Do you believe that Autistic Individuals and/or Individuals with an Intellectual Disability (also known as Learning Disability) should receive the right care, in the right place and at the right time? Receiving care and treatment in their own homes, accessing mainstream mental health services, and avoiding unnecessary hospital admission? Then this could be the job for you!
We are looking to recruit an Acute Care Qualified Practitioners who will be providing dedicated support to the Home Treatment Team's sitting with the Crisis team (CRHT) offering intensive and enhanced support. You will be working flexibly over a 7-day week to include early of late shifts covering the hours of 8am - 7pm. Weekend working would be based with either the Lincoln or Boston Teams.
You will be working alongside the Acute Assistant Practitioners with guidance from the Transforming Care Liaison team offering support to Autistic individuals and/or individuals with Intellectual Disabilities to access Mental Health services when they are in an acute phase on mental illness.
You will support the wider CRHT team in making reasonable adjustments needed for the successful treatment and support to ensure the prevention of unnecessary hospital admission. You will, along with colleagues, assess, plan, and implement a person's care, utilising your specialist knowledge and skills. If you are driven to improve services offered to Autistic people and/or those with an Intellectual Disability, then this is for you!
Main duties of the job
The post holder will be based within the Transforming Care Liaison Team but will directly link into and work alongside the Crisis Resolution and Home Treatment Service. They will be responsible for the co-ordination of care needs, assessment, planning, and implementation of evidence based care to service users diagnosed with a Learning Disability and/or Autism who meet the criteria for the Crisis Resolution and Home Treatment service. They will work a rota system over a 7 day week to provide this additional support.
The post holder will deliver care jointly alongside other members of the crisis team and the Transforming Care Liaison Team, but be able to provide specialist advice, guidance and intervention in relation to an individual's learning disability/autism diagnosis. The post holder will provide intensive / enhanced support to Transforming Care cases in order to facilitate admission avoidance. There could be occasions where the post holder will be directly responsible for a small caseload where they are leading on the individual's care needs.
Lincolnshire Partnership NHS Foundation Trust provides mental health services and a number of learning disability, autism and social care services in the county of Lincolnshire. Employing around 2,800 staff, and serving a population of over 766,000, our people lie at the heart of everything we do.
You could be part of a Trust rated by staff as one of the best mental health and learning disability trusts in England, in an area heralded as a fantastic place to live and work. We firmly believe the key to high quality care is a contented workforce. This is reflected in our Care Quality Commission rating of 'outstanding' for well-led and 'good' overall. In the most recent National NHS Staff Survey, our staff rated us as the number one trust nationally for staff morale and one of the top scoring NHS Trusts in the Midlands for being compassionate and inclusive. We're really proud of this!
We are also leading the way in transforming care, with multi-million-pound transformation of patient environments and radical redesign of community services.
This is the time to join and help redesign our services of the future. We offer options for flexible working and provide a wide range of training and promotion opportunities in all professions. We support and celebrate diversity, have active staff networks groups and are always looking at what more we can do to support our staff.
Job description Job responsibilities
To provide a high standard of clinical care ensuring safe and effective assessment, treatment and comprehensive discharge planning using highly developed clinical reasoning skills and appropriate assessment tools.
Assessment, treatment and support for individuals who display behaviour that challenges/distressed behaviours. Bio-pyschosocial assessment of needs and behaviour, using a functional assessment approach, and in collaboration with others who know the person well.
Direct and urgent support in response to a crisis that might otherwise lead to family/service breakdown; admission to an inpatient setting; or an out of area placement.
Rapid risk assessment and liaison with care commissioners and/or providers with a view to making immediate modifications to the persons care and support with the aim of reducing the risk of harm / placement breakdown.
To deliver support across a range of community settings e.g. peoples own homes, family homes, short break services, residential placements, short-term accommodation etc.
An offer of time-limited direct and intensive support, including supporting paid carers/family carers with hands on support.
Operates flexibly across a 7 day week.
To deliver care jointly alongside other members of the Crisis Resolution & Home Treatment staff.
To ensure the clinical caseload and clinical practice is of the highest standard of clinical care.
To manage case-load and service delivery in accordance with and in order to contribute towards the attainment of Service/Trust productivity requirements.
To ensure up to date care plans, risk assessment and reviews are in place.
Plan, implement, review and improve interventions to meet peoples identified needs and manage their inherent risk.
Protect people from abuse, neglect and harm.
Enable individuals to develop independent living skills and live in the community.
To work collaboratively and promote effective working relationships with members of the multi-disciplinary team, ensuring effective and appropriate clinical decision-making, within the Crisis Team/Transforming Care Liaison Team and with external agencies.
To maintain accurate and timely clinical records and risk assessments, and to co-ordinate and monitor those of the team.
To adhere to N.M.C. or other relevant codes of professional conduct and ethics, plus associated legislation.
To develop clinical practice having due regard to Department of Health and other guidelines.
To demonstrate empowering leadership skills within the Transforming Care Liaison Team and seek opportunities in local and national area as to promote and develop the profession.
To participate in Clinical Governance activities, including: induction, supervision, personal development review, health and safety, risk management and audit.
To provide Management Supervision to junior staff.
To undertake specific project work or any other duties as negotiated with the Crisis Team/Transforming Care Liaison Team.
Develop effective and supportive links with other health and social care staff. To create networks that improve the pathway of care for clients referred to the Crisis Team who have a diagnosis of learning disability and/or autism.
Participate in all clinical governance and audit developments including post registration education, training and continuing professional development.
To support delivery of training and education of Crisis Team Colleagues in Learning Disability and/or Autism.
Person Specification Qualifications Essential
- Qualified Registered Mental Health / Learning Disability Nurse or Social Work qualification.
- Active registration on the appropriate professional register (e.g. NMC etc.).
- Evidence of specialised continued professional training (degree level) in clinical practice.
- Management training
- Additional/post graduate training in Learning Disability and/or Autism
- ADOS / ADIR / DISCO trained
- Relevant experience of working with adults and/or children / young people with a Learning Disability and/or autism
- Relevant experience of working with adults with mental health needs. Or clear evidence of substantial experience of working with individuals in crisis and skills that are transferable to both community/in-patient.
- Evidence of continuing professional development
- Experience of working with people presenting with a wide range of complex needs including forensic presentation.
- Sound knowledge of Learning Disabilities and Autism national agenda, including NICE guidance and the Transforming Care agenda (Building The Right Support).
- Highly developed clinical reasoning skills.
- Ability to work independently and collectively.
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