Mid Notts Care Home Nurse Specialist

Job responsibilities

The main purpose of the role is:

• To provide case management for patients living in Care Homes who are at risk of deteriorating health or avoidable hospital admission.
• To have continuing responsibility for the maintenance of high standards of care to care home patients who are cared for by adult community services.
• To contribute to strategies and policies for community adult service improvement and development
• To contribute to the delivery of teaching and education in care homes
• To take an active role in the delivery of the Enhanced Framework for Care Homes

Main duties and responsibilities:

• To work within the Mid Notts Care Home team and in collaboration with primary care networks to identify very high intensity users with needs using risk stratification systems and other sources of information.
• Support a caseload of high risk patients resident in the locality care homes.
• To work collaboratively with clients, carers and health and social care professionals, to identify unmet health and social care needs and circumstances.
• Undertake full assessments establishing baseline data to inform the development of an individualised care plan to meet the clients needs within the context of long-term clinical management planning in a timely manner.
• Interpret and discuss assessment outcomes with clients and carers, using high level of communication skills to communicate complex issues.
• Develop personalised care plans and formulate action plans based on evidence-based care and national standards of care and maintain accurate and up-to-date records as required by the organisation.
• Use advanced skills and specialist knowledge to support comprehensive and patient focused holistic assessments, analysing presenting symptoms and diagnostic information to develop a plan of care for optimal patient outcome.
• Plan and implement therapeutic interventions to help patients with complex health care problems to regain stability and independence in collaboration with the client, carers and multi-disciplinary team.
• Signpost patients to and liaise with the appropriate key stakeholders.
• Work with residents their carers and staff to teach and educate them about the early warning signs in order to facilitate rapid management of complications in a crisis.
• Maintain contact with the resident if care is transferred to secondary care and ensure effective communication is ongoing to ensure integrated and consistent care.
• Enable residents and their families to manage disability and loss preparing them for the changes in condition and support choice about end of life.
• Provide health promotion and disease prevention services to patients who have acute/chronic conditions to maximize self care
• Schedule follow-up visits appropriately to monitor residents and evaluate health/illness care.
• Educate carers concerning drug regimens, side effects and interactions.
• Actively encourage service user feedback.
• Act as a positive role model, provide clinical supervision, support and advise to colleagues across the organisation.
• Establish and maintain effective team working within the Care Home Team and wider Hospice.
• Work collaboratively with colleagues to continuously improve the standard of care and to develop the service.
• To work with providers of residential care to ensure commitment to quality of service provision and to take appropriate action where there are concerns.
• Actively participate in the development of teaching and communication strategies, addressing the learning needs of colleagues, care home staff, patients and carers.
• Act as a role model, setting, monitoring and evaluating the high standards and continual improvement to the community nursing service.
• Maintain a professional image as outlined in the NMC Code of Conduct.
• Participate in relevant research and audit activity.

Experience

Essential

• Community Nursing Experience
• Leadership experience
• Caseload Management
• Existing Member of the Care Home Team

Desirable

• Multi-disciplinary Working

Contractual Requirements

Essential

• Ability to travel between locations.
• A full UK driving licence and vehicle for business use is required for this post; however reasonable adjustments will be made for disabled individuals in line with the Equality Act 2010
• Flexible to meet service need

Qualification

Essential

• Registered Nurse
• Evidence of 120 level 2 credits in diploma level study
• BSc Honours Degree or equivalent must have evidence of studying at degree level.
• Significant Experience of working in the Care Home environment within Notts

Desirable

• Evidence of recent degree level study
• Management of Long Term Conditions.
• Recognised teaching and mentoring qualification
• Nurse Prescriber V150 or Non-Medical prescriber V300 or willing to work towards a prescribing qualification

Knowledge and Skills

Essential

• Excellent verbal/written communication skills
• People and Resource Management
• Analytical and Diplomatic
• Motivated
• Able to lead by example
• Excellent organisational skills
• Negotiation skills
• Managing change
• Can demonstrate up to date evidence based clinical skills
• Politically aware
• Computer literate
• Confident to highlight and address under performance

Desirable

• Project Management
• Change Management

Physical Requirements

Essential

• Able to deliver the principle accountabilities identified in job description in a variety of settings.
• Ability to undertake Manual Handling Procedures in line with Trust Policy.
• Ability to write written reports and respond to clinical need.
• Have dexterity and co-ordination required for patient care (e.g. venepuncture, removal of sutures, etc.)
• To deliver the principle accountabilities identified in the job description.
• To deal with difficult family situations or circumstances, including care of the dying and patients with life limiting conditions, and supports team members in such situations
• Also to support team members in line with the Post Incident Support Policy following any untoward incident, complaints, clinical incidents and drug errors a staff member may be involved in.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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