Community Nurse

• Participating in the undertaking of health needs reviews and health assessments to identify needs and plan care accordingly.
• To identify, plan and manage risk of an individuals care needs, relating to physical health, behavioural and or mental health.
• To be responsible for assessing, planning and making recommendations for future care in partnership with patient, carer and multi-professional agencies including case conferences for reviewing the packages of care and care co-coordinating as appropriate.
• To liaise with Primary and Secondary care agencies to ensure better health outcomes for individuals.
• To work within the Mental Capacity Act and evidence best interest decision making.
• To maintain effective and appropriate communication networks with members of the multi-disciplinary team, the independent sector homes and all stakeholder agencies and organisations to ensure that the individual care needs can be met.
• To contribute to multi-disciplinary team specialist assessments.
• Ability to work as an autonomous practitioner, planning, prioritising and organising workload according to the needs of the service.
• To provide any relevant information and explanation to clients and carers at a level commensurate with their ability to understand using total communication.
• To provide evidence-based advice and guidance to care staff on the management of health needs to patients and signpost to other services.
• To act as a supervisor and/or assessor for students demonstrating high standards of practice and professional conduct.
• To undertake health promotion/education whenever possible to all adults with LD and also to contribute to planned health promotion activities.
• To work with all other agencies with regards to the safeguarding process.

• To be responsible for coordinating reviews as per guidelines
• Prioritise caseload to meet competing demands
• To be aware of and abide by the LWSW policies, standards and Clinical Governance initiatives.
• Present confidentiality and be aware of the Data Protection Act, access to health records and consent for assessment process.
• Involvement in continual audit and review of services to determine quality.
• Maintain safe record-keeping and confidential practice, in line with LWSW and professional guidance and be aware of the Data Protection Act, access to health records and consent for assessment process.
• To ensure electronic record keeping policy is adhered to.

• To maintain a high professional standard of conduct at all times in accordance with NMC/ professional bodies code of professional conduct. Maintain an active status on NMC/ professional bodies register.
• To maintain own re-validation portfolio.
• Assume responsibility for own professional development and personal knowledge. Undertake and contribute to research where appropriate.
• Monitor own performance against agreed objectives through the process of appraisal and personal development plans and professional body regulations.
• Maintain professional expertise by arranging and attending meetings, study days and mandatory training and service training.
• Plan and participate in the supervision and provision of experience for all nurse learners and other personnel as appropriate.
• Participate in regular line management, caseload management and clinical supervision.
• To deliver appropriate training and subsequent support to other staff, students and outside agencies when required.

• The post holder will be required to work within the MDT function of the CLDT and may need to be part of wider MDT groups relating to client need.
• The post holder will liaise between other health, social and educational services in assessing, planning and reviewing client care needs/service provision.
• The post holder will also work with other voluntary and secondary care providers.

• Ability to frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport.
• Use of keyboard and computer screen for assessments and record keeping daily.

Essential

• Working in multidisciplinary teams and across health and social care.
• Managing a complex caseload of individuals who pose a risk to themselves and society.
• Experience of working across organisational and inter-agency boundaries.
• Experience of working with people with learning disabilities / mental health issues whose behaviour poses a risk.

Desirable

• Experience in mentoring students.
• Working in close contact with ICB and local commissioners.

Essential

• Able to demonstrate understanding and competency in assessment, care planning and review.
• Good knowledge and understanding of the, Mental Capacity Act, Deprivation of Liberty and reasonable adjustments.
• A good understanding of the safeguarding adult and childrens processes and relevant issues.
• A knowledge of the Mental Health Act.
• Able to problem solve and be creative in care planning
• Knowledge of Continuing Healthcare Processs

Desirable

• Knowledge and understanding of Ministry of Justice restrictions/Forensic Mental Health.

Essential

• Able to engage effectively in dialogue with individuals at all abilities effectively managing barriers to communication
• Ability to take positive risk and work proactively with clients who display behaviours of concern
• Excellent interpersonal skills
• Ability to prioritise against tight deadlines.
• Good negotiation skills
• Excellent organisational skills and team working.
• Able to present relevant information in a concise format.
• Able to write in plain, easy and understandable style
• Capacity to work with clinicians and staff at all levels to develop a shared vision of outcomes for individuals.

Essential

• Registered Nurse RNLD/RMN
• Relevant post registration experience.
• Evidence of continuing professional development.
• Evidence of managing a caseload of complex individuals.

Desirable

• Mentorship Certificate.
• Leadership qualification/knowledge.

Essential

• Ability to frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport.
• The ability to be away from home overnight is an integral part of the role.
• Able to problem solve and be creative in care planning.