The post holder will be expected to undertake assessments, design care packages and procure services for individuals with a learning disability who have complex health needs. These include the CHC process and Section 117 aftercare. The post holder will be expected to carry a caseload of people with complex physical and mental health needs, care manage, review and monitor their packages of care at least annually unless earlier re-assessment is required. The post holder will be expected to have good knowledge of the Mental Capacity Act (MCA) and be able to undertake both MCA and Best Interest decision making.
The post holder will be part of a multi-disciplinary team, contributing to the effective provision of services to people with a learning disability with complex needs across the MDT ensuring that other teams in wider LD services are supported when needed.
All staff working within the Learning Disability service are responsible for providing and maintaining high quality supportive relationships which at all times acknowledge the individual rights and personal dignity of the service user, encouraging individual opportunity for growth, physically, mentally and emotionally.
In the performance of all duties and responsibilities the employee will be expected to show an in depth range of clinical experience and expertise in the field of Learning Disabilities coupled with an awareness of the entitlements of the service user.
Main duties of the job
* To be responsible for the clinical assessment of needs, planning of individualised appropriate care, implementation and evaluation of care in conjunction with appropriate primary health services.
* Effective care management of cases caseload to be agreed with Team Manager.
* Carry out assessments as appropriate for new referrals, including health assessments for Continuing Health Care.
* To provide observation and support around Learning Disability issues in a variety of community settings with clients who have complex health needs.
* To support people with a Learning Disability to access mainstream health services (both primary and secondary health).
* To liaise with mainstream services around Learning Disability issues linked into specific clinical tasks.
* Promote health and independence of the individual.
* Have a clear understanding of the Safeguarding Adults legislation and participate in investigations as required and directed by Team Manager.
* To promote the use and development of Health Action Plans to improve an individual's understanding of their health and how to keep well using a person centred approach.
* To provide support to carers as appropriate having an awareness of the carer's health.
* Adhere to confidentiality policy.
* To undertake clinical risk assessments.
* To support the multidisciplinary team approach around an individual including attending appropriate meetings.
About us
We provide mental health, learning disability and neurodiversity services, as well as a range of specialist & secure services for the wider south west region & nationally. We are passionate about promoting good mental health & wellbeing. We strive to use the expertise & resources within our organisation, and through our partnerships, to deliver high quality services that are safe & focused on people's recovery.
We are committed to developing a culture of coproduction, involving patients, families & carers in everything we do.
Our values
We not only recruit based on qualifications & experience - we recruit individuals who possess & demonstrate the behaviours which underpin our Trust's core values. These include such attributes as showing a commitment to quality of care, improving lives of others, giving respect, dignity & compassion. We can bring those values to life in our everyday tasks by giving a smile; making time for people; challenging ourselves & others, & being open to new ideas.
We are committed to being an inclusive employer & applications are encouraged & welcomed from all sections of the community, regardless of any protected characteristics as governed by the Equality Act 2010. Part time & flexible working applications will be considered & supported, where possible. We particularly encourage applicants with lived experience of mental health conditions, neurodiversity or learning disabilities. We are a Disability Confident Leader.
Job responsibilities
Duties and Responsibilities
Communication and Working Relationship Skills
* Management Supervision will be provided by the Locality MDT Clinical Team Lead.
* Supervision will be recorded on the Devon Partnership NHS Trust web based Supervision recording system.
* Performance monitoring will be undertaken by the Locality MDT Clinical Team Lead.
* To support the multi-disciplinary team approach around an individual including attending appropriate meetings.
* Work in partnership with all relevant agencies.
* To work in a person centred way.
* Communicate effectively with clients, carers, team members and all relevant agencies.
* Assessment of client / carer communication needs.
* Use of relevant forms of communication, e.g. written, verbal, e-mail, sign language and total communication.
* Communication skills including empathy, listening, reflecting and building trust and respect.
* Aware of difficulties when communicating with clients who may not understand.
* Contribute to the work of specific project groups within the CCGs and across the local health community as required.
Planning and Organisational Skills
* Promote effective public, user and carer involvement in all elements of work.
Responsibility for Patient/Client Care, Treatment and Therapy
* To be responsible for the clinical assessment of needs, planning of individualised appropriate care, implementation and evaluation of care in conjunction with appropriate primary health services.
* Effective care management of cases caseload to be agreed by Team Manager.
* Carry out assessments as appropriate for new referrals, including health assessments for Continuing Health Care.
* To provide observation and support around Learning Disability issues in a variety of community settings with clients who have complex health needs.
* To support people with a Learning Disability to access mainstream health services (both primary and secondary health).
* To liaise with mainstream services around Learning Disability issues linked into specific clinical tasks.
* Promote health and independence of the individual.
* Have a clear understanding of the Safeguarding Adults legislation and participate in investigations as required and directed by Team Manager.
* To promote the use and development of Health Action Plans to improve an individual's understanding of their health and how to keep well using a person centred approach.
* To provide support to carers as appropriate having an awareness of the carer's health.
* Adhere to confidentiality policy.
* To undertake clinical risk assessments.
* To support the multidisciplinary team approach around an individual including attending appropriate meetings.
Responsibility for Policy and Service Development Implementation
* Ensure that their clinical practice is based on evidence and good practice.
* Have a clear understanding around issues of consent and capacity.
* Be aware of clinical governance issues.
* Keep up to date with developments in Learning Disability nursing.
* Contribute to the provision of a learning environment.
* Attend training and develop competencies in line with service demands.
* To take part in clinical audit and service governance.
* Contribute to Learning Disability Partnership Strategies around implementing Valuing People, Now, Six Lives and Meeting Health Needs of People with Learning Disabilities.
* Contribute to the implementation of key Devon Partnership Trust issues.
* Contribute to the work of specific project groups within the CCGs and across the local health community as required.
* The post holder will take responsibility for their ongoing personal and professional development through the Personal Development Review process in dialogue with their line manager.
Responsibility for Finance, Equipment and Other Resources
* Ensure security and maintenance of equipment.
Responsibility for Human Resources, e.g. Supervision, Training, HR Advice and Management
* Receive clinical and management supervision.
* Monitor Community support workers whilst they are lone working.
* Take a lead role in the development of the team Action for Health Agenda, in conjunction with the operational management group.
* Mentoring of student nurses and staff from other agencies.
Responsibility for Information Resources and Administrative Duties
* To provide up to date reports / assessments and present at meetings / reviews / Safeguarding Adults strategy meetings and social care funding panels.
* Keep accurate, factual and contemporaneous nursing records and other relevant paperwork in line with NMC guidelines and Trust / team policies.
* Input data onto clinical recording systems.
Review of this Job Description
This job description is intended as an outline indicator of general areas of activity and will be amended in the light of changing service needs. This job description is to be reviewed in conjunction with the post holder on an annual basis.
Person Specification
Qualifications
* RNMH / RNLD / RGN.
* Other post registration qualifications to enhance knowledge to fulfil job role.
Knowledge
* Knowledge of working with clients with complex needs.
* Understanding of care management approach.
* Understanding of health and social care legislation.
* Understanding of MCA and MHA.
* Understanding of Multi-disciplinary work.
* Knowledge of Safeguarding.
* Knowledge of Valuing People Now, Six Lives, Death by Indifference and Better Care.
* Knowledge & Understanding of Key Health Strategies.
* Knowledge of Wellness and Recovery.
Communication and Working Relationship Skills
* Effective verbal and non-verbal skills for working with service users, carers, professionals and other agencies.
* Approachable and supportive manner.
* IT competence.
Experience
* Experience of working with clients with complex needs.
* Experience of working with Mental Capacity Act.
* Experience of multi-disciplinary community team working.
* Experience of working with Mental Health Act.
* Experience of working with Safeguarding Adults issues.
* Experience of working with Learning Disability and Mental Health Issues, including CPA process.
Analytical & Judgement Skills
* Ability to analyse complex situations work under pressure and make appropriate clinical judgements with support of supervision.
Planning & Organisational Skills
* Ability to multi-task, work under pressure and use initiative.
* Good time management to prioritise when under pressure.
Physical Skills
* Able to manage situations that could become complex.
* Able to transport themselves around the community.
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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