Care Home Coordinator

Job description

Job responsibilities

Job Description and Person Specification for Care Home Coordinator- Supporting Enhanced Health in Care Homes

Job Title: Care Home Coordinator

Line Manager: Practice Manager/PCN Clinical Director

Contract Type: Permanent

Working Hours: Part time 25-30 hours per week

Location: Working across 4 surgeries and their partnered care homes

Care Coordinators to be enrolled in, undertaking or qualified from the appropriate training as set out by the Personalised Care Institute (https://www.england.nhs.uk/personalisedcare/supporting-health-and-care-staff-to-deliver-personalised-care/personalised-care-institute/).

Job summary:

The Care Home Coordinator will work as part of the primary healthcare team providing support and organisation to the surgeries clinical team and care home staff. Their role is to promote dignity, respect and ensure the highest quality of care is available for patients in residential, nursing and learning disability care homes. They will work collaboratively with the general practice team to help support the delivery of the Primary Care Networks care home policies and procedures.

Place of employment:

The main places of employment are to be Rosebank Surgery, 153b Stroud Road, Gloucester, GL1 5JQ, Severnvale Surgery, St James, Quedgeley, Gloucester, GL2 4WD, Kingsway Health Centre, Rudloe Drive, Kingsway, GL2 2FY, Bartongate Surgery, 115 Barton Street, Gloucester, GL1 4HR and any other premises in Gloucester that the Practice may operate from.

Key responsibilities:

• Support the organisation, coordination and delivery of MDTs within the PCN;
• Attend the MDTs and be the key person for ensuring attendance from nominated representatives or their deputies as defined for each home;
• Ensuring MDT actions are recorded appropriately and followed-up within the defined timescales agreed at the MDT meetings;
• Work with key PCN colleagues and Care Home leads to proactively identify residents for the MDT meeting, such as population health intelligence, clinical judgement and care home insight;
• Support the registration of new care home patients, by checking all details have been provided and collected as required.
• Ensure all patients registered within a care home are coded appropriately;
• Provide dedicated support to residents and their carers who are having multiple simultaneous interactions with different health, care, and voluntary sector services, ensuring that care and support is coordinated and consistent;
• Improve the continuity of care by acting as a point of contact for residents, families and professionals who visit the care home, such as MDT members and in-reach specialists;
• Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients and where required and as appropriate, refer people back to other health professionals within the PCN;
• Identify patients who havent been seen by a GP within the past 28 days and organising for them to be seen;
• Be a part of the ongoing vaccination programme for all care homes;
• Raise awareness within the PCN to shared-decision making and decision support tools;
• Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to shared decision-making conversations;
• Holistically bring together all of a persons identified care and support needs and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person;
• Coordinate annual reviews for patients with Serious Mental Illness, Dementia and Learning Disabilities;
• Coordination of patients (asylum seekers) registration and care whilst staying at a local hotel;

Confidentiality:

In the course of seeking treatment, Rosebank Health patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as confidential

Information relating to patients, carers, colleagues, healthcare workers or the business of the practice may only be divulged to authorised persons, in accordance with practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health & safety:

Using personal security systems within the workplace according to practice guidelines

Equality and diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues by:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional development:

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Encouragement to develop and keep up to date with new services within the NHS

Quality:

The post-holder will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognize peoples needs for alternative methods of communication and respond accordingly

Contribution to the implementation of services:

The post-holder will:

Apply practice policies, standards and guidance

Discuss with other members of the team how the policies, standards and guidelines will affect own work

Participate in audit where appropriate

Person Specification

Qualifications

Essential

• Good standard of education with 5 C/GCSEs or equivalent
• Knowledge/Experience of clinical medical systems
• Experience of working in the NHS and preferably General Practice
• Experience working in a Data Management or Clinical Role
• Experience of managing patient communication and call/recall processes
• Experience of communication with patients and vulnerable individuals
• A flexible and adaptable approach to maintain the consistent delivery of high quality services
• An understanding of Health and Safety
• Knowledge of Clinical Coding
• A good level of knowledge and understanding of medical terminology
• Good organisational skills and methodical approach to managing a workload
• Good interpersonal and communication skills
• Able to work across organisations and with a wide range of Health Care Professionals
• Calm and supportive approach to assisting patients or their carers navigate health and social care as needed

Desirable

• Heath care related qualification
• Knowledge/Experience of SystmOne
• Experience of building clinical searches
• Knowledge of confidentiality in the workplace/information governance
• Understanding of Primary Care Services

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

Rosebank Health

Address

Kingsway Health Centre

Rudloe Drive, Kingsway

Gloucester

Gloucestershire

GL2 2FY

Employer's website

https://www.rosebankhealth.nhs.uk/ (Opens in a new tab)