Discharge Reablement Coordinators X 2

5 months ago


Bodmin, United Kingdom Corserv Care Full time

Screen all initial new referrals into the hub to assess initial pathway and criteria of service. Schedule and carry out planned visits to service users to produce initial reablement / support plans, including initial risks assessments, moving and handling risk assessment to minimise the areas of risk to service user, staff, service providers and the general public or refer to other community services, within the first three days and may include initially the delivery of hands-on care, ensuring information is shared with relevant parties. Monitor and undertake reviews of the service provided to service users according to published Quality Standards, as necessary within this initial period and as service user needs change ensuring that visit times are amended to reflect changes in abilities and/or circumstances, ensuring regular feedback of appropriate information to Registered Managers and Commissioners. To undertake the relevant training and be responsible for assessing for and providing low level pieces of equipment which will enable customers to remain safe and independent at home.

Receive and investigate complaints, accidents and incidents according to procedure and ensure that any safeguarding issues are dealt with expeditiously. Close liaison with the Corserv Cares, Hospital Discharge Co-ordinator, based at RCHT to ensure capacity is prioritised for medically fit patients requiring discharge to Corserv Care, through either the STEPS or Care & Support Teams to provide packages of care. Daily review of the list of STEPS delays (customers currently supported by STEPS who are awaiting a home care package) to identify capacity and facilitate a transfer to Corserv Care & Support. Close liaison with the Registered Managers to identify pending staff capacity to forward plan the creation of new care runs.

Work closely with community-based Teams to discuss care needs of potential new customers to ensure these can be safely met by the team. Co-ordinate with community-based Teams to arrange follow on start dates, visits and care plan completion for new customers. Screen all initial new referrals into the hub to assess initial pathway and criteria of service. Schedule and carry out planned visits to service users to produce initial reablement / support plans, including initial risks assessments, moving and handling risk assessment to minimise the areas of risk to service user, staff, service providers and the general public or refer to other community services, within the first three days and may include initially the delivery of hands-on care, ensuring information is shared with relevant parties.

Monitor and undertake reviews of the service provided to service users according to published Quality Standards, as necessary within this initial period and as service user needs change ensuring that visit times are amended to reflect changes in abilities and/or circumstances, ensuring regular feedback of appropriate information to Registered Managers and Commissioners. Work collaboratively with Lifeline to offer and assess further support using a TEC enabled approach. To undertake the relevant training and be responsible for assessing for and providing low level pieces of equipment which will enable customers to remain safe and independent at home. Receive and investigate complaints, accidents and incidents according to procedure and ensure that any safeguarding issues are dealt with expeditiously.

Close liaison with the Corserv Cares, Hospital Discharge Co-ordinator, based at RCHT to ensure capacity is prioritised for medically fit patients requiring discharge to Corserv Care, through either the STEPS or Care & Support Teams to provide packages of care. Daily review of the list of STEPS delays (customers currently supported by STEPS who are awaiting a home care package) to identify capacity and facilitate a transfer to Corserv Care & Support.Close liaison with the Registered Managers to identify pending staff capacity to forward plan the creation of new care runs. Work closely with community-based Teams to discuss care needs of potential new customers to ensure these can be safely met by the team. Co-ordinate with community-based Teams to arrange follow on start dates, visits and care plan completion for new customers.

To work as part of a rota pattern that covers the core hours of 8am 6pm and includes working alternate weekends. Assess the potential to improve outcomes/lives gathering information from a range of sources, including adults, carers; and relevant others; other agencies, and other people within the person's wider support network. Promote independence by offering information and advice, signposting to other agencies as appropriate, and prompting contact with social and community resources. Accurately record assessments, reviews and support plans, ensuring a copy is provided to the person concerned.

Maintain care records, keeping them up to date so that they can provide concise and accurate information



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