Care Coordinator in PCN Teams

Job summary

An excitingopportunity has presented for a motivated and enthusiastic Care Coordinator to work within a community mental healthsetting working alongside our primary care colleagues.

JOB SUMMARY:

To act ascare co-ordinator / lead professional within the CPA process for service-usersin North East Lincolnshire. Thisinvolves being responsible for assessment, developing, implementing andevaluating care plans using a person-centred approach.

Ourideal candidate would be a committed team player as well as being able to workindependently demonstrating initiative and passionate in promoting good qualitycare to maximise independence. Within this role you will gain training,support, and guidance to ensure you are working collaboratively with externalagencies to give the best possible care for our service users.

Main duties of the job

This rolerequires someone who can manage in a fast paced environment completingassessments to support diagnosis. The day to day work for this role will be ledby the needs of the service users and the service which will require effectivetime management and prioritisation skills as well as effective communicationand autonomous working.

Allof our staff are an integral part of the multi-disciplinary team within mental health services. The successfulcandidate will need to understand the importance of engaging with externalagencies within our area in order for our service users to achieve high-qualitycare that we in Navigo always strive to deliver. This should involve usingsupervision and reflecting on practice to develop new and improved ways ofworking.

About us

Hello

We are Navigo. We look after North East Lincolnshire'smental health and well-being. We are an award-winning social enterprise thatprovides mental health services to the NHS and beyond.

The whole basis of our work isto deliver services that we would be happy for our own family to use.

We offer a range of mentalhealth services, including acute and community facilities as well as specialistsupport such as outstanding older adults inpatient services, rehabilitationand recovery community mental health and an outstanding specialist eatingdisorder facility.

Ranked as one of the top UKcompanies to work for, we featured in the Best Companies top 100 large companylist and were named sixth best health and social care company 2023.

As a social enterprise, we dothings a little bit differently and have also developed income-generating commerciallyviable businesses that provide training, education and employment opportunitiesincluding Grimsby Garden Centre and two cafes.

Working at Navigo is not likeworking anywhere else. Lots of places say that, but we really mean it.

We like to work withforward-thinking people who want to make a difference.

Come join us

Job description

Job responsibilities

MAIN DUTIES RESPONSIBILITIES:

Communication& relationship skills

Thepost-holder will work with all members of staff within PCN's and Navigo

They willwork in close liaison with health and social care professionals in statutoryand non-statutory agencies to facilitate and deliver a range of services toensure that continuing care needs of service users are met.

Participatein multidisciplinary meetings, case conferences and any other meetings asnecessary.

Effectivelycommunicate complex and/or sensitive information where there are barriers tounderstanding. This includes communication concerning adult protection, abuse,cognitive impairment and other risks surrounding a service users mentalhealth. Barriers to understanding include working with service users who couldbe hostile or highly emotional, who have complex needs and may be vulnerable.

Maintainaccurate clinical records according to professional standards.

Toparticipate in Practice and Management supervision.

Promote andimplement creative ways of working with service users

Instigate,develop and maintain a relationship with the service user and/or carer to facilitatethe accurate delivery of care.

Managehighly confidential information in respect of members of the public inaccordance with local and national policy.

Act asnamed worker responsible for specific interventions.

Knowledge,training and experience

Attendappropriate training as identified with supervisor through supervision, reflective practice, handover, appraisal and provide feedback to the Team ontraining.

Maintainand update skills/knowledge relevant to the post and ensure practice isevidence based.

Attend andparticipate in Team and clinical meetings as required.

Participatein clinical supervision process, in appraisal and individual performance reviewprocess.

Participatein the training, education and induction of new Team members, seconded workersand other agencies as identified by Team Leader. To demonstrate and promote tothem high standard of care and working at all times.

Participatein audits/surveys.

Havespecialist knowledge and training, gained through formal training andexperience, relating to older people and mental health and apply this knowledgewhen delivering care to service users.

Provideadvice and support to other agencies around issues relating to Mental Health.

Analytical& judgement skills

Undersupervision make decisions about the range of options for treatment and careplans based on judgement of service-users need.

Conductcomprehensive assessments of both service users and carers in line with teamoperational policies

Planning& organisational skills

Undersupervision to prioritise, plan and coordinate own workload and activities inline with the changing needs of the team and service. This includes monitoringservice user medication, making appointments for service users, conductingassessments, managing emergencies and enquiries, responding to crisis workwithin individual caseload, ensuring patient records are up to date andsupporting colleagues on a daily basis.

Have theability to work independently and to be able to seek assistance

Crisisresponse to other staffs service users in the event of staff absence, anddelegation from senior staff member.

Participatein caseload management and ensure relevant information is available for this totake place.

Physicalskills

Be trainedin control and restraint and breakaway techniques; undertake regular updates(RESPECT).

Responsibilitiesfor patient/service user care

Participatein programmes of care for service users and act as associate worker for serviceusers on CPA and non-CPA, ensuring links with Care Management and Primary Care.

Reviewservice users clinical risk on each visit, reporting back any areas ofconcern/change in presentation.

Provideadvice to service users, their carers, relatives and other professionals onneeds relating their difficulties and mental health. This includes a range ofhealth education and advice.

Initiateindividual carer support where required. Set objectives, monitor and auditeffectiveness.

Participatein clinical governance activities.

Responsibilitiesfor policy & service development implementation

Adhere toall trust policies and legislation relating to the role.

Contributeto the evaluation and development of the service.

Comment onpolicies, procedures and developments where required.

Proposeimprovements and changes to own work area

Responsibilitiesfor financial and physical resources

Useequipment and resources in a careful and responsible manner.

Respect theresources within the restraints of the team budget.

Responsibilitiesfor human resources

Participatein Navigo clinical supervision strategy.

Supportstudents within the workplace, allowing them to shadow your work

Assist ininduction of new staff.

Participatein PDR, identify own developmental needs and maintain portfolio.

Responsibilitiesfor information resources

Accuratelydocument episodes and information relating to service user care in patientnotes, using agreed methods of documentation. This will be done in accordancewith Navigo policies, professional guidelines and data protection legislation.

Recordpersonally generated information as required by the team or service, asdirected by the Team Manager/Leader.

Provideoral/written reports as required.

Managehighly confidential information in respect of members of the public inaccordance with local and national policy.

Ensure thatthe requirements of the Data Protection Act 1998 are met.

Responsibilitiesfor research and development

Participatein surveys or audits or research in relation to own work, as required by theteam or service.

Be aware ofup to date relevant published research, benchmarking and innovative practice inother areas.

Freedom toact

Delivercare for service users and carers, working within professional codes ofpractice, organisational policies, local protocols and national legislation.

Have theability to work independently, with peer support and supervision whererequired, to deliver care for service users/carers.

Physicaleffort

Work in aoffice based environment and in the community.

Regularlydrive to visit service users in their own homes or in a community setting(provision to make reasonable adjustments under the Disability DiscriminationAct applies).

Mentaleffort

Concentrationis frequently required in order to carry out interventions and assessments andtype patient episodes on electronic notes system on a daily basis.

Work iscarried out in an unpredictable environment. This includes, for example,working with service users who display unpredictable behaviour, responding toemergency telephone calls, responding to immediate risks to service users andothers, and to deal changes and queries from service users carers and otherprofessionals and agencies.

Emotionaleffort

Workdirectly with difficult family situations and circumstances. For example,communication with service users, families and other agencies around receivinga diagnosis of dementia, adult protection, suicide and overdose, and othermental health issues.

Work withservice users who display challenging and potentially verbally and/orphysically aggressive behaviour.

Workingconditions

Someexposure to unpleasant working conditions, much of the work is carried out inthe community

Otherduties

Activelypromote users and carers involvement in all aspects of careplanning/delivery, in line with local guidance, whilst respecting the rights,capabilities and wishes of the person concerned.

Facilitateempowerment and choice and promotes equality for service users.

Reportactual or potential problems that may put health, safety and security at risk.Report all adverse incidents as per Navigo incident reporting policy.

Report allincidents of bullying or harassment, as per Navigo personal harassment policy.

Toundertake any other tasks or duties associated with the post, appropriate tothe level of responsibility, and as directed by line manager.

Person Specification

Experience

Essential

Experience of working with all age functioning adults Experience of working within a CPA framework. Experience of liaising with other teams or services, for example GPs, voluntary sector services.

Desirable

Involvement in innovative nursing/social work practice. Worked as key-worker/care co-ordinator or equivalent. Experience of taking part in recruitment and selection processes. Experience of care management role.

Additional Criteria

Essential

Knowledge of assessment, planning, implementation and evaluation of individualised care plans. Evidence of knowledge of current professional issues. Relevant professional Mental Health legislation/guidance. Basic theoretical concepts in nursing/social work. NICE guidelines, NSF, Clinical Governance. Must hold a full driving licence and have access to a car for work purposes.

Desirable

Awareness of current research in the field. Knowledge of Person Centred Care Knowledge of audit process.

Skills & Attributes

Essential

Able to organise and prioritise own workload Skills in Information Technology Able to work independently and use own initiative Good written and verbal communication skills Ability to negotiate work priorities Takes responsibility for own personal development. Evidence of engaging in learning activities and professional development. Evidence of communication skills. Able to communicate effectively with a range of people on a range of matters in a form that is appropriate to them and the situation. Commitment to ethos of MDT working. Evidence of ability to work within a team. Evidence of ability to keep confidentiality. Evidence of an interest and enthusiasm for working with this client group.

Qualifications

Essential

Current Registration on part 3 or 13 of NMC register. Occupational Therapist or Social Worker currently registered.

Desirable

Have undertaken other relevant training and courses relevant to the post.

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