Job summary
We cannot accept overseas applicants, to apply for this role you must be a UK resident.
The Integrated Care Homes Service is looking for a Band 6 RMN tojoin the Dementia Outreach Element of the service.
As a Registered Mental Health Nurse, you will be working acrossNottingham City, working with care home staff providing support and careto people with dementia living in care homes who have complex healthproblems. The services overarching aim is to ensure that care home residentsand staff have an improved experience through high quality care and access tofamiliar health professionals.
As an experienced RMN, you will be required to havea wide range of clinical knowledge and experience tobe able to undertake specialist mental health assessments and contribute tomulti-disciplinary treatment planning. Inaddition to this you will provide advice, education and teaching to providersof residential/nursing care for people with dementia.
Experience of community working is essential. An understanding of the needs of people withdementia in care homes is desirable.
A valid UK driving licence and access to a vehicle for work purposes is essential for this role.
To find out more about the role of the Mental Health Nurse we welcome pre-arranged insight visits to find out more about the service.
To arrange an insight visit please contact Angela Saxton, Team Manager on 07818 254528
Main duties of the job
1. As a RMN you will be a caseload holder of patients with dementia, living in care homes. You will also case manage clients in receipt of fully funded continuing NHS Healthcare, funded by Nottingham City ICB and living in care homes in Nottingham, Nottinghamshire, and Erewash.
2. You will be responsible for continuing the on-going development of high standards of clinical practice and expertise, contributing to the implementation of specific changes to practice and service protocols.
3. The service plays a key role in implementing the Enhanced Care in Care Homes Framework by providing support to care home staff, this includes delivering training and education sessions to staff within the care home setting to upskill and empower them.
4. This integrated service comprises of community nurses, dementia outreach nurses, AHPs and specialist nurse practitioners, and works closely with the wider MDT. This includes GPs, pharmacists, the care home staff and specialist services. We work closely with other healthcare providers and Local Authorities across Nottingham and Nottinghamshire and the care homes in the implementation of the Enhanced Care in Care Home Framework.
5. You will need to have excellent communication and interpersonal skills. You will be able to work autonomously using your own initiative to deliver care within a supportive team environment. It is essential that candidates have post registration experience in mental health.
About us
We are a provider of NHSCommunity Health Services, CityCare exists to support the health and wellbeingof all local people, working alongside other health and care partners toachieve this. We are a value driven, people business with a passion for excellence.Our vision and social purpose is to make a difference everyday to the health& wellbeing of our communities and our values of kindness, respect, trustand honesty lie at the heart of everything we do, guiding how we work togetherwith partners and each other to consistently deliver high quality compassionatecare. As a social enterprise we aim to add social value by investing in thefuture of our local communities and helping to make a difference in peopleslives.
CityCare value the benefits of a diverse and inclusiveworkforce. We encourage applications from candidates who identify as disabled,LGBT+ or from a Black, Asian or Minority Ethnic (BAME) background, as they arecurrently under-represented within our organisation.
CityCare is an equal opportunities employer. We are positiveabout employing people with disabilities. If you require your application in adifferent format please contact Human Resources on 0115 8839418. CityCare iscommitted to the protection of vulnerable adults and children.
Job description
Job responsibilities
Job Purpose
6. To be part of a specialist Dementia Outreach Team, within the Integrated Care Homes Service, for clients with dementia in residential/nursing care by providing specialist nursing/health advice, treatment and teaching/education as appropriate.
7. To act as care co-ordinator to clients.
8. To assess/review/monitor clients with a diagnosis of dementia living in nursing and residential homes
9. To maintain records as an autonomous practitioner.
10. To be responsible for continuing the ongoing development of high standards of clinical practice and expertise within the service contributing to implementation of specific changes to practice and service protocols and making a professional contribution to the work of a multi-disciplinary team
11. To advise and support care home staff in maintaining the residents wellbeing and engagement.
12. To manage/care coordinate a caseload of patients, and provide advice, education and teaching sessions to providers of residential/nursing care.
Dimensions
13. To be part of a multi-disciplinary Integrated Care Homes Service, responsible for the delivery of specialist support to older people with dementia and their carers in residential/nursing homes during times of crisis or difficulty, with the emphasis on improving quality of life and mental wellbeing.
14. To supervise less experienced clinical staff,support staff and students working with the Post Holder. To supervise, educateand assess the performance of students as required ensuring the standard ofpractice and teaching meets the standards set by the degree levelqualification.
15. To increase the capacity, confidence, competence and willingness ofpartner organisations to provide the right level of care to this vulnerableclient group and by doing so increase standards of care, improve quality oflife, increase independence and choice.
Key Responsibilities
Clinical
16. To provide comprehensive healthcare input for clients referred to the service, including prioritisation, assessment, planning, advice, treatment, evaluation and discharge.
17. To accept clinical responsibility for a designated caseload of clients and to organise this effectively with regard to clinical priorities and use of time.
18. To appropriately delegate and supervise duties to unqualified members of staff using agreed protocols.
19. To undertake initial assessments and care-co-ordinator responsibilities as part of the Outreach Team.
20. To monitor and review medication where appropriate.
21. To case manage clients in receipt of fully funded continuing healthcare funded by Nottingham City CCG.
22. To support patients on long term discharge to residential/nursing homes and to support clients/families through this transition.
23. To be professionally and legally responsible and accountable for all aspects of your work, including the management of clients in your care. To ensure a high standard of clinical care for the clients and support more junior staff to do likewise.
24. To determine by assessment and liaison with other relevant agencies the advice, education and treatment requirements of each client. This may include dealing with complex and conflicting opinions within the multi-disciplinary multi-agency team.
25. To provide highly specialised advice, teaching and training to other members of the Integrated Team regarding the management of clients with problems related to dementia.
26. To train, supervise and manage more junior staff, support staff and students. To supervise, educate and assess the performance students as required ensuring the standard of practice and teaching meets the standards set by the degree level qualification.
27. To provide education/teaching to residential and nursing homes relating to dementia care across a range of healthcare needs.
28. To have the ability to gain valid informed consent and to identify through assessment, clients who lack capacity, and work within a legal framework with clients who lack the capacity to consent to treatment.
29. To work as a lone practitioner with supervision from the clinical lead, the Team Manager will also provide support as required.
30. To provide spontaneous and planned advice, teaching and instruction to clients, carers and other professionals to ensure a consistent approach to client care.
31. To assist the Clinical Lead in identifying, writing and agreeing protocols as required.
Professional
32. To participate in the development of good practice within Nottingham CityCare Partnership CIC under the guidance of the Clinical Lead.
33. To demonstrate a commitment to evidence-based practice.
34. To be responsible for own Continuing Professional Development under the supervision of the clinical lead, keeping abreast of new trends and developments, incorporating them into your work as necessary. Attend relevant conferences and internal/external training courses. Support more junior staff to do likewise.
35. To maintain a high level of standards and work to the NMC Code of Professional Conduct.
36. To actively participate in the services training strategy, including in-service training, Trust and multi-agency training. To participate by attendance and presentation at staff meetings, tutorials and training sessions.
37. To demonstrate a sound understanding of Clinical Governance and Risk Management and apply to the work situation.
38. To assist with development and participation in the teams audit projects, evidence based practice projects and outcome measures, either individually or with other senior therapists. To make recommendations for change.
39. To participate in the staff appraisal scheme and Personal Development plans as both appraiser and appraise.
Organisational
40. To support the Team Manager in implementing targets and objectives to assist in the ongoing development of the service. To participate in service evaluation and advice on the service needs of the client population.
41. To be responsible for management duties when requested by senior staff.
42. To liaise effectively with other professionals and agencies to enhance rehabilitation within the boundaries of Nottingham CityCare Partnership CIC.
43. To assist the day-to-day delivery of the dementia outreach service including prioritisation of support staff duties. Also organising own diary and time management.
44. To ensure the health and safety of staff and clients at all times in accordance with Health & Safety Legislation and Organisational Policy and Procedures. To adhere to all other Organisational Policies and Procedures.
45. To attend team meetings and meetings with other agencies as required.
46. To use information technology on a daily basis and participate in identified data collection and statistics and to maintain clear, concise and timely records in line with the service policy.
47. To actively participate in Lone Worker Tracking procedures.
48. To have and promote a positive attitude to change and change management.
49. To play an active role in supporting and facilitating change where appropriate.
50. To undertake any other duties which may be reasonably required.
Person Specification
Experience
Essential
51. Experience of working with patients with complex dementia needs.
52. Experience of team working and caseload management
53. Evidence of good interpersonal and leadership skills
54. Ability to work within a culturally diverse population
Desirable
55. Postgraduate experience in a primary care setting.
Special Requirements
Essential
56. Ability to be flexible over hours worked within contracted hours to meet the needs of the service
57. Ability to work out of hours
58. Full driving licence and the ability to travel between locations.
Qualifications
Essential
59. RMN
60. Level 1 on the NMC register
61. Post registration mental health experience
62. Mentorship Qualification
Desirable
63. NMP
64. Community experience
Knowledge and skills
Essential
65. Up to date general clinical knowledge
66. Current knowledge of Local, Regional and National policies
67. Evidence of continuous professional development
68. Effective communication skills, verbal and non-verbal
69. Able to record accurately, clearly and concisely, within electronic and paper patient records.
70. Experience of supervising and supporting health professionals including delivering teaching sessions
71. Ability to work as an autonomous practitioner
72. Evidence of working with external agencies, including care homes and networking skills
73. Ability to work autonomously
74. Good Time management skills
75. Flexibility to fit in with the needs of the service
76. Able to work under pressure
77. To work as part of a team
Desirable
78. Development of services to meet community needs
79. Presentation skills
80. Knowledge or experience of audit, evaluation and research