for the ordering, storing, administering, disposal, and recording of service user medicines, including all assessment, monitoring, and response requirements related to it (this will be informed by relevant AWP Trust Policies and national standards set by NMC, NICE, and the Mental Health Act (1983/2007)).
Support the team to establish, embed, and maintain a sustainable programme of psychosocially-informed therapeutic engagement, affording service users opportunities for connection, interpersonal understanding, and shared personal learning.
Support the team to offer individualised care and treatment interventions based on service users' care plans.
Embed, audit, and maintain high standards for clinical record keeping (progress notes, care planning, and the full range of service user assessments), actively support team members to meet and build on these standards.
Address concerns, supporting people to resolve problems and overcome barriers effectively.
Using own specialist skills and knowledge, act as a conduit and translator of corporate clinical guidance for the team, actively translating policy and protocol guidance into the clinical setting. Protecting time for clinicians to engage actively with Trust and national policy related to clinical care delivery and safety.
Communication & Relationships
Communicate with individuals, carers, and other visitors in a courteous and helpful manner, whilst being mindful that there may be barriers to understanding.
Demonstrate those inter-personal skills that promote clarity, compassion, empathy, respect, and trust.
Many of the service users will present with a wide variety of mental health conditions, which might result in distressing and emotional situations. The post holder will often be required to role model, lead, and develop the team's skills. Supporting the team when these demanding situations occur, utilising de-brief processes and other specialist support as required.
Culture of Reflective Learning, Development and Progression Objective
Embedding a reflective learning and development culture, in which the team is encouraged to be curious, analytical, and constructively critical in their work, providing regular advice and mentoring.
Support students, preceptors, and new employees on the unit, utilising mentoring and buddy skills to enable full integration and welcome to the unit.
Ensuring team members have access to ongoing practice development activities in addition to their statutory and mandatory training; this may be in the form of formal learning programmes, or something more local/regional.
Recognize the ward's function as an educational hub and centre of learning for nurses, occupational therapists, medics, physiotherapists, support workers, nursing associates, paramedics, and many more.
Lead by example, motivating and empowering others and promoting positive attitudes, mutual understanding, and collaboration between service users, carers, and colleagues.
Promote and embed a sustainable culture of continuing professional development and everyday learning by ensuring all team members have access to rigorous formative and restorative clinical supervision and practice development support.
Treat all feedback from any source (e.g., service users, carers, visiting professionals, CQC, CCG etc.) as an invitation to review and maintain high standards, supporting the clinical team to be actively engaged with improvement as a day-to-day activity (i.e., not only in response to formal feedback).
Work within the spirit of everyday learning, and recording/evidencing of development activity for practitioner revalidation.
Form strong professional relationships with colleagues both within and beyond the locality, to ensure the inpatient clinical team is connected to the wider mental healthcare and/or learning disabilities care landscape, including attendance of, and participation in, relevant professional forums (these colleagues may include locality clinical, operational, and subject-matter leads, Nursing & Quality, clinical networks, Learning & Development etc.).
Finance, Workforce and People Management Objective
Manage resources to maximize the team's ability to perform its core function of providing safe and effective patient care. Oversee the management, completion of appropriate supervision, MAST, and Appraisal for a small team. Cross covering for peers as required.
Ensure that all nurses, for whom the post-holder is responsible, abide by all Trust and local policies and procedures, in particular, Health and Safety at Work, Security, and Confidentiality to guarantee legal obligations are fulfilled.
Ensure the environment is clean, tidy, comfortable, safe, and clinically appropriate, establishing and participating in robust environmental monitoring, reporting, and improvement processes (including all aspects from hygiene, safety to clinical risk e.g., ligatures, blind spots etc.).
Contribute to reviews of staffing resource and skill mix, ensuring that service provision is both safe and therapeutic.
Develop/review staff rosters in line with AWP guidance utilising electronic rostering systems, and delegate the clinical and administrative elements of this appropriately.
Monitor, record, and manage performance and conduct in accordance with Trust policy.
Participate in the relevant informal HR processes e.g., Health and wellbeing support, raising performance concerns, active participant in recruitment, onboarding, induction etc.
Other
Deputise for the Clinical Team Manager/Operational Team Manager as and when required.
Promote a positive and open culture which supports equality and values diversity and inclusion. On occasions use moderate effort when undertaking manual handling and physical behavioural management adhering to best practice principles and utilising specialist training.
The ability to work in a flexible manner, both proactively and reactively to situations that arise on a daily basis is essential.
To oversee and gain assurance that induction programmes for new staff are provided to the standards required.
Person Specification
Valid NMC Registration
* Registered under the relevant part of the NMC register
* Not currently under fitness to Practice investigation by the NMC
* Nursing Assessment Skills
* Medication Management Skills
* Mental State Assessment Skills
* Knowledge of the Mental Health Act 1983
* Safeguarding Knowledge and how to report concerns
* Ability to build therapeutic relationships with Service users
* De-escalation Skills
* Collaborative Working with the MDT
* PMVA trained
* Previous experience of mentoring students
* Evidence of CPD
* Trained in CBT, DBT, or other therapy/intervention
Experience at Band 5 Level
* Experience working as UNIC
Leadership Qualities
* Ability to influence
* Enthusiasm for the role
* Ability to drive or support change
* Ability to promote Quality and high standards
* Previous experience of teaching
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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