Job summary
The Care Home Support Team in Richmond have an exciting new opportunity for you to join our dynamic team as a care planning practitioner.
Working in partnership, the postholder will support the ongoing implementation of integrated neighbourhood teams and MDT working in care homes across the Borough of Richmond.
You will support the implementation, management and delivery of enhanced MDT working in care homes across Richmond. The postholder will work in partnership with care homes, Care Home (GP) Leads, acute and community services to deliver enhanced MDT working and increase the use of the Universal Care Plan.
You will collaborate with professionals to initiate care planning discussions including advance care planning, comprehensive geriatric assessment, frailty and dementia to initiate and complete a universal care plan.
This enhanced approach to MDT working and care planning aims to improve the use of the health and care system by intervening earlier, proactively and more holistically for residents of care homes.
The postholder will support primary and community care to effectively deliver, implement and evaluate changes to ways of working.
The service operates 5 days a week, Mon - Fri 8am - 4pm
Main duties of the job
Work in collaboration with Health Care Professionals supporting care home residents and to identify those at risk of deterioration, deconditioning or admission for discussion with the MDT, initiate or review of advance care plans through the UCP.
Monitor hospital admissions A&E attendance & ambulance call rates for care homes in the Richmond borough liaising with Kingston Hospital Foundation Trust Transfer of Care Hub, Discharge Coordinators and other key personnel to enable proactive working and provision of targeted support to facilitate earlier discharge and prevent unnecessary admission to hospital for care home residents.
Support care homes, linked G.Ps and Adult Services to work collaboratively to achieve effective communication and provision of proactive medical/nursing/therapeutic care to facilitate earlier discharge and prevent unnecessary hospital admissions
Collect data as required supporting audit focusing on health outcomes and reduction of acute hospital emergency bed days.
About us
Community healthcare is unlike any other part of the NHS. It's personalised care that helps people to retain their independence. It's the NHS at its best and the difference you make is truly tangible. Our colleagues often describe us as a family, and we know how important that sense of belonging and support is when you start a new job. It's simple - happy, engaged staff provide better services.
In 2018, we were named 'Best Place to Work for Employee Satisfaction' by the Nursing Times. The same year, we won the Workforce category at the HSJ Awards. In the latest NHS Staff Survey results 2020, we had the best response rate amongst community trusts nationally.
We are the top community trust in the country on the theme Quality of care for the third year. We had the highest percentage of staff who felt they are able to deliver the care they aspire to and are satisfied with the quality of care they give to patients or service users.
Infection Control
As an NHS Trust we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19.
Job description
Job responsibilities
**Please see the attached supporting job description and person specification document, which contains more information about the role and requirements. Please ensure your application refers to the job description and person specification**
Job description
Job responsibilities
**Please see the attached supporting job description and person specification document, which contains more information about the role and requirements. Please ensure your application refers to the job description and person specification**
Person Specification
Qualifications
Essential
- Diploma or Degree in relevant health profession (i.e. Adult Nursing or AHP)
- Current professional registration (NMC, HCPC etc.)
- Evidence of relevant Continuous Professional Development
Desirable
- Mentoring or coaching qualification
- Leadership course
Experience
Essential
- Experience of teaching and facilitation of clinical skills in healthcare settings
- Multi-disciplinary/multi-agency working)
- Mentoring and assessing students
- Managing and working effectively as part of a team
- Experience of giving formal presentations
Desirable
- Experience of using research and other evidence to inform practice
- Experience of audit
- Performance management and staff development through the appraisal process.
- Experience of lone working and decision making in the community environment.
- Experience of working in a care home setting
Skills and Abilities
Essential
- Able to demonstrate a commitment to the HRCH values (Care, Respect, Communication)
- Ability to work independently in community setting
- Ability to communicate effectively verbally, in writing and electronically to individuals and groups.
- Ability to motivate staff to embed change in practice
- Good leadership skills
- Good IT skills, including use of Excel, presentation software, electronic patient record systems and digital health solutions
- Ability to teach other professionals and members of the MDT.
- Ability to act as a catalyst to promote change and demonstrate innovative practice.
- Ability to build effective working relationships at all levels.
- Ability to work with a diverse workforce and demonstrate an awareness of equal opportunities in delivery of patient care.
- . Assessment and Clinical Decision Making Skills
- Ability to work under pressure and meet deadlines
Knowledge
Essential
- Understanding of local and national policy governing the delivery of adults and older people's Health and Social care.
- Knowledge and understanding of audit and application to practice
- An understanding of the implications of cultural difference for service delivery
Personal Qualities
Essential
- Self - motivated
- Enthusiasm and passion for teaching
- Willing to be flexible and adapt to meet the requirements of the role.
- Ability to work flexibly
- Car driver/owner with current full valid UK driving licence
Person Specification
Qualifications
Essential
- Diploma or Degree in relevant health profession (i.e. Adult Nursing or AHP)
- Current professional registration (NMC, HCPC etc.)
- Evidence of relevant Continuous Professional Development
Desirable
- Mentoring or coaching qualification
- Leadership course
Experience
Essential
- Experience of teaching and facilitation of clinical skills in healthcare settings
- Multi-disciplinary/multi-agency working)
- Mentoring and assessing students
- Managing and working effectively as part of a team
- Experience of giving formal presentations
Desirable
- Experience of using research and other evidence to inform practice
- Experience of audit
- Performance management and staff development through the appraisal process.
- Experience of lone working and decision making in the community environment.
- Experience of working in a care home setting
Skills and Abilities
Essential
- Able to demonstrate a commitment to the HRCH values (Care, Respect, Communication)
- Ability to work independently in community setting
- Ability to communicate effectively verbally, in writing and electronically to individuals and groups.
- Ability to motivate staff to embed change in practice
- Good leadership skills
- Good IT skills, including use of Excel, presentation software, electronic patient record systems and digital health solutions
- Ability to teach other professionals and members of the MDT.
- Ability to act as a catalyst to promote change and demonstrate innovative practice.
- Ability to build effective working relationships at all levels.
- Ability to work with a diverse workforce and demonstrate an awareness of equal opportunities in delivery of patient care.
- . Assessment and Clinical Decision Making Skills
- Ability to work under pressure and meet deadlines
Knowledge
Essential
- Understanding of local and national policy governing the delivery of adults and older people's Health and Social care.
- Knowledge and understanding of audit and application to practice
- An understanding of the implications of cultural difference for service delivery
Personal Qualities
Essential
- Self - motivated
- Enthusiasm and passion for teaching
- Willing to be flexible and adapt to meet the requirements of the role.
- Ability to work flexibly
- Car driver/owner with current full valid UK driving licence
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
