Learning Disability Inpatient Practitioner

Devon Partnership NHS Trust

The closing date is 03 May 2024

Job summary

  • Are you someone looking for a career in one of the UK's most respected mental health and learning disability trusts?
  • Would you like to be part of a dedicated team committed to making a difference to peoples lives to enjoy a better future?

An exciting opportunity to join the team initially at the Additional Support Unit (ASU) in Exeter for Adults with a Learning Disability and then at the new Regional Learning Disability and Autism Unit in Dawlish from mid 2025.

The job offers a challenging yet rewarding environment with opportunities to consistently learn.

The ASU Ward provides high quality care and treatment for people who have learning disabilities and complex mental health needs. You will work as part of a multidisciplinary team to support the assessment and treatment of adults with a learning disability on the unit.

We are committed to the ongoing training and development of all our staff and offer a range of opportunities for career progression.

The new regional service based in Dawlish will offer inpatient support to both adults with a learning disability and autistic adults. The building and environment will be state of the art and the service aims to become a centre of excellence.

Interviews will be held on Friday 17th May 2024

This post is offered at Band 5 subject to job matching process

Main duties of the job

  • To assess care needs, develop, implement and evaluate individual care plans.
  • To provide named practitioner role to people who use our service.
  • To promote and improve quality of service provided.
  • To manage the unit in the absence of Ward Manager / Team Leader
  • To participate in the internal rotation system including weekend working

About us

About Devon Partnership Trust

We provide mental health, learning disability and neurodiversity services, as well as a range of specialist & secure services for the wider south west region & nationally. We are passionate about promoting good mental health & wellbeing. We strive to use the expertise & resources within our organisation, and through our partnerships, to deliver high quality services that are safe & focused on people's recovery.

We are committed to developing a culture of coproduction, involving patients, families & carers in everything we do

Our values

We not only recruit based on qualifications & experience - we recruit individuals who possess & demonstrate the behaviours which underpin our Trusts core values. These include such attributes as showing a commitment to quality of care, improving lives of others, giving respect, dignity & compassion. We can bring those values to life in our everyday tasks by giving a smile; making time for people; challenging ourselves & others, & being open to new ideas.

We are committed to being an inclusive employer & applications are encouraged & welcomed from all sections of the community, regardless of any protected characteristics as governed by the Equality Act 2010. Part time & flexible working applications will be considered & supported, where possible. We particularly encourage applicants with lived experience of mental health conditions, neurodiversity or learning disabilities. We are a Disability Confident Leader.

Date posted

03 April 2024

Pay scheme

Agenda for change

Band

Band 5

Salary

£28,407 to £34,581 a year This post is subject to job matching

Contract

Permanent

Working pattern

Flexible working

Reference number

C9369-24-0302

Job locations

The Additional Support Unit

Hospital Lane, Whipton Hospital site

Exeter

Devon

EX1 3RB


Job description

Job responsibilities

Duties and Responsibilities

The role exists to provide the Learning Disability Inpatient unit with a registered practitioner who has the professional knowledge and skills to ensure safe and high quality care. The registered practitioner will use the framework of Positive Behavioural Support to provide assessment, interventions and evaluation for health, social & wellbeing needs

The registered practitioner will also be responsible for the leadership and management of the inpatient unit, nursing, students, administrative and ancillary staff over a span of duty, assisting in the management and clinical supervision of the nurse team, and manage the unit in the absence of the Unit Manager and Clinical Team Leader. Work a 24 hour flexible rota.

Work within NICE and NMC Guidelines and Standards, to be aware of and work within all relevant Trust Policies and Procedures. To work in line with agreed safeguarding protocols at all times. To be a proactive, skilled member of the ward Multi-Disciplinary team To demonstrate a working knowledge of the legal requirements of the Mental Health Act 1983 (including 2007 updates), Mental Capacity Act 2005 (to include Deprivation of Liberty safeguards), Care Programme Approach, and National Health Service and Community Care Act 1990.

Communication and Working Relationship Skills

  • Provide and receive information some of which may be contentious, sensitive and complex to and from individuals and their families/carers and actively seek support as appropriate.
  • Provide a high standard of written and verbal communication that is clear and in line with professional documentation standards
  • Communicate difficult and sensitive information that some people may find upsetting
  • Communicate clinical information to people who use the service, their families and carers, and other members of the Multi-Disciplinary Team
  • Form positive working relationships with all professionals within the Multi-Disciplinary Team and with outside professionals
  • Maintaining contact with family and carers. Information gathering and sharing with community workers, social workers and other relevant parties
  • Accurately record findings of assessments, therapeutic interventions, care plans, risk assessments, information that meet the needs of the target audience.
  • Compiling comprehensive discharge reports
  • Provide training sessions with new service providers to enhance understanding of the patients and their needs.
  • Communicate effectively with patients that have complex communication difficulties and behavioural distress.
  • Form and maintain therapeutic relationships with all patients, their families and carers.
  • Ensure all communication meets National and Local Information Governance Guidance and Policies; including Confidentiality Guidance & Policies.

Analytical and Judgemental Skills

  • Undertake risk assessments and determine the appropriate course of action, which has taken into consideration a range of possible options. Where necessary, ensure that consultation with senior colleagues is undertaken.
  • Have an awareness of your own clinical competencies, knowledge base and experience, and ensure that you practice within this and seek support as required.

Planning and Organisational Skills

  • Ensure all your own Training requirements are up-to-date
  • Check the staff rota ensuring correct skill mix, gender mix, safe numbers on shift, Ensuring that all staff on shift work the correct hours and record any variation on staff hours, checking and authorising timesheets where required
  • Take an active part in all meetings.
  • When requested, organise and invite relevant professionals and others from the patients circle of support to attend meetings
  • Undertake clinical leadership during a span of duty allocating duties to other staff, organising assessments, therapeutic and clinical activities that adhere to plans of care, risk assessments, Local and DPT policies

Responsibility for Patient/Client Care, Treatment and Therapy

  • Carry out pre-admission assessments in a variety of settings
  • Ensure admissions are carried out in line with DPT and local policies and procedures
  • To act as Named practitioner. Undertake assessment of need and risk, and develop Positive Behavioural Support Plans, person centred care plans and other plans of care to meet health and wellbeing needs and manage the risks
  • Develop, evaluate and review Positive Behavioural Support Plans, care plans and risk management plans to ensure plans are safe, effective and person centred
  • Involve the patients and as necessary families, carers and other professionals in assessing needs and developing plans, providing specialised advice
  • Ensure assessments, interventions and plans are developed with other members of the Multi-Disciplinary Team
  • Ensure assessments and interventions are based on current evidence and good practice
  • Review current and future interventions as part of the multi-disciplinary team.
  • Ensure accurate clinical observations are available to other members of the multi-disciplinary team.
  • To make referrals to other professionals as part of patient assessment, treatment or therapy.
  • Ensure that all care and treatment complies with relevant legislation and upholds the rights of the individual including the Human Rights Act, Mental Health Act, Mental Capacity Act and Deprivation of Liberty Safeguards
  • To advise on the promotion of health and well-being needs
  • Adjust levels of support to safely and effectively manage risk and deliver high quality person centred care to individuals undertaking care, treatment and activities within and outside the unit
  • Ensure that all Infection Control and cleanliness standards and measures are acted upon in line with National, DPT and local guidance.
  • Administer medication in line with professional standards, DPT Policies and Standard Operating Procedures
  • Ensure that appropriate action is taken to safeguarding adults and children. This will include attending safeguarding meetings and implementing relevant care plans under the guidance of a Senior Mental Health Practitioner.

Responsibility for Policy and Service Development Implementation

  • To be aware of national and professional developments.
  • To demonstrate evidence based practice and participate in research/audit/pilot projects.
  • To be aware of current initiatives in inpatient care.
  • To promote service changes with positive professional attitude and fully engage in service changes.
  • Act as a Link Practitioner to ensure specific areas of practice adhere to standards of quality and safety

Responsibility for Finance, Equipment and Other Resources

  • To ensure Trust policies and procedures are followed in relation to the handling of monies, property etc. belonging to people using the service
  • Use Trust resources in a sustainable, cost effective and appropriate way
  • Ensure the maintenance and safe use of equipment and the general environment

Responsibility for Human Resources, e.g. Supervision, Training, HR Advice and Management

  • To demonstrate and develop effective leadership/management skills.
  • To provide Supervision and Appraisals to appropriate/allocated staff.
  • To participated in the role of Mentor to students.
  • To participate in the role of Preceptor to newly qualified staff (where appropriate)
  • To participate in audits. There is a requirement to support learners on a regular basis which includes the achievement and updating of profession specific training to the required standard to fulfil this role.

Responsibility for Information Resources and Administrative Duties

  • Ensure that daily administrative tasks are completed including, reporting any repair /maintenance issues.
  • Maintain up to date clinical record in a timely and accurate manner.
  • Ensure all DPT, Local and National guidance for, record keeping, monitoring forms and checklists are completed during a span of duty
  • To participate in formulating and providing reports for other professionals such as panel for continuing care etc

Any Other Specific Tasks Required

  • To demonstrate a working knowledge of government health and social care policy
  • Have a working knowledge of PREP requirements and maintain personal, professional development.
  • Ensure participation in the teams compliance with CQC standards through the participation in provider compliance assessment tools.
  • Report any observed incident of unprofessional behaviour, accident/incident, untoward
  • occurrence, and faulty equipment immediately to Ward Manager/Team Leader.
  • To take an active role in own supervision and continuous professional development

Job description

Job responsibilities

Duties and Responsibilities

The role exists to provide the Learning Disability Inpatient unit with a registered practitioner who has the professional knowledge and skills to ensure safe and high quality care. The registered practitioner will use the framework of Positive Behavioural Support to provide assessment, interventions and evaluation for health, social & wellbeing needs

The registered practitioner will also be responsible for the leadership and management of the inpatient unit, nursing, students, administrative and ancillary staff over a span of duty, assisting in the management and clinical supervision of the nurse team, and manage the unit in the absence of the Unit Manager and Clinical Team Leader. Work a 24 hour flexible rota.

Work within NICE and NMC Guidelines and Standards, to be aware of and work within all relevant Trust Policies and Procedures. To work in line with agreed safeguarding protocols at all times. To be a proactive, skilled member of the ward Multi-Disciplinary team To demonstrate a working knowledge of the legal requirements of the Mental Health Act 1983 (including 2007 updates), Mental Capacity Act 2005 (to include Deprivation of Liberty safeguards), Care Programme Approach, and National Health Service and Community Care Act 1990.

Communication and Working Relationship Skills

  • Provide and receive information some of which may be contentious, sensitive and complex to and from individuals and their families/carers and actively seek support as appropriate.
  • Provide a high standard of written and verbal communication that is clear and in line with professional documentation standards
  • Communicate difficult and sensitive information that some people may find upsetting
  • Communicate clinical information to people who use the service, their families and carers, and other members of the Multi-Disciplinary Team
  • Form positive working relationships with all professionals within the Multi-Disciplinary Team and with outside professionals
  • Maintaining contact with family and carers. Information gathering and sharing with community workers, social workers and other relevant parties
  • Accurately record findings of assessments, therapeutic interventions, care plans, risk assessments, information that meet the needs of the target audience.
  • Compiling comprehensive discharge reports
  • Provide training sessions with new service providers to enhance understanding of the patients and their needs.
  • Communicate effectively with patients that have complex communication difficulties and behavioural distress.
  • Form and maintain therapeutic relationships with all patients, their families and carers.
  • Ensure all communication meets National and Local Information Governance Guidance and Policies; including Confidentiality Guidance & Policies.

Analytical and Judgemental Skills

  • Undertake risk assessments and determine the appropriate course of action, which has taken into consideration a range of possible options. Where necessary, ensure that consultation with senior colleagues is undertaken.
  • Have an awareness of your own clinical competencies, knowledge base and experience, and ensure that you practice within this and seek support as required.

Planning and Organisational Skills

  • Ensure all your own Training requirements are up-to-date
  • Check the staff rota ensuring correct skill mix, gender mix, safe numbers on shift, Ensuring that all staff on shift work the correct hours and record any variation on staff hours, checking and authorising timesheets where required
  • Take an active part in all meetings.
  • When requested, organise and invite relevant professionals and others from the patients circle of support to attend meetings
  • Undertake clinical leadership during a span of duty allocating duties to other staff, organising assessments, therapeutic and clinical activities that adhere to plans of care, risk assessments, Local and DPT policies

Responsibility for Patient/Client Care, Treatment and Therapy

  • Carry out pre-admission assessments in a variety of settings
  • Ensure admissions are carried out in line with DPT and local policies and procedures
  • To act as Named practitioner. Undertake assessment of need and risk, and develop Positive Behavioural Support Plans, person centred care plans and other plans of care to meet health and wellbeing needs and manage the risks
  • Develop, evaluate and review Positive Behavioural Support Plans, care plans and risk management plans to ensure plans are safe, effective and person centred
  • Involve the patients and as necessary families, carers and other professionals in assessing needs and developing plans, providing specialised advice
  • Ensure assessments, interventions and plans are developed with other members of the Multi-Disciplinary Team
  • Ensure assessments and interventions are based on current evidence and good practice
  • Review current and future interventions as part of the multi-disciplinary team.
  • Ensure accurate clinical observations are available to other members of the multi-disciplinary team.
  • To make referrals to other professionals as part of patient assessment, treatment or therapy.
  • Ensure that all care and treatment complies with relevant legislation and upholds the rights of the individual including the Human Rights Act, Mental Health Act, Mental Capacity Act and Deprivation of Liberty Safeguards
  • To advise on the promotion of health and well-being needs
  • Adjust levels of support to safely and effectively manage risk and deliver high quality person centred care to individuals undertaking care, treatment and activities within and outside the unit
  • Ensure that all Infection Control and cleanliness standards and measures are acted upon in line with National, DPT and local guidance.
  • Administer medication in line with professional standards, DPT Policies and Standard Operating Procedures
  • Ensure that appropriate action is taken to safeguarding adults and children. This will include attending safeguarding meetings and implementing relevant care plans under the guidance of a Senior Mental Health Practitioner.

Responsibility for Policy and Service Development Implementation

  • To be aware of national and professional developments.
  • To demonstrate evidence based practice and participate in research/audit/pilot projects.
  • To be aware of current initiatives in inpatient care.
  • To promote service changes with positive professional attitude and fully engage in service changes.
  • Act as a Link Practitioner to ensure specific areas of practice adhere to standards of quality and safety

Responsibility for Finance, Equipment and Other Resources

  • To ensure Trust policies and procedures are followed in relation to the handling of monies, property etc. belonging to people using the service
  • Use Trust resources in a sustainable, cost effective and appropriate way
  • Ensure the maintenance and safe use of equipment and the general environment

Responsibility for Human Resources, e.g. Supervision, Training, HR Advice and Management

  • To demonstrate and develop effective leadership/management skills.
  • To provide Supervision and Appraisals to appropriate/allocated staff.
  • To participated in the role of Mentor to students.
  • To participate in the role of Preceptor to newly qualified staff (where appropriate)
  • To participate in audits. There is a requirement to support learners on a regular basis which includes the achievement and updating of profession specific training to the required standard to fulfil this role.

Responsibility for Information Resources and Administrative Duties

  • Ensure that daily administrative tasks are completed including, reporting any repair /maintenance issues.
  • Maintain up to date clinical record in a timely and accurate manner.
  • Ensure all DPT, Local and National guidance for, record keeping, monitoring forms and checklists are completed during a span of duty
  • To participate in formulating and providing reports for other professionals such as panel for continuing care etc

Any Other Specific Tasks Required

  • To demonstrate a working knowledge of government health and social care policy
  • Have a working knowledge of PREP requirements and maintain personal, professional development.
  • Ensure participation in the teams compliance with CQC standards through the participation in provider compliance assessment tools.
  • Report any observed incident of unprofessional behaviour, accident/incident, untoward
  • occurrence, and faulty equipment immediately to Ward Manager/Team Leader.
  • To take an active role in own supervision and continuous professional development

Person Specification

Qualifications

Essential

  • Registered Nurse RNLD/ RNM or dual qualified Registered Nurse RNLD and Social worker integrated practice
  • Degree / HE Diploma level
  • If dual qualified completion of The Assessed and Supported Year in Employment ASYE before commencing in post or there will be a requirement to complete this within the first 12 months of employment with the Trust.
  • If RNLD/RNM and newly qualified completion of the Nursing Preceptorship programme within the Trust.
  • Working knowledge of using common computer programmes such as email, internet, word processing.
  • Evidence of willingness to undertake further training.

Experience

Essential

  • Primary/Named Nursing
  • Shift management over a span of duty
  • Assessment, care planning, implementation and evaluation of nursing care
  • Nursing Care of informal and detained patients
  • Assessing and care planning for individuals who have a learning disability and exhibit behavioural distress
  • Assessing and care planning for individuals who have a learning disability and have additional complex communication, health & psycho-social care needs
  • Contributing to the development and delivery of person centred care
  • Writing and following complex care plans
  • Managing incidents maintaining health, safety & wellbeing of patients, staff and visitors
  • Receiving managerial and clinical supervision
Person Specification

Qualifications

Essential

  • Registered Nurse RNLD/ RNM or dual qualified Registered Nurse RNLD and Social worker integrated practice
  • Degree / HE Diploma level
  • If dual qualified completion of The Assessed and Supported Year in Employment ASYE before commencing in post or there will be a requirement to complete this within the first 12 months of employment with the Trust.
  • If RNLD/RNM and newly qualified completion of the Nursing Preceptorship programme within the Trust.
  • Working knowledge of using common computer programmes such as email, internet, word processing.
  • Evidence of willingness to undertake further training.

Experience

Essential

  • Primary/Named Nursing
  • Shift management over a span of duty
  • Assessment, care planning, implementation and evaluation of nursing care
  • Nursing Care of informal and detained patients
  • Assessing and care planning for individuals who have a learning disability and exhibit behavioural distress
  • Assessing and care planning for individuals who have a learning disability and have additional complex communication, health & psycho-social care needs
  • Contributing to the development and delivery of person centred care
  • Writing and following complex care plans
  • Managing incidents maintaining health, safety & wellbeing of patients, staff and visitors
  • Receiving managerial and clinical supervision

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Devon Partnership NHS Trust

Address

The Additional Support Unit

Hospital Lane, Whipton Hospital site

Exeter

Devon

EX1 3RB


Employer's website

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


Employer details

Employer name

Devon Partnership NHS Trust

Address

The Additional Support Unit

Hospital Lane, Whipton Hospital site

Exeter

Devon

EX1 3RB


Employer's website

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


For questions about the job, contact:

Strategic and Ops Lead Learning Disabilities

Delia Wainwright

delia.wainwright@nhs.net

07989548825

Date posted

03 April 2024

Pay scheme

Agenda for change

Band

Band 5

Salary

£28,407 to £34,581 a year This post is subject to job matching

Contract

Permanent

Working pattern

Flexible working

Reference number

C9369-24-0302

Job locations

The Additional Support Unit

Hospital Lane, Whipton Hospital site

Exeter

Devon

EX1 3RB


Supporting documents

Privacy notice

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