Service Lead (Radcliffe Admission Avoidance Registered Manager)

Pennine Care NHS Foundation Trust
£48,526 to £54,619 a year per annum
Closing date
2 Oct 2022

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Senior Manager
Learning Disability
Band 8A
Contract Type
Full Time
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We have an exciting opportunity for a Service Lead to join our new Admission Avoidance Service in Radcliffe, Bury for people with a learning disability with or without autism who are experiencing a period of crisis. Our new service will offer specialist targeted support to avoid admission to acute care across Greater Manchester. Working closely with stakeholders from across Greater Manchester this service will provide an additional option wherever less restrictive options providing a therapeutic environment and intervention plan are been considered. The new service consists of a 4 bedroom model, will be operational 24 hours a day, 7 days a week and providing e a range of specialised therapeutic interventions within a care setting with a tailored design.

Working closely with a specialist clinical team the post holder will coordinate and lead care delivered by specialist support workers. We are looking for a leader who is innovative and a creative thinker, who can lead a team in response to sometimes challenging situations, is an effective communicator and has clinical expertise. We need you to help mobilise the new service and embed our learning disability and autism operational standards and to further develop quality improvements

Main duties of the job

Please see full job description for details.The post is a senior leadership role within the Learning Disability Care Hub and will be a key part of a new multiagency team consisting of psychology, learning disability nursing, speech therapy, occupational therapy, support workers and medical consultant. The post holder will work collaboratively and provide operational leadership to staff working in the new service. The service is for children and young people aged 16-25 who have learning disabilities with or without autism who have been identified as being at risk of acute care admission. Working alongside wider stakeholders you will collectively create, instigate and support person centered positive behaviour support plans while reducing any restrictions (in accordance with NICE guidance). You will have extensive experience of working in Learning Disability teams and have developed skills in assessment, formulation, intervention and evaluation, including skills in functional analysis and positive behaviour support. The post holder will also have experience of leadership, supervision, training and consultation and will have the skills and experience to manage a complex caseload and make autonomous decisions and support junior staff with any particularly complex cases. The post holder is expected to have considerable experience of working with this client group and have knowledge of local and national policy drivers.

About us

Pennine Care is a Mental Health and Learning Disability NHS Foundation Trust providing a wide range of care within the community and inpatient services across a large geographical footprint across Greater Manchester.

The Learning Disability Care Hub sits within the Specialist Network across 5 localities and consists of a number of teams that are friendly, caring and compassionate and strives to deliver outstanding care and treatment to service users with a learning disability and / or autism. Our services have a strong multidisciplinary approach consisting of multiple professionals. Our new service will support the 10 localities across the Greater Manchester footprint.

Job description Job responsibilities

Please see full Job Description To ensure your staffs undertake specialist assessment, planning, implementation and evaluation of nursing care needs of all the service users in their care. To manage the clinical environment and co-ordinate care delivery. To mentor, supervise and teach qualified and unqualified staff including students. To be responsible for the recruitment, deployment and management of staff. To work within the devolved autonomy structures and take an active role in service development. To complete management supervision and contribute to job planning for junior staff To contribute to strategic planning To have clinical supervision with junior staff, holding clinical responsibility for advice given. To be part of the learning disability care hub senior leadership teams reporting to the associate director To take a lead role in service development alongside other members of the Senior Leadership team for the service and across the wider learning disability care hub. To be part of the leadership team working to develop the Positive Behaviour Support pathways in PCFT in conjunction with the Service Lead To plan, contribute and participate in any team building process that may be seen as necessary to enhance the working efficiency of the service. To be involved in the short-listing and interviewing for new posts as required. To attend and chair team meetings as required. To engage in consultation and liaison with community health, social care and education colleagues as required To have lead role supporting development of support worker role in teamalongside other members of Senior Leadership team To employ excellent communication skills to enable children, young people and their families, many of whom have highly challenging communication differences to engage in the therapeutic process. To adjust complexity, content and mode of communication to overcome these difficulties, including use of alternative modes of communication, e.g., signing, symbol and object systems. To communicate highly complex information around functional analysis and positive behaviour support to young people, carers, families, and members of the multi- agency team. To demonstrate empathy with children, young people, carers and families and colleagues, ensuring that effective communication is achieved, particularly where barriers to understanding exist. To liaise with other colleagues and colleagues from other agencies as needed to enhance care for young people and their families, demonstrating clear verbal and written communication skills. To deal with initial complaints sensitively, avoiding escalation where possible. To support junior colleagues and communicate effectively with them, in line with PCFT policies, regarding performance management issues as required. To demonstrate highly specialist knowledge around learning disability and challenging behaviour and disseminate information acquired from courses,literature searches, etc. to colleagues internal and external To have accredited training in Positive Behaviour Support; and demonstrable commitment to developing PBS practice in their own place of work. To take responsibility for identifying and attending further courses as required to support development in the field of challenging behaviour and learning disabilities, in line with appraisal targets. To ensure that all clinical work is underpinned by evidence-based practice. To demonstrate knowledge of and adhere to national and local Professional and Clinical Guidelines, with particular knowledge around PBS. To have a working knowledge of relevant procedures including Safeguarding Children/Adults; Special Educational Needs procedures, Transforming Care, working with Vulnerable Adults and other legal frameworks. To interpret and implement national and local policy relevant to servicedevelopment in consultation with other members of senior leadership team. To take a lead role in strategic development of LD nursing within CAMHS To take a lead in monitoring performance in the service To be accountable for own professional action and recognise own professional boundaries through interpretation of clinical/professional policies. To monitor and evaluate own highly specialist service delivery. To be responsible for organising and prioritising own caseload within each location worked. To be lead practitioner for groups as required To attend and represent the service at multi agency meetings as required To attend and represent the service at strategic or development meetings as required To complete tasks independently that will benefit service development as agreed by Senior Leadership Team To formulate clear care plans based on assessment, highly specialist knowledge and information, some of which may be conflicting, gathered from a range of professionals and carers in order to select appropriate treatment options. To demonstrate the ability to reflect on practice with peers and supervisors. To manage and organise own workload balancing patient related demands and other professional responsibilities, e.g., CPD, administration, supervision, meetings and to ensure priorities remain in accordance with the service as a whole. To plan and convene uni- and multi-agency meetings around individual care packages. To refer the child, young person or carer to other services as appropriate. To be instrumental in setting up additional clinical initiatives which enhance individual patient management, e.g., new ways of working, having first consulted the line manager. To design, plan and implement training as required.Clinical To promote a clinical environment that is conducive to recovery and the development of independence and social inclusion for patients within the service. To work collaboratively with the clinical pathway team to ensure that referrals to the service are completed within a timely manner and that all out of area placements are managed effectively. This will include provision of staff to undertake referrals when the clinical pathway team are unavailable. To lead and be responsible for the clinical management of the service with service users, who may present with complex behaviours that challenge services. To allocate and support individuals with delegated work and review progress as agreed. To co-ordinate and monitor the delivery of person-centered healthcare, using complex clinical decision making where appropriate. To work as a member of the MDT in management of care and the response to changes in service users health. To lead on making service improvements and continuous development of the service. To be responsible for the provision of the necessary physical care to help service users i.e., personal hygiene, diet and fluid intake, clothing and laundry, personal environment, manual handling, elimination, maintaining rest and sleep and activity, physical observations. To be responsible for ensuring that customs, individuality, values, sexuality and spiritual beliefs, are actively respected and that service users are supported to fulfil these. To be responsible for the provision of therapeutic activities, emotional support and stability to clients to ensure effective engagement whilst maintaining professional boundaries. To create, develop and maintain professional supportive relationships with all members of staff with other professionals and agencies to enhance recovery. To be responsible for the undertaking of physical observations as follows: blood pressure, temperature, pulse, respirations, blood sugars, urinalysis, weight and height and act upon exceptions appropriately.Quality To work with the Associate Director in the development, maintenance and monitoring of service standards and making continuous improvements. Collect and collate data/ information effectively for the purpose of audit, research and service performance. To identify and evaluate, with others, areas for potential service improvement and to agree further action. To develop, with others, measures for service standards, including benchmarking, and to identify areas for potential service improvement. To contribute to the maintenance and monitoring of service standards To promote shared decision making with Service User involvement in all aspects of their care. To implement the Trust and Learning Disabilities Strategies. To identify issues of concern at work and alerting appropriate personnel. To present a positive image of the team, service and Trust. To work effectively in own team and as part of the whole organisation. To ensure the availability of clinical supervision and preceptorship. To ensure structures are in place for effective appraisal, personal development and performance management and audited regularly. To assess and plan care in a manner that is consistent with the evidence-based practice, policies and procedures and the management of risk.

Person Specification Education / Qualifications Essential
  • Registered RNLD with current registration or equivalent professional qualification
  • Evidence of post graduate training and / or continuing professional development
  • Positive Behaviour Support training
  • Further short courses and experience to Masters Level
  • Leadership Course
  • Mentorship Course
  • Clinical Supervision Training.
  • Additional qualifications in behavioural analysis/intervention
  • Dual trained LD and Social work qualification
Experience Essential
  • Considerable experience of working with people with severe and complex disabilities; including Autism; and their families
  • Experience of designing and developing PBS support plans with people with learning disabilities and their families/carer's
  • Experience of embedding PBS plans with wider multiagency network
  • Considerable experience managing risk in children and young people with learning disabilities and challengin

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