Looking for a Fantastic Opportunity? ''Your Future Job is Here''

We are looking to recruit a full-time B6 care co-ordinator who hold the relevant professional qualification and registration within our Hounslow Community Rehabilitation Team (psychosis pathway). We are looking for someone who is innovative, motivated and interested in a new challenge. You will be joining an enthusiastic and hardworking multi-disciplinary team, passionate about the care we deliver.

The post holder will provide a community based mental health intensive rehabilitation service delivered in service users' home environments and in supported living accommodation utilising A whole system approach to recovery from mental ill health. The approach maximizes an individual's quality of life and social inclusion by encouraging their skills, promoting independence and autonomy in order to give them hope for the future which leads to successful community living through appropriate support.

This post also attracts a generous golden hello payment in the first year and once completed your 4-month probation period. This only applies to external candidates.

If this post interests you, why not give us a call! We'd love to hear from you if you have any questions or would like to arrange an informal visit. Please contact:

Hounslow Team Leader: Lemuel Florece

EMAIL: Lemuel.Florece@westlondon.nhs.uk

TELEPHONE: 0740 757 4111

Main duties of the job

• To provide comprehensive, culturally appropriate, evidence-based assessments to establish client's needs level of support and type of interventions required to facilitate their rehabilitation
• To manage a small caseload of service users with complex, severe and enduring mental health needs using evidence based and recovery principles to assess, plan, implement and evaluate treatment and support for clients in our Boroughs who are registered with a local GP.
• To act as a care coordinator for service users within the context of the Care Programme Approach. Undertake assessment and care co-ordination activities within a multi-disciplinary framework, in order to identify the needs of service users and to arrange and provide appropriate packages of care within the available budget
• To present cases to the relevant placement panels for in-borough and out-of-borough placements, both for initial funding requests and reviews
• To work proactively with service providers to draw up resettlement plans and carry out regular reviews for clients to assess their progress towards identified goals
• To contribute to service development
• To undertake supervisory and appraisal responsibilities for allocated team member
• To act as mentor to students on practice placement and to mentor junior members of staff.

About us

Community Rehabilitation Services within West London NHS Trust was established in early 2021. Three teams were formed across 3 different boroughs: Ealing, Hounslow and Hammersmith and Fulham (H& F). The service is suitable for those who are aged 18+ years (no upper limit).

The service is multidisciplinary and each team consists of a Consultant Psychiatrist, Team Lead, care co-ordinators, OT's, Psychologists, support workers and an administrator.

The service was designed to provide a less restrictive alternative to inpatient rehabilitation by providing intensive support for service users with complex psychosis so that rehabilitation can occur in the community.

A key function of the rehabilitation teams is to support individuals who have been placed outside of the borough to move back to their local area.

For service users in or in need of 24 hour supported accommodation or residing in their own home, or those who have frequent or lengthy inpatient stays, the service provides intensive MDT support and close partnership working with housing and community providers to stabilise mental health, maximise independence and functioning and support people to flourish in least restrictive community settings in accordance with their goals and preferences

Job description

Job responsibilities

MAIN DUTIES and RESPONSIBILITIES

• To provide comprehensive, culturally appropriate, evidence-based assessments to establish clients needs level of support and type of interventions required to facilitate their rehabilitation

• To manage a small caseload of service users with complex, severe and enduring mental health needs using evidence based and recovery principles to assess, plan, implement and evaluate treatment and support for clients in our Boroughs who are registered with a local GP.
• To act as a care co-ordinator for service users within the context of the Care Programme Approach. Undertake assessment and care co-ordination activities within a multi-disciplinary framework, in order to identify the needs of service users and to arrange and provide appropriate packages of care within the available budget.
• To present cases to the relevant placement panels for in-borough and out-of-borough placements, both for initial funding requests and reviews.
• To work proactively with service providers to draw up resettlement plans and carry out regular reviews for clients to assess their progress towards identified goals.

• To contribute to service development
• To undertake supervisory and appraisal responsibilities for allocated team members
• To act as mentor to students on practice placement and to mentor junior members of staff.

Clinical Duties

• To provide comprehensive, culturally appropriate, evidence-based assessments to establish eligibility for management via the Community Rehabilitation Pathway
• To provide mental health interventions and practical help where appropriate, to carers and relatives as required.
• To care co-ordinate an allocated caseload of service users with mental health needs on CPA. To provide all service users with an adult mental health assessment encompassing health and social care needs in line with CPA, Care Act, Section 117 and other relevant legislation

• To ensure that the principles of personalisation and individualised choice are inherent in the assessment and care planning process, including maximising service users access to direct payments and individualised budgets.
• To identify appropriate placements, including residential and nursing placements and follow the Local Authority Policy/CCG Policy and procedures in order to access such services.
• To undertake continuous Risk Assessment and Risk Management.
• To formulate, monitor and review service user care plans, in collaboration with service users, carers, Psychiatrist, GPs and other members of the multidisciplinary team.
• To co-ordinate and manage all aspects of care, including overseeing work carried out by statutory and non-statutory agencies and to offer supervision, training, and guidance to external agencies as required.
• To identify cultural, spiritual and communication needs of users within a diverse community and ensure that these needs are addressed in the care plan.
• To ensure regular reviews of the care plan and ongoing monitoring of all aspects of treatment and services provision.
• To screen for Vocational Needs and refer on for full Vocational Needs Assessment where appropriate.
• To work in partnership with other agencies (e.g. Housing, Benefits, Social Services, etc). To facilitate appointeeship, benefit claims and other financial and housing support.
• To identify Substance Misuse issues and work within a Dual Diagnosis Model when required.
• To provide regular comprehensive review of placements and services commissioned by the Local Authority/CCGs for service users, in line with Local Authority/CCGs policy and procedures.
• To identify Adult Protection and Child Protection issues and to implement procedures as required.
• To co-ordinate a multidisciplinary response to crisis situations.

Communication

• To use excellent communication skills and to develop and maintain therapeutic relationships with service users and their families and carers who may at times be in situations of emotional distress and enable service user empowerment.
• To establish and maintain effective communication networks with service users, with complex learning, emotional and behavioural needs, their carers, other professionals and agencies in order to ensure a comprehensive and consistent approach to client care.
• Be able to provide and receive highly complex, sensitive information which maybe distressing/unwelcome information to service users and carers demonstrating empathy and reassurance.
• To demonstrate skills and resourcefulness in communication when barriers to understanding are present, including utilising interpreting services.
• To confidentially handle and liaise regarding sensitive issues and information with other services such as GPs, CAMHS, Police, etc.
• To develop and maintain effective working relationships and networks with colleagues within mental health services, primary care, voluntary agencies and other partner agencies to ensure well -co-ordinated care.
• To actively participate in team meetings and clinical reviews, as required, to help promote team cohesiveness, multidisciplinary working and collaboration with colleagues in all parts of the Trust. To use these forums to problem-solve and identify risk and concerns within the team and ensure agreed decisions are implemented and documented.
• To ensure that views of all service users are effectively sought, channeled and acted upon, including the efficient processing of complaints or untoward incidents in accordance with the Trust policy.
• To ensure timely documentation of accurate and informative records of clinical assessments, interventions and contacts with service users on RIO which meets all standards, according to Trust Policy and professional standards
• To maintain accurate supervision records (junior staff and students) as defined in the Trust Guidelines, including the maintenance of a supervision record log.
• To encourage and participate in research to allow new ideas and methods.

Leadership/Management

• To offer supervision in line with WL Trust Policy
• To provide input into the recruitment and induction of new staff within the team where appropriate.

• To contribute to the writing of local protocols
• To offer support and guidance to junior members of staff, in the absence of seniors, on a day-to-day basis and co-ordinate the day-to-day activities of junior staff, support staff and students as appropriate.
• To act as a practice placement educator for students, attending all relevant meetings and liaising with universities as appropriate.
• To complete agreed audit and evaluation measures and provide and collate information relevant to performance management as requested.
• To have a valid professional registration and adhere to relevant code of Professional Conduct

Personal and Professional Development

• To keep abreast with changes in field of clinical practice such as new developments, evidence-based practice and research.
• To contribute to activities, which continue to build on a culture of, shared learning and evidence-based practice.
• To undertake activities of Continuous Professional Development (CPD) including identifying own learning needs and recording learning outcomes in a portfolio.
• To assume personal responsibility for maintaining a working knowledge of new statutory guidelines that influence clinical practice.
• To ensure timely booking and attendance of mandatory and statutory training. Failure to do this may preclude further learning and development opportunities.
• To review and reflect on own professional performance through effective use of professional supervision, operational management supervision, CPD opportunities and annual appraisal ensuring own learning and development needs are identified.
• Assume responsibility for own professional conduct with regards to confidentiality, professional standards of care and professional updating

Person Specification

Qualifications & Training

Essential

• Current professional qualification in Mental Health Nursing/Social Worker/OT.
• Registration must be live with a professional body such as NMC or other relevant body
• Evidence of post registration training and CPD

Desirable

• Training in Psychosocial Interventions or Thorn
• Family Therapy/Work training.
• Other relevant training, e.g. substance misuse

Experience

Essential

• Experience of working in multidisciplinary mental health team with clients with severe and enduring mental health problems

Desirable

• Work with people experiencing mental health crisis.
• Supervision of students and junior staff.
• Audit and research Teaching.
• Wor
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