CLINICAL: To take a key role in responding at short notice (as per Key Performance Indicators ofthe teams) to referrals to the Rapid Response and Reablement team carrying a caseloadof the most complex adults in need. To respect an individuals independence and dignity and to offer person-centred supportin making major life decisions and choices. To offer support, information & signposting to service users, families and carers onmatters such as housing, benefits and finances, respite care and other communityservices, care home placements & third/private sector services. Assess service users, carers, and familys psychosocial concerns taking into accountcultural, spiritual, psychological, social and financial issues and risk evaluation, inpartnership with other members of the multi-professional team as appropriate. Assess familys emotional resilience, coping skills, strengths, and difficulties within thispractise setting, using expert social work skills & discussion with the multi-professionalteam. Formulate appropriate interventions to meet service user needs in conjunction and liaisonwith the multi-professional team, the persons personal networks and other communityresources. Undertake person centred assessments, evaluating & reviewing service user and familiesneeds regularly and readjust care plans if necessary. Take lead responsibility for providing consultation to the specialist team regarding adultsat risk, and make referrals as necessary regarding child protection & adult at risk. Be aware of risk as it may relate to service users, carers, children and the safety of health& social care workers. Take special responsibility for recognising and addressing the needs of those with mentalhealth problems, learning disabilities, and other vulnerabilities. Produce reports in relation to Long Term Care Benefit and present to the NeedsAssessment Panel in an accurate and timely manner, using fast track where appropriate. Identify the need for planned respite for service users in conjunction with other membersof the community team. Offer psychosocial consultation to professionals and informal carers involved in caring forpeople who are distressed, their families, and carers. Provide emotional and psychosocial support to service users and their relatives, usingindividual, group, and family techniques with an aim to improve communication withinthe family/professional network and help to resolve difficulties. Referring those in needof formalised counselling to the psychological therapies team. Manage an individual caseload, organising and prioritise the workload effectively,including timely discharge of patients from the caseload. COMMUNICATON: Work closely with members of the multi-professional care teams to construct a multifaceted assessment of service user and advise health colleagues regardingpsychosocial aspects of care. To participate in weekly Multidisciplinary team (MDT) meetings and conditionspecific MDT/case conference meetings as necessary. Attend and contribute to formal multi-professional meetings to review and plan allaspects of service users care as necessary, chairing as appropriate. Attend and facilitate meetings for the core and wider multi-disciplinary team todiscuss complex cases, practise issues and innovative work. Network with local community resources to advocate for care offered to service usersand their families, including health and mental health agencies, hospital, home care,nursing homes, child welfare agencies, substance misuse programs, and benefitsoffices. Attend regular social work team meetings to discuss administrative and operationalfunctions of the service, developments in the wider organisation and beyond andexplore practice issues with the Service and Social Work Manager and the wider team. Maintain a close working alliance with the welfare benefits team, discussing andsharing work as appropriate, and meeting formally on a regular basis. MANAGEMENT: To develop effective links with families and carers (non-statutory and statutory) inorder to achieve a comprehensive assessment and to develop an appropriate careplan based on individual need. To demonstrate and model a high standard of practice under their own direction,that reflects a value based approach to working with adults and families that isperson-centred To be familiar with local community services and their criteria and costs. To be familiar with Guernseys individual benefit systems and to keep up to datewith any changes for the benefit of service users. To be familiar with, and execute, Health and Social Care Department Policies, includingthe Safeguarding Adults Policy. To take a lead role in working with the multi-professional team on designing &developing pathways that take account of the physical & psychological and socialeffects of ageing and frailty To be the Lead Professional in the team for adult safeguarding in the identified servicearea. This will include mentoring and supporting others. To be aware of health and safety issues in their area of work and report anyconcerns to Line Managers. To participate as a core member of the Social Work Senior team, supporting theSocial Care manager and Service Manager in the delivery of service developmentsand change to achieve service plan/objectives. To be aware of, and abide by, the principles of the Data Protection Act 1986concerning improper disclosure, misuse of Breach of Confidentiality in respect ofinformation held on computer systems or otherwise.