Job summary
We have a post in our Psychological Medicine and Older Adult Directorate for a Therapy Enabler based at the Bethlem Royal Hospital in Chelsham House, one of our older adult acute wards.
Chelsham House is our Acute Dementia Specialist Assessment ward and provides person centred treatment and care to older adults with acute needs associated with their Dementia, through a well-established multidisciplinary team.
Main duties of the job
About the team:
Our patients are older adults who have mental health difficulties and / or dementia and require specialist in-patient care prior to moving back into the community or on to other specialised settings.
About the role:
The purpose of the Therapy Enabler (TE) role is to provide therapeutic intervention through day-to-day routine. The post is key in supporting patients to regain and maintain their independence in activities of daily living and help in supporting the transition of care from the in-patient wards and specialist care units, back into the community setting.
The role will involve supporting the multidisciplinary team (Occupational Therapists, Nurses, Speech and Language Therapists, Physiotherapists and Psychologists) to facilitate the recovery of service users who are in-patients within a PMOA in-patient setting.
The post holder will help to provide a range of interventions from basic functional activities of daily living to more complex therapeutic interventions such as physical activity, life story work and supporting communication. This will be carried out through 1:1 work and group activity.
The role aims to better incorporate therapeutic techniques into the day-to- day routine of the ward setting, in order to promote functional independence and provide valuable information to the patient's holistic assessment.
About us
About the location:
You will be based at the Bethlem Royal Hospital in Beckenham, which has over 200 acres of green space in the London Borough of Bromley, South- East London. There is substantial parking at Bethlem Royal Hospital, however the site does get busy at peak times but there are nearby train and bus services available for travel to the Hospital and an inter-hospital bus that runs between the Maudsley Hospital and Bethlem Royal Hospital throughout the day.
Our Trust headquarters is located at Denmark Hill less than 5 minutes from the train station (zone 2). We also provide services and operate across other locations, such as London boroughs of Croydon, Lambeth, Lewisham and Southwark; and substance misuse services for residents of Bexley, Lambeth, Greenwich and Wandsworth.
Job description
Job responsibilities
Job Purpose:
The purpose of the Therapy enabler (TE) role is to provide therapeutic intervention though day to day routine. The post is key in supporting patients to regain and maintain their independence in activities of daily living and help in supporting the transition of care from the in-patient wards and specialist care units, back into the community setting.
The role will involve supporting the multi-disciplinary team (Occupational Therapists, Nurses, Speech and language therapists, Physiotherapists and psychologists) to facilitate the recovery of service users who are in-patients within PMOA specialist settings.
The post holder will help to provide a range of interventions from basic functional activities of daily living to more complex therapeutic interventions such as physical activity, life story work and supporting communication.
This will be carried out through 1:1 work and group activity.
The role aims to better incorporate therapeutic techniques into the day-to- day routine of the ward setting, in order to promote functional independence and provide valuable information to the patients holistic assessment.
The role includes working both on and off the unit, both with and without direct supervision.
The post holder will need to develop positive relationships, demonstrate genuine empathy with service users and carers in order to bring about hope, enable recovery and to support service users to improve their quality of life and promote social inclusion.
Communications and Working Relationships:
- Monthly supervision will be provided by the Band 7 Occupational Therapist with regular profession specific support also provided by SLT, Physio and Psychology.
- Line Management from Ward manager
- Daily contact with the MDT including nursing, csw, psychology, medical staff and discharge teams
- The post holder will support the MDT in liaising with relevant community and voluntary groups
- There will be regular peer support with fellow PMOA STR and TE workers bimonthly.
Job summary:
- To carry out recovery programmes as delegated by the MDT (OT, SLT, nursing, PT, psychology)
- To consistently provide patient-focused enablement service that promotes optimum independence.
- To work with selected patients, as allocated by the MDT, to promote independence and support transition of care to the community setting.
- To promptly report any enablement concerns to an appropriate professional
- To rotate across inpatient wards and specialist care units annually
- To participate in the weekend rota where appropriate
- To participate in data collection and service development
- To support the Occupational Therapist in implementing therapeutic techniques that promote independence in personal care and other functional activities e.g. in kitchen. Support with home visits as required. Develop and implementing 1:1 and group activity
- To support the speech and language therapist in identifying patients who have swallowing or communication difficulties and implementing strategies to manage these difficulties with their support
- To support the physiotherapist through supporting mobility practice, facilitating a simple exercise programme and reviewing the need for and supporting the use of mobility aids.
- To support the nursing team through joint working to demonstrate therapeutic techniques developed for the patient. Carrying out 1:1 enhanced observations, supporting patients at mealtime, preventing and managing challenging behaviour especially during personal care.
- To support the psychology team through Implementation of case formulation techniques
- To facilitate and support the MDT to provide group activity on the ward and help identify appropriate groups according to patient needs.
- Support with maintaining resources and equipment
- Support patient and their families to complete life story work and use the content of life story work to inform individualised activity
- To facilitate the collection of patient feedback using PEDIC and through discussion with patients and their carers and families
-
Key Responsibilities:
Clinical
- To provide therapeutic enabling interventions with patients with the guidance of the MDT to promote each patients independence. This would include, but is not limited to interventions to address cognitive, behavioural and physical needs: for instance self-care retraining; cooking sessions, outdoor mobility.
- To monitor patients during intervention and feedback outcomes to the relevant MDT members.
- To maintain patient safety at all times and support continued improvements in care such as working to reduce falls and pressure ulcers.
- To handle and move patients as indicated, using the prescribed equipment and techniques detailed by the MDT.
- To participate in enabling patients to maintain, and be introduced to new leisure interests and relationships. to identify service users interests and key relationships which are helpful to their recovery; to actively support patients to maintain key relationships; to support service users to understand choices available to them and to support service users to make autonomous choices and access advocacy services interest.
- To actively prompt and support patients in undertaking individualised therapeutic activity care plans under the direction of the multi-disciplinary team.
- To work with the Care Support Workers (CSW) and nursing teams to promote personalised approach to care provision.
- To provide 1:1 therapeutic intervention and group activity as directed by the MDT
- To provide clinical interventions as part of MDT such as be part of Intentional rounding and enhanced observations.
- To provide feedback demonstrating competent observation skills
- To facilitate a limited number of ward based therapeutic groups based on patient needs which support service users to develop their confidence and promote wellbeing.
Professional
- To communicate with the ward manager and the MDT daily
- To effectively manage your own time for designated duties flexibly, being able to recognise your day as instructed to respond to the changing needs of the patient and service.
- To seek clarification on instructions you do not understand from the appropriate professional
- To be responsible for ordering of equipment for patients as instructed by the MDT
- To adhere to universal precautions and infection control guidelines including hand washing and disposal of waste.
- To maintain accurate and up-to-date written and electronic records of patients, keeping the multi-disciplinary team informed of any changes or events;
- To maintain all necessary computerised documentation in line with Trust, Directorate and team policy, maintaining confidentiality at all times and ensuring information is communicated to the relevant people.
- To develop good relationships with other PMOA TEs and support the effective transfer of patients between PMOA Specialist services
- To contribute to audit and professional development
Organisational
- To work according to the trust guidelines and policies
- To monitor, report and maintain a healthy, safe and secure workplace by knowing and taking account of relevant legislation.
- To contribute to and lead in-service training sessions and team development.
- To carry out administrative tasks as delegated to support the work of the multi-disciplinary team.
Job description
Job responsibilities
Job Purpose:
The purpose of the Therapy enabler (TE) role is to provide therapeutic intervention though day to day routine. The post is key in supporting patients to regain and maintain their independence in activities of daily living and help in supporting the transition of care from the in-patient wards and specialist care units, back into the community setting.
The role will involve supporting the multi-disciplinary team (Occupational Therapists, Nurses, Speech and language therapists, Physiotherapists and psychologists) to facilitate the recovery of service users who are in-patients within PMOA specialist settings.
The post holder will help to provide a range of interventions from basic functional activities of daily living to more complex therapeutic interventions such as physical activity, life story work and supporting communication.
This will be carried out through 1:1 work and group activity.
The role aims to better incorporate therapeutic techniques into the day-to- day routine of the ward setting, in order to promote functional independence and provide valuable information to the patients holistic assessment.
The role includes working both on and off the unit, both with and without direct supervision.
The post holder will need to develop positive relationships, demonstrate genuine empathy with service users and carers in order to bring about hope, enable recovery and to support service users to improve their quality of life and promote social inclusion.
Communications and Working Relationships:
- Monthly supervision will be provided by the Band 7 Occupational Therapist with regular profession specific support also provided by SLT, Physio and Psychology.
- Line Management from Ward manager
- Daily contact with the MDT including nursing, csw, psychology, medical staff and discharge teams
- The post holder will support the MDT in liaising with relevant community and voluntary groups
- There will be regular peer support with fellow PMOA STR and TE workers bimonthly.
Job summary:
- To carry out recovery programmes as delegated by the MDT (OT, SLT, nursing, PT, psychology)
- To consistently provide patient-focused enablement service that promotes optimum independence.
- To work with selected patients, as allocated by the MDT, to promote independence and support transition of care to the community setting.
- To promptly report any enablement concerns to an appropriate professional
- To rotate across inpatient wards and specialist care units annually
- To participate in the weekend rota where appropriate
- To participate in data collection and service development
- To support the Occupational Therapist in implementing therapeutic techniques that promote independence in personal care and other functional activities e.g. in kitchen. Support with home visits as required. Develop and implementing 1:1 and group activity
- To support the speech and language therapist in identifying patients who have swallowing or communication difficulties and implementing strategies to manage these difficulties with their support
- To support the physiotherapist through supporting mobility practice, facilitating a simple exercise programme and reviewing the need for and supporting the use of mobility aids.
- To support the nursing team through joint working to demonstrate therapeutic techniques developed for the patient. Carrying out 1:1 enhanced observations, supporting patients at mealtime, preventing and managing challenging behaviour especially during personal care.
- To support the psychology team through Implementation of case formulation techniques
- To facilitate and support the MDT to provide group activity on the ward and help identify appropriate groups according to patient needs.
- Support with maintaining resources and equipment
- Support patient and their families to complete life story work and use the content of life story work to inform individualised activity
- To facilitate the collection of patient feedback using PEDIC and through discussion with patients and their carers and families
-
Key Responsibilities:
Clinical
- To provide therapeutic enabling interventions with patients with the guidance of the MDT to promote each patients independence. This would include, but is not limited to interventions to address cognitive, behavioural and physical needs: for instance self-care retraining; cooking sessions, outdoor mobility.
- To monitor patients during intervention and feedback outcomes to the relevant MDT members.
- To maintain patient safety at all times and support continued improvements in care such as working to reduce falls and pressure ulcers.
- To handle and move patients as indicated, using the prescribed equipment and techniques detailed by the MDT.
- To participate in enabling patients to maintain, and be introduced to new leisure interests and relationships. to identify service users interests and key relationships which are helpful to their recovery; to actively support patients to maintain key relationships; to support service users to understand choices available to them and to support service users to make autonomous choices and access advocacy services interest.
- To actively prompt and support patients in undertaking individualised therapeutic activity care plans under the direction of the multi-disciplinary team.
- To work with the Care Support Workers (CSW) and nursing teams to promote personalised approach to care provision.
- To provide 1:1 therapeutic intervention and group activity as directed by the MDT
- To provide clinical interventions as part of MDT such as be part of Intentional rounding and enhanced observations.
- To provide feedback demonstrating competent observation skills
- To facilitate a limited number of ward based therapeutic groups based on patient needs which support service users to develop their confidence and promote wellbeing.
Professional
- To communicate with the ward manager and the MDT daily
- To effectively manage your own time for designated duties flexibly, being able to recognise your day as instructed to respond to the changing needs of the patient and service.
- To seek clarification on instructions you do not understand from the appropriate professional
- To be responsible for ordering of equipment for patients as instructed by the MDT
- To adhere to universal precautions and infection control guidelines including hand washing and disposal of waste.
- To maintain accurate and up-to-date written and electronic records of patients, keeping the multi-disciplinary team informed of any changes or events;
- To maintain all necessary computerised documentation in line with Trust, Directorate and team policy, maintaining confidentiality at all times and ensuring information is communicated to the relevant people.
- To develop good relationships with other PMOA TEs and support the effective transfer of patients between PMOA Specialist services
- To contribute to audit and professional development
Organisational
- To work according to the trust guidelines and policies
- To monitor, report and maintain a healthy, safe and secure workplace by knowing and taking account of relevant legislation.
- To contribute to and lead in-service training sessions and team development.
- To carry out administrative tasks as delegated to support the work of the multi-disciplinary team.
Person Specification
Qualifications
Essential
- NVQ level in Health and social care or promoting independence or Rehabilitation or equivalent training
- Evidence of a broad based education
- Good level of literacy and numeracy skills
- Good written and spoken English
Desirable
- GCSE English and maths or equivalent
Experience
Essential
- At least 6 months experience of working with adults with mental health difficulties
- Experience of working within a health or social care environment
- Experience of working in a team
- Experience of working in an in-patient setting
- Experience of working with a multidisciplinary team
Knowledge
Essential
- Some knowledge and understanding of the needs of older people with mental health problems, including dementia
- Knowledge of application of person centred care in working with older people with mental health problems
- Good time management and organisational skills
- Understanding of issues of confidentiality
- To demonstrate a caring, compassionate and empathetic attitude
- A commitment to undertake continuing professional development
Abilities
Essential
- Ability to problem solve and work under own initiative in a number of settings.
- Ability to identify diverse needs of patients and address these needs in planning
- Ability to work autonomously
- Ability to communicate effectively verbally and written
- Able to work weekend/ evenings as required by the post
Skills
Essential
- Ability to understand instructions and carry out tasks accurately
- Ability to work under the direction of a multidisciplinary team
- Able to perform effectively with unpredictable work patterns
- Ability to run group activity with distant supervision
Person Specification
Qualifications
Essential
- NVQ level in Health and social care or promoting independence or Rehabilitation or equivalent training
- Evidence of a broad based education
- Good level of literacy and numeracy skills
- Good written and spoken English
Desirable
- GCSE English and maths or equivalent
Experience
Essential
- At least 6 months experience of working with adults with mental health difficulties
- Experience of working within a health or social care environment
- Experience of working in a team
- Experience of working in an in-patient setting
- Experience of working with a multidisciplinary team
Knowledge
Essential
- Some knowledge and understanding of the needs of older people with mental health problems, including dementia
- Knowledge of application of person centred care in working with older people with mental health problems
- Good time management and organisational skills
- Understanding of issues of confidentiality
- To demonstrate a caring, compassionate and empathetic attitude
- A commitment to undertake continuing professional development
Abilities
Essential
- Ability to problem solve and work under own initiative in a number of settings.
- Ability to identify diverse needs of patients and address these needs in planning
- Ability to work autonomously
- Ability to communicate effectively verbally and written
- Able to work weekend/ evenings as required by the post
Skills
Essential
- Ability to understand instructions and carry out tasks accurately
- Ability to work under the direction of a multidisciplinary team
- Able to perform effectively with unpredictable work patterns
- Ability to run group activity with distant supervision
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.
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).
Additional information
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.
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).
