Discharge Reablement Coordinators x 2

Job description

Job responsibilities

Screen all initial new referrals into the hub to assess initial pathway and criteria of service. Schedule and carry out planned visits to service users to produce initial reablement / support plans, including initial risks assessments, moving and handling risk assessment to minimise the areas of risk to service user, staff, service providers and the general public or refer to other community services, within the first three days and may include initially the delivery of hands-on care, ensuring information is shared with relevant parties.

Monitor and undertake reviews of the service provided to service users according to published Quality Standards, as necessary within this initial period and as service user needs change ensuring that visit times are amended to reflect changes in abilities and/or circumstances, ensuring regular feedback of appropriate information to Registered Managers and Commissioners. To undertake the relevant training and be responsible for assessing for and providing low level pieces of equipment which will enable customers to remain safe and independent at home.

Receive and investigate complaints, accidents and incidents according to procedure and ensure that any safeguarding issues are dealt with expeditiously. Close liaison with the Corserv Cares, Hospital Discharge Co-ordinator, based at RCHT to ensure capacity is prioritised for medically fit patients requiring discharge to Corserv Care, through either the STEPS or Care & Support Teams to provide packages of care. Daily review of the list of STEPS delays (customers currently supported by STEPS who are awaiting a home care package) to identify capacity and facilitate a transfer to Corserv Care & Support. Close liaison with the Registered Managers to identify pending staff capacity to forward plan the creation of new care runs.

Work closely with community-based Teams to discuss care needs of potential new customers to ensure these can be safely met by the team. Co-ordinate with community-based Teams to arrange follow on start dates, visits and care plan completion for new customers. Screen all initial new referrals into the hub to assess initial pathway and criteria of service.

Schedule and carry out planned visits to service users to produce initial reablement / support plans, including initial risks assessments, moving and handling risk assessment to minimise the areas of risk to service user, staff, service providers and the general public or refer to other community services, within the first three days and may include initially the delivery of hands-on care, ensuring information is shared with relevant parties.

Monitor and undertake reviews of the service provided to service users according to published Quality Standards, as necessary within this initial period and as service user needs change ensuring that visit times are amended to reflect changes in abilities and/or circumstances, ensuring regular feedback of appropriate information to Registered Managers and Commissioners. Work collaboratively with Lifeline to offer and assess further support using a TEC enabled approach.

To undertake the relevant training and be responsible for assessing for and providing low level pieces of equipment which will enable customers to remain safe and independent at home.

Receive and investigate complaints, accidents and incidents according to procedure and ensure that any safeguarding issues are dealt with expeditiously. Close liaison with the Corserv Cares, Hospital Discharge Co-ordinator, based at RCHT to ensure capacity is prioritised for medically fit patients requiring discharge to Corserv Care, through either the STEPS or Care & Support Teams to provide packages of care.

Daily review of the list of STEPS delays (customers currently supported by STEPS who are awaiting a home care package) to identify capacity and facilitate a transfer to Corserv Care & Support.Close liaison with the Registered Managers to identify pending staff capacity to forward plan the creation of new care runs.

Work closely with community-based Teams to discuss care needs of potential new customers to ensure these can be safely met by the team. Co-ordinate with community-based Teams to arrange follow on start dates, visits and care plan completion for new customers.

To work as part of a rota pattern that covers the core hours of 8am 6pm and includes working alternate weekends. Assess the potential to improve outcomes/lives gathering information from a range of sources, including adults, carers; and relevant others; other agencies, and other people within the person's wider support network. Promote independence by offering information and advice, signposting to other agencies as appropriate, and prompting contact with social and community resources. Accurately record assessments, reviews and support plans, ensuring a copy is provided to the person concerned.

Maintain care records, keeping them up to date so that they can provide concise and accurate information about circumstances and plans within the limits of data protection. Promote and facilitate effective communication with families, carers and individuals and other agencies to ensure the views and wishes of individuals and carers are given appropriate consideration and are central to all decision making. Seek advice from colleagues, other professionals, and line manager where this supports safe and effective decision-making.

Maintain awareness of policy and procedures to safeguard adults at risk of abuse or neglect, alerting others to risks as appropriate. Attend training courses as required and maintain own professional development and competency including having responsibility for own self development on a continual basis. Operate with due regard to Corservs confidentiality policies, the Data Protection Act and best practice and work at all times within the requirements of Health and Safety legislation.

To have an awareness of, and be able to contribute to, mental capacity assessments in line with the Mental Capacity Act. Promote assistive technologies, minor adaptations and equipment required to maintain/enhance/develop independence. Maintain and monitor records in relation to annual leave, sickness, mileage claims, reablement plans, service user visit records, risk assessments, etc. using relevant systems.

Offer safe and appropriate support to each individual in a person-centredway. Comply with and maintain best practice in relation to Health & safety matters, which will include basic risk assessments and the prevention and control of infection. Ensure a positive and flexible approach to the variety of tasks and work patterns within the role as the service develops to enable effective and appropriate staffing levels to meet demand potentially including working weekends and evenings or early mornings. To operate in accordance with the diverse needs of the community to ensure equal access to services.

Participate in the Out of Hours Duty System to support staff and service outside of office hours.Be responsible for self and others continuous development and to undertake relevant training as required. Carry out any other duties related to the post at the direction of the Community Services Management Team, which could include those duties listed outside of the local team, i.e. cover across the district or services as required and appropriate to the grading of the post.

Person Specification

Experience

Essential

• Minimum Level 3 qualification in health, social care or relevant areas or the capacity and willingness to work towards appropriate qualifications.
• Knowledge and experience of relevant legislation, policy and principles, including Social Care and Human Rights legislation and Person-Centred care policies and practices and applies in all day-to-day activities.
• Demonstrates good skills and abilities of electronic programming/rota systems plus experience of Microsoft Office packages.
• Experience in social care with adults in need of support services and their families or a demonstrable commitment to adult social care.
• Demonstrates sufficient knowledge and understanding of Health and Safety policy and practice and can undertake work effectively and conduct risk assessments.
• Flexibility in approach to work and providing cover as relevant.
• Ability to use effective interviewing skills to undertake assessments of need, including risks and strengths.
• Demonstrable skills in analysis of information, and ability to translate into a coherent plan and outcome.
• Demonstrable skills in record keeping.
• Ability to use own initiative and organise workloads of self and other team members effectively.
• Ability to work collaboratively to support the continued development and management of a fast-paced service, with an emphasis on delivering reablement outcomes.
• Displays empathy and patience when dealing with customers. Has outline knowledge of tools and techniques for dealing with challenging behaviours and coaches others in their use.
• Ability to communicate well with both written and spoken English.
• Proficient in the use of all ICT packages, including Excel, to be able to accurately and appropriately store all relevant data in the correct software.
• Understands and applies multi- agency safeguarding policies for vulnerable adults.
• Demonstrates experience of data management systems, input, extract, manipulating data for performance management and financial reports.
• Experience of working as part of a team, demonstrating an ability to work on own initiative but also to accept direction and supervision.
• Proficient in understanding of multi-agency approaches to person centred care and can identify key professionals whose involvement would be of benefit to the outcomes for the service user.
• Able to multi task and prioritise workloads.
• Understanding of the needs of vulnerable people. Experience in providing direct care in a work setting.
• The normal duties of this role will involve the requirement to work shifts which will include early starts, late finishes, weekend and bank holiday working and it is a condition of employment that you exercise satisfactory level of flexibility in order to fulfil the objectives of the role.
• Valid driving licence. The duties of the role involve travel on a regular basis. It is a condition of employment that the role holder can exercise satisfactory travel mobility in order to fulfil the obligations of the role.

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.

Employer details

Employer name

Corserv Care

Address

Castle Canyke Road

Bodmin

Cornwall

PL31 1DZ

Employer's website

https://www.corservcare.co.uk/ (Opens in a new tab)