Bank Registered RMN / RGN Nurse

Job responsibilities

To be responsible for the assessment, planning, implementation and evaluation of person-centred care for adults with primary mental health diagnoses who also present with complex physical health needs, comorbidities, and increasing frailty. The post holder will provide clinical leadership, act as a named nurse, and support the Registered Manager in the safe, effective, and compliant operation of the nursing home, deputising in their absence. The role ensures the service meets its Statement of Purpose, complies with CQC regulations, NMC standards, Mental Capacity Act, safeguarding legislation, and internal governance frameworks, while promoting recovery, rehabilitation, dignity and social inclusion.

Person-Centred Mental Health & Psychiatric Care

Act as a named nurse, ensuring person-centred planning is central to care delivery.

Demonstrate comprehensive knowledge of psychiatric conditions, including:

• Psychotic disorders
• Mood disorders
• Personality disorders
• Cognitive impairment and dual diagnosis
• Assess, monitor and respond to changes in mental state, emotional wellbeing, and relapse
• indicators.
• Lead on the management of displayed behaviours, ensuring:
• Behaviour Support Plans are in place, reviewed, and followed.
• ABC charts are analysed, patterns identified, and actions implemented.
• Interventions are least restrictive, trauma-informed, and proportionate.
• Ensure behavioural incidents are managed safely, documented accurately, reviewed and used to reduce recurrence.
• Ensure Regular reviews take place with CPNs and psychiatrists.

Physical Health, Frailty & Complex Nursing Care

Deliver and oversee physical health and complex nursing care for residents with mental health needs and increasing frailty, ensuring care is safe, proportionate, and person-centred.

Provide and manage nursing interventions including (but not limited to):

• Catheter care o PEG feeding and management
• Stoma care
• Syringe driver use where clinically indicated.
• Monitor physical health through clinical observations, early warning signs, and escalation of deterioration in line with policy and professional judgement.
• Provide wound care, dressing changes, and wound assessments, monitoring skin integrity and preventing avoidable harm.
• Review and monitor nutrition, hydration, and weight, taking appropriate action to reduce risk and promote wellbeing.
• Ensure positional changes and pressure care interventions are completed as scheduled to prevent pressure damage and promote comfort.
• Manage long-term physical health conditions, including diabetes care and blood glucose monitoring.
• Provide end-of-life and palliative nursing care where required, ensuring care is compassionate, dignified, and aligned with advance care planning, Mental Capacity Act principles, and multidisciplinary guidance.
• Consult with GPs and specialist services to support comfort, symptom management, and appropriate clinical decision-making when residents approach the end of life.

Medicines Management & Clinical Safety

Lead safe systems for ordering, receiving, storing, administering, and destruction of medicines.

Administer and monitor:

• Depot injections
• PRN medicines
• Monitor lithium and clozapine therapy, side effects, and therapeutic effectiveness, ensuring appropriate use of procyclidine.
• Oversee MARs and cream charts, ensuring medicines are administered and signed for correctly.
• Write and implement PRN protocols and cream protocols for new prescriptions.
• Complete random resident medication stock checks, escalating discrepancies and implementing corrective actions.

Nutrition, Hydration & Dysphagia

• Ensure thickened fluids are prepared to the correct consistency.
• Monitor and audit fluid and nutrition records, ensuring no documentation gaps and act accordingly to weight loss or choke risks.
• Respond to Nourish warning alerts, ensuring care is delivered and late or missed tasks are followed up and closed down.
• Choke risk assessments are conducted.
• Make relevant referrals for specialist advice.

Mental Capacity, DoLS & Legal Compliance

• Ensure Mental Capacity Assessments are completed, decision-specific, time-specific, and reviewed regularly.
• Ensure Best Interests decisions are lawful, proportionate, and clearly documented.
• Complete and monitor DoLS applications, including Form 1s and 2s, ensuring conditions are adhered to.
• Promote and evidence compliance with the Mental Capacity Act, Human Rights Act, and least restrictive practice.

MDT Working & External Liaison Page 2 of 6 January 2026

• Work in partnership with residents, carers, and professionals to deliver integrated care.
• Liaise effectively with: o Community Psychiatric Nurses o Social Workers
• GPs and specialist services o Commissioners and funding bodies
• Lead and participate in weekly GP rounds, ensuring actions are followed through.
• Coordinate and contribute to: o Funding reviews (612 monthly) o FNC reviews and placement reviews (612 monthly)
• Organise medical appointments and community outings, ensuring appropriate staffing and transport.

Safeguarding, Risk & Governance

• Ensure the ongoing safety of residents by identifying, reporting, and actioning safeguarding concerns in line with policy and local authority procedures.
• Complete accident, incident, and safeguarding reports accurately and in a timely manner.
• Implement risk mitigation strategies and share learning with the staff team.
• Participate in clinical audit, governance, and quality improvement processes.

Leadership, Workforce & Well-Led Responsibilities

• Lead the support team on shift, setting clear expectations and maintaining professional standards.
• Complete daily allocation sheets, ensuring: o Safe staffing levels o Appropriate skill mix o Staff breaks and task allocation.
• Mentor and support new starters and students, promoting a learning culture.
• Participate in staff supervisions and appraisals.
• Maintain own mandatory training and ensure staff compliance.
• Deputise for the Registered Manager in their absence, supporting service continuity, operational decision-making, and regulatory compliance.

Documentation & Quality Assurance

• Ensure care plans, risk assessments, and records are accurate, person-centred, and up to date.
• Complete monthly reviews of all resident documentation to ensure true reflections of identified risks, needs and preferences.
• Maintain diary tasks and ensure key clinical and operational actions are completed.
• Provide clear, professional handovers and briefings.
• Ensure Nourish and Navimeds system is up to date with no gaps in records.

Professional Responsibilities

• Maintain active NMC registration and adhere to the NMC Code.
• Engage in continuous professional development and reflective practice.
• Attend all mandatory training and required learning updates.
• Promote equality, diversity, dignity, and respect in all areas of work.
• Function as a positive role model, contributing to a calm, safe environment.

Qualifications

Essential

• Registered Mental Health Nurse adult nurse and
• active on NMC Register
• Demonstrate a commitment to continuous
• professional development and revalidation
• requirements

Desirable

• Mentorship/practice Assessor qualification
• Evidence of registered/post registered training in
• mental health, physical health, frailty, Dementia, end
• of life/palliative care or long-term conditions
• Training in behaviour management, de-escalation
• and/trauma- informed care

Work Circumstances

Essential

• Ability and willingness to work flexibly to meet the
• needs of the service
• Ability to work shifts, including weekends, nights and
• on call where required
• Ability to work in a busy clinical environment with
• complex needs, displayed behaviours and end of life
• care requirements
• Ability to lead staff on shift and deputise for the
• Registered Manager when required

Desirable

• Willingness to undertake additional leadership and
• governance responsibilities
• Commitment to maintaining mandatory training and
• supporting team compliance

Experience

Essential

• Experience of working within the field of adult mental
• health in nursing home environment, or complex care
• setting
• Experience of acting as named nurse key nurse
• Experience of planning, monitoring, auditing and
• evaluating work to meet objectives- person centred
• care planning
• Experience of working within person centred
• frameworks.
• Experience of using information technology for a
• range of different purposes
• Experience of multidisciplinary working (GPs, CPNs,
• Social workers)
• Experience of managing clinical risks management,
• incidents and safeguarding concerns
• Experience of working with dual diagnosis, and/or
• cognitive impairment

Desirable

• Experience of supervising staff, including Clinical
• Supervision
• Experience supporting individuals with comorbid
• physical health conditions and increasing frailty and
• end of life needs
• Experience of contributing to funding reviews, FNC
• reviews or placement reviews
• Experience of deputising for a manager or senior
• clinician
• Experience of clinical audit, governance or quality
• improvement activity
• Experience of End-of-Life Nursing Care

Knowledge, Skills and Abilities

Essential

• Knowledge of the NMC Code of Conduct and CQC
• regulations and relevant legislation
• Knowledge of psychiatric conditions including
• psychotic disorders, mood disorders, personality
• disorders, cognitive impairment and dual diagnosis
• Knowledge and skill of behaviour management,
• including the use of behaviour support plans and ABC
• charts
• Knowledge and skill of Mental Capacity Act, Best
• Interests decision making, and Deprivation of Liberty
• Safeguards.
• Knowledge and skill of safeguarding adults and local
• authority safeguarding procedures
• Knowledge and skill of medicines management,
• including PRN medicines, depot injection and
• controlled drugs
• Knowledge and skill of holistic care, including supporting
• individual with deteriorating health and end of life
• needs
• Knowledge and skill- understanding of how to develop
• and deliver a person-centred approach and an ability
• to assess, plan and review an individuals needs
• Knowledge and skill for understanding of Clinical Risk
• Management and Infection Control Techniques.
• Ability to demonstrate creativity and original thinking,
• whilst developing practical solutions to problems
• Ability to manage conflicting priorities and ones own
• time with a minimum of supervision
• Ability to monitor mental state and recognise
• deterioration or relapse
• Ability to recognise and respond to physical
• deterioration and end of life indicators, escalating
• appropriately
• Ability to communicate effectively with both
• professionals, families and residents including sensitive conversations of deteriorating mental health, physical
• condition and end of life
• Ability to lead, delegate and support the staff team
• Ability to maintain accurate and timely records

Desirable

• Knowledge and skill of physical health conditions and
• interventions including diabetes management,
• catheter care, PEG feeding, stoma care, wound care,
• syringe drivers, frailty care and end of life symptom
• management
• Knowledge and skill of lithium and clozapine monitoring
• and side-effect management
• Awareness of trauma-informed and least restrictive
• practice
• Awareness of NICE guidance relevant to mental
• health, long-term conditions and end of life care

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).