Join us at the Community Frailty Hub, where we arecommitted to providing integrated neighbourhood-based care to support patientsto live well in their own homes for longer. This is an exciting opportunity tobe part of our supportive, forward-thinking team delivering high quality personcentred, patient led care for people living with frailty in York.
Driving Licence and access to your own vehicle for work are essential for this role.
Please be aware we can not offer sponsorship at this time.
Nimbuscare is a GP-led provider organisation delivering urgentcare, community services and neighbourhood-based models of care across Yorkshire. We exist to improve patient outcomes, reduce healthinequalities and support the sustainability of primary and community carethrough collaboration, innovation and strong system partnerships.
Working as part of the multidisciplinary team, the post holder may workindependently within an agreed scope of practice, enabling and monitoringpatients, identifying early signs of deterioration, escalating concernsappropriately and maintain accurate documentation.
Providing care, support and reablement for patients living with frailtyin the community to allow then to live safely, as independently within theirown homes.
The role includes a comprehensive and mandatory training in core skillssuch as safeguarding, communication and infection control.
Please read the full job description attached.
Main duties of the job
Accountable for the delivery of efficient andappropriate care in accordance with relevant standards, guidelines and codes ofconduct under the guidance of clinical staff.
To perform first visit assessments of patients intheir own home following referral and assessment from a clinician. To updatepre-visit summary and lone working questionnaire as appropriate.
To facilitate care and support as appropriate.
Encourage patient engagement to meet their goals andobjectives as set out in a person-centered care plan.
To work as part of the Frailty Hub signposting to referralpathways within the MDT.
Support patients to complete home exercise programmes asadvised by the therapy team.
Ensure patients comfort, safety, and dignity always,respecting privacy and always ensuring confidentiality.
Ensure all care and support is focused on promotingindependence.
To maintain written records on System One and otherrelated information as required and report all changes in the patientscondition to the Team in an accurate and timely manner.
To assist and support patients and carers asappropriate. To assist patients with their activities ofliving, including prompting and administrating medication (in line withtraining, competency and agreed protocols), diet, maintaining personal hygiene,assessing and using toilet facilities as appropriate.
About us
Who are we?
Nimbuscare is a not-for-profit, socially driven organisation within the NHS family. Were collaborative, agile and innovative at our core, working with partners across the system to remove complexity, inspire trust and create person-centred solutions that make healthcare better for everyone.
What we do?
We work towards making a complex system simpler. Creating better, more seamless care closer to home.
How we do it?
By collaborating closely with GP Members, Patient Safety Partners and wider health and care organisations, combining shared insight and expertise to improve outcomes for local people.
As a Disability Confident Committed employer disabledapplicants who meet the essential criteria for this job are guaranteed aninterview.
We kindly ask that you avoid usingAI tools to draft your application. We value authentic, individualresponses that reflect your own experience and communication style.
Job responsibilities
MainDuties and Responsibilities:
Accountable for the delivery of efficient andappropriate care in accordance with relevant standards, guidelines and codes ofconduct under the guidance of clinical staff.
To perform first visit assessments of patients intheir own home following referral and assessment from a clinician. To updatepre-visit summary and lone working questionnaire as appropriate.
To facilitate care and support as appropriate.
Encourage patient engagement to meet their goals andobjectives as set out in a person-centered care plan.
To work as part of the Frailty Hub signposting to referralpathways within the MDT.
Support patients to complete home exercise programmes asadvised by the therapy team.
Ensure patients comfort, safety, and dignity always,respecting privacy and always ensuring confidentiality.
Ensure all care and support is focused on promotingindependence.
To maintain written records on System One and otherrelated information as required and report all changes in the patientscondition to the Team in an accurate and timely manner.
To assist and support patients and carers asappropriate. To assist patients with their activities ofliving, including prompting and administrating medication (in line withtraining, competency and agreed protocols), diet, maintaining personal hygiene,assessing and using toilet facilities as appropriate.
To always respect the privacy and dignity of thepatient, ensuring confidentiality.
Planned and Unplanned Cover: To contribute tomaintaining the safe level of service delivery.
To effectively, efficiently and appropriatelyacknowledge, signpost and/or handle queries as deemed appropriate and sourcethe appropriate advice.
Administrative Record Keeping: Responsible formaintaining accurate records / discharging and archiving patients paperwork.Completing Health Support Worker visit data and ensuring this is recorded atthe point of patient contact, in an accurate manner.
Ensuring Healthcare Support colleagues receiveaccurate patient visit information in a timely manner via updating thepre-visit summary on Systm One and telephone and escalating any concerns to aclinician.
To perform and record physical observations onpatients using the necessary equipment (BP monitor, blood sugar, pulseoximeter) when it is deemed appropriate or when advised to by a clinician.
To be monitor patients for a change in condition andescalate as appropriate.
To ensure referrals to other agencies are madeappropriately.
Supporting the protection of children, youngpeople, and adults at risk through compliance with safeguarding procedures andprompt reporting of any concerns.
To be an example and support junior staff.
To ensure any CQC requirements and/or documentationfor which the post holder is responsible for is completed timely andaccurately. To also ensure any procedures and processes applicable to the roleare followed timely and accurately.
To ensure you devote the whole of your time,attention and abilities to your role, our business and its goals.
Such other duties as may reasonably be delegatedfrom time to time.
Education and Training:
Inaccordance with the concepts of lifelong learning, develop own knowledge andskills and contribute to provide information to others to help theirdevelopment. This will include:
Take part in plans for development,learning and performance, including participating in team meetings.
To attend training offered by YorkCommunity Frailty Hub clinical staff to ensure this is up to date.
Ensure mandatory training is up to date andcompleted on time.
Demonstrating to new staff members theskills and activities carried out, including shadowing, home visits andoffice-based workload.
Participation in 121, performance reviewand appraisal.
Infection Prevention and Control iseveryones responsibility; therefore, Nimbuscare is committed to ensuring thatall employees work collaboratively to reduce the risk of healthcare associatedinfection. To achieve this, all staff are expected to comply with InfectionPrevention and Control (IPC) Policies, to attend IPC training as part of theirinduction programme, attend mandatory IPC training or complete the e-learningprogramme annually and/or complete the workbook, as appropriate to their role.
To undertake training identified as appropriate/necessaryto perform the role.
Other responsibilities:
Establishand maintain communication with individuals and groups about difficult orcomplex matters, overcoming any problems in communication.
Communicating clearly, conciselyand effectively with other team members.
Todevelop good communications with the patient and his/her family, passingon all relevant information to the Community Frailty Hub team and otherprofessionals as appropriate, e.g. out of hours GP’s.
Totreat all patient information as confidential.
Risk Management: Although it is essentialthe post holder can work independently, it is equally important the post holderto access support and advice as appropriate.
Demonstratean awareness of the scope / boundaries of their own responsibilities, decisionmaking, skills and knowledge is vital and to assertively and appropriatelyescalate and/or access support.
IT Literate: be willing tolearn about IT system used in healthcare e.g. SystmOne and MicrosoftApplications.
Customers/ Key Stakeholders
Supportingthe Practice in achieving our Strategic Goals. Examples of the most directcustomers:
ExternalCustomers:
District Nurses
Trust: Community Response Team, CommunityTherapy Team
Local Authority: Adult Social Services
Out of Hours Services
Social Services
Voluntary Sector Agencies
InternalCustomers:
Clinical Manager
Operational Manager
Wider Clinical Team (Practice Nursing and GP team)
Community Frailty Hub colleagues
Person Specification
Qualifications
- Certification of Enhanced Criminal Record Check with childrens and/or adult barred list to be carried out after successful interview.
- Care Certificate
- Experience in Motivational Interviewing/Coaching
- NVQ Level 3 in Care or equivalent experience of working in a community health/social care setting
Behaviours
- Teamwork – Work effectively and professionally within the team through willingness to proactively support and assist their peers and colleagues.
- Ability to work independently supported by the Community Frailty Team. Having the ability to recognise when a problem / issue should be escalated or referred to the wider clinical team because it falls outside of the scope of the role and knowledge.
- Solution Focussed Approach: Ability to react to and face challenges or setbacks in a positive manner with a commitment to continuous improvement of their own skills and behaviours and of the service.
- Customer Service – Ability to remain focused on providing and continuously improving an excellent patient and internal customer service (colleagues).
- Confidentiality – Ability to exercise and adhere to Nimbuscare confidentiality policies.
- Work Prioritisation – Ability to organise, prioritise and manage your own workload.
Skills
- Communication Skills – Good Verbal and written communication.
- Ability to build professional and appropriate rapport with patients.
- Able to calmly, professionally and efficiently deliver Meet patients needs with a warm reassuring demeanour
- Able to motivate patients to engage in rehabilitation.
- Work as part of the Multi-disciplinary team
- Driving licence and access to own vehicle for work
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.
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