Brent Home Treatment Team

Job summary

This is a new role and new team within Brent HTT. Outreach team is a sub-team of HTT, with a focus on supporting residents of NW10 and NW2, who frequently present to Accident and Emergency in various hospitals. This role will entail our outreach staff working with the GPs, Psych Liaison, A&E, and other third-party sectors in and around London.

The purpose of this role is to provide strong clinical direction and leadership (and along with the Manager, management responsibility) to all staff members in the Home Treatment Team to ensure that patients and their carers receive high quality mental health care (as an alternative to inpatient care). The post-holder will be instrumental in ensuring team members feel well supported and developing and sustaining good relationships with other parts of the service promoting Crisis Resolution working.

As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Main duties of the job

The post holder will:

Manage nurses, social workers and other staff on a day-to-day basis ensuring high quality assessments and interventions are provided to patients and their carers. To have an oversight of the Team's caseload, providing clinical advice to staff and ensuring safe transfer of care.

Along with the Manager, ensure adequate staffing levels and appropriate deployment of staff and resources.

Continuously liaise with other parts of the service and external agencies regarding patient's care, promoting effective communication and working relationships so patients also experience a more seamless service. To provide education and training both within the Team and to external teams regarding effective crisis resolution in the community involving carers / significant others and ensuring a high standard of risk assessment. To ensure all staff within the Team have high quality supervision ensuring high standards of care.

About us

We are a very dynamic team with a new funded sub-team. The team has three other Band 7s so you will have the chance to work closely with them and learn form the management experience. There is a high retention in our team. Management are visible and supportive.

We work very closely with our urgent care team colleagues other like Psychiatric liaison services.

Job description

Job responsibilities

Ensure practice is in accordance with Codes of Professional Conduct and Mental Health Legislation, which respects differences in respect of gender, sexuality, religion, culture and disability. Maintains an environment in which there is equal opportunity and a commitment to anti-racist, anti-discriminatory and anti-stereotyping practise. Always act in a manner as to promote and safeguard the interests and well being of patients, their carers / significant others and colleagues We also have free parking facility on site. Along with the Manager, be responsible for the day to-day operational functioning of the Team. To deputise for the Manager in their absence. Participate as an active member of the Team, accountable for your practise and work in partnership with other health care professionals, patients and others in the delivery of care. This involves assessment of care needs and the development, implementation and evaluation of care plans / care programs and the setting of standards of care. Plan, prioritise and manage the delivery of a health and social care assessment and home treatment service for those in crisis as an alternative to inpatient admission. This includes managing and prioritising referrals and ensuring staff attending have suitable skills and experience and work is matched to level of experience and skills. Support team members in the management of particularly complex or distressing cases jointly visiting with them and reviewing care plans. Demonstrate within the Team, clinical leadership and knowledge of a range of therapeutic interventions available to reduce distress for individuals experiencing an acute mental health crisis. These can include: Supportive Counselling Social Systems Interventions / Family Work Brief Interventions / Problem Solving / Using CBT techniques Medication (with education and support) Practical help and support at home for patient / carers Health Promotion Co-ordination of the patients care and ensuring they / carers have adequate support from other services and are receiving benefit entitlements Act as a role model in the practise area, encouraging staff in their practise of thorough assessments with information from others, involving the patients social system in care planning and thinking creatively with others to find solutions. Ensure continuous discussion and overview of Team members work to encourage reflection / team review to keep standards high and help staff feel well supported. Ensure the provision of Clinical Supervision to all grades of staff (via structures for individual supervision and availability of group supervision) and be responsible directly for supervision of Band 6 workers. Facilitate a learning environment within the Team by arranging educational slots for Team members and others to contribute to. Ensure staff members have access to study time and appropriate training courses and maintain training records via supervision and appraisal. Be responsible for the maintenance of accurate recording of patient information in the documentation and IT systems by ensuring there is clear guidance for staff on documentation that provides accurate, relevant information without too much repetitive paperwork. To closely monitor and review this regularly. Ensure compliance with the Care Program Approach, the Trust policy on assessment and management of risk and the Mental Health Act by ensuring staff have adequate knowledge of all of the above (ensuring training if necessary) and reviewing their practise. Provide specialist knowledge and advice in the areas of Crisis Resolution / Home Treatment, Risk Assessment & Management and Social Systems Approach to other staff both within and external to the service. Contribute to a safe working environment by ensuring staff are aware of policies for home visiting which are regularly reviewed. Supports and facilitates multidisciplinary audit, development of care pathways and protocols and other quality improvement processes. Promote team cohesion via facilitating positive group dynamics. Comply with the legal requirements concerning the prescribing, storage, security transporting and administration of medicines

COMMUNICATION:

Possesses excellent communication skills and is able to form a positive therapeutic relationship with people who are in crisis/ experiencing acute distress in the context of partnership and trust. To be aware of how your verbal and non-verbal communication can be interpreted by others and maintain a polite approach at all times. To be able to respond positively to advice and constructive criticism. To be able to listen well, ask open-ended questions, reflect back to patients and their carers and summarise their needs. To promote good communication within the Team, encouraging members to express their views and be listened to, fostering an environment of discussion and reflection on patients care always looking to maintain and heighten standards. To appreciate the role of humour in promoting team cohesion. Demonstrates good leadership and management skills when undertaking the clinical assessment process and delivering care. Promote good communication / multidisciplinary working with other Teams / colleagues by ensuring their role is appreciated, working jointly, keeping the focus on the client and resolving any difficulties that may arise. Liaise closely and effectively with colleagues in primary and secondary healthcare services, families and carers, social services and voluntary agencies etc to ensure well co-ordinated and consistent care for people being treated by the HTT. Ensure patients and their carers / significant others are always fully involved and informed in the process of assessment and care planning. Ensure patients and their carers have a full understanding of how the team works and how to contact them (both from verbal and written information) and there is a system in place for them to give full feedback. To ensure each member of the Team has access to effective individual / group clinical supervision and to directly provide supervision to senior staff (as well as being supervised by the Manager). Ensure the Team Manager is kept fully briefed of clinical issues and concerns. To ensure that information of a confidential nature is not divulged to any unauthorised person and is stored in line with the provisions of the Data Protection Act. Ensure that all documentation is legible and written is accordance with professional guidelines and best practise. Participate in the planning and facilitation of the induction and processing of educational programmes for all staff. Participates in and develops audit and research in relation to Crisis Resolution working. Act as a mentor for students on placement and provide education and support. Be a source of advice / education for other teams regarding Crisis Resolution / Home Treatment working

PERSONAL DEVELOPMENT / TRAINING:

To keep up to date and participate in training programmes identified in a Personal Development Plan. To ensure self knowledge of changes in health care Participate in formal appraisal system in accordance with Trust Policy and participate in clinical supervision. Participate in (and promote) special projects, research and surveys in relation to HTT working. Ensure all staff are aware of their mandatory training requirements so that professional and legal requirements are fulfilled. Ensure that an active in-house education program exists which ensures that all staff are able to carry out their role to a high standard and allows them to develop skills and competencies in interventions whose efficacy is supported by research evidence. Provide education and training within the Team (and to other Teams in the Trust and external where time allows) in relation to his / her sphere of specialist knowledge. Ensure that professional and contractual standards of care are known to all staff and that there is a system of monitoring those standards and a system of audit. Maintain up-to-date knowledge of evidence regarding nursing and multidisciplinary practise and Crisis Resolution Team working. Ensure this is shared with and by the Nursing Team. To participate in the recruitment and interviewing of new staff and ensure they have an orientation program and supervisor on starting. Person Specification

Other

Essential

A commitment to cultural awareness and anti-discriminatory practice An understanding and positive regard for the needs and rights of people with mental health problems and their carers Ability to adapt to changing environments, needs and demands A commitment to cultural awareness and anti-discriminatory practice

Desirable

Car owner

Education and Qualifications

Essential

Current Professional Registration RMN or CQSW, Dip SW or equivalent or Degree / diploma in Occupational Therapy and HPC Registered Occupational Therapist. Teaching & assessing qualification. Evidence of ongoing professional development. Full UK driving licence

Desirable

Professional management qualification at diploma level or above Project Management qualification PRINCE2 foundation level

Previous Experience

Essential

Demonstrable experience of working in a health or social care management role Experience of working with people who experience serious ongoing mental health problems Experience of working in a mental health setting Experience of multi-disciplinary working as part of a team to include experience of leading multidisciplinary groups Experience of case assessment, care management, CPA, Risk Assessment Experience of managing and supervising staff Experience of chairing meetings Experience of CMHT working

Desirable

Experience of project development and management Experience of quality assurance monitoring Experience of working as Duty Senior Nurse Experience of managing budgets Experience of deputising Experience of CMHT working

Skills and Knowledge

Essential

Demonstrate the ability to assess, develop, implement and evaluate programmes of care for individuals experiencing acute mental distress. Demonstrate the ability to co-ordinate a team and its day-to-day work Demonstrate the ability to organise and manage staff Demonstrate the ability to use a range of therapeutic interventions with individuals in acute mental health crisis Demonstrate knowledge of the Mental Health Act and other relevant legislation Demonstrate the ability to teach and supervise staff Demonstrate an understanding of the Care Programme Approach and it's application Demonstrate good communication skills. Demonstrate ability to determine and reduce level of risk to self, service users and others Demonstrate the ability to promote the service to service users, other professional and non-professional groups Demonstrate a commitment and the ability to lead and to work as part of a team Demonstrate knowledge of issues and developments and legislation within Mental Health and the National Health Service Demonstrate ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach which considers the needs of the whole person Demonstrate ability to build constructive relationships with warmth and empathy, using good communication skills

Desirable

Team leadership skills

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