Alexandra Marcu

· Deputise for the Registered Manager across a campus including a 33-bed dementia nursing unit, 20-bed rehabilitation/nursing unit and 14 independent living apartments and cottages.

· Lead approximately 85 multidisciplinary employees.

· Oversee clinical governance, safeguarding, CQC compliance, Duty of Candour and quality assurance.

· Manage admissions, occupancy, complex assessments and relationships with hospitals, ICBs and local authorities.

· Lead recruitment, interviews, supervision, appraisals and disciplinary investigations.

· Drive audits, service improvement and clinical governance.

· Support occupancy through sales training, enquiry management, marketing and family consultations.

· Act as Registered Manager in the Registered Manager's absence.

• Delivered high-quality, person-centred nursing care for individuals with complex mental and physical health needs.
• Led the clinical management of patients during night shifts, ensuring safe, effective and responsive care delivery.
• Completed comprehensive patient assessments, developed care plans and evaluated treatment outcomes.
• Administered and managed medications, including controlled drugs, ensuring compliance with regulatory and organisational standards.
• Recognised and responded promptly to medical emergencies, providing life support and coordinating appropriate clinical interventions.
• Monitored patient condition, identifying clinical deterioration and escalating concerns to the multidisciplinary team.
• Worked collaboratively with psychiatrists, GPs, nurses and allied healthcare professionals to deliver coordinated care.
• Managed admissions, discharges and clinical handovers to ensure continuity of care.
• Maintained accurate clinical documentation and upheld high standards of governance, risk management and patient safety.
• Supported and mentored junior staff, promoting best practice and maintaining high standards of clinical care.

• Supported the Home Manager in the day-to-day operational and clinical management of the service, ensuring the delivery of safe, high-quality, person-centred care.
• Led and motivated a multidisciplinary team of approximately 45 employees, promoting a positive culture of accountability, learning and continuous improvement.
• Managed recruitment, induction, supervision, performance management and staff development, supporting retention and professional growth.
• Oversaw workforce planning, rota management and resource allocation to ensure safe staffing levels and efficient service delivery.
• Led clinical audits, risk assessments and quality assurance activities, driving continuous improvement and maintaining regulatory compliance.
• Supported CQC compliance by implementing policies, monitoring standards and embedding best practice across the service.
• Investigated complaints, incidents and concerns, implementing corrective actions to improve resident outcomes and service quality.
• Developed and reviewed clinical and operational procedures to improve efficiency, consistency and quality of care.
• Monitored budgets, operational performance and key quality indicators, providing reports and recommendations to senior management.
• Built positive relationships with residents, families and external healthcare professionals, ensuring effective communication and high levels of customer satisfaction.
• Supported occupancy through service promotion, enquiry management and collaborative working with internal and external stakeholders.

• Acted as Nurse in Charge, leading the day-to-day clinical operation of a 15-bed specialist palliative care inpatient unit and coordinating a multidisciplinary team of approximately 20 staff.
• Developed and managed staff rotas, ensuring safe staffing levels, effective skill mix and continuity of high-quality care across all shifts.
• Led comprehensive patient assessments, care planning and ongoing clinical evaluations for patients with complex and life-limiting conditions.
• Worked collaboratively with consultants, GPs, specialist nurses, therapists, pharmacists and community services to deliver seamless, holistic care.
• Managed complex admissions, discharges and transfers, ensuring safe transitions and effective communication across healthcare settings.
• Delivered expert symptom management and end-of-life care, supporting patients and families with compassion, dignity and professionalism.
• Mentored junior nurses and healthcare assistants, supporting professional development and promoting high clinical standards.
• Contributed to clinical governance, quality improvement initiatives and patient experience reviews to enhance service delivery and maintain best practice

• Coordinated the hospice referral and admissions process, participating in multidisciplinary referral meetings to prioritise admissions based on clinical urgency, complexity and patient needs.
• Completed comprehensive telephone and face-to-face nursing assessments, determining suitability for admission and developing individualised care plans.
• Managed complex admissions and discharge planning, ensuring safe, seamless transitions between hospital, hospice and community services.
• Worked collaboratively with consultants, GPs, district nurses, social workers, community teams and external healthcare providers to coordinate high-quality, person-centred care.
• Completed NHS Continuing Healthcare (Fast Track) and other specialist assessments to facilitate timely access to end-of-life care services.
• Developed and maintained comprehensive clinical documentation, ensuring accurate records, regulatory compliance and effective communication across multidisciplinary teams.
• Coordinated medication requests and prescriptions with medical staff to ensure continuity of treatment throughout admission and discharge.
• Supported patients and families through the admission process, providing clinical information, emotional support and guidance to enable informed decision-making.
• Contributed to multidisciplinary care planning, ensuring patients received coordinated, holistic care throughout their hospice journey.

• Collaborated with nurses to evaluate care plan outcomes, implementing or adjusting interventions accordingly.
• Delivered practical and emotional support to patients and caregivers, enhancing quality care provisions.
• Supported bed-ridden patients through regular repositioning and chair-based exercise, helping to prevent sores, joint degeneration and blood clotting.
• Escorted residents to and from hospitals to reduce appointment no-shows and maximise accessibility to complex care.
• Provided personal and intimate day-to-day care, including incontinence care and washing, maintaining patient dignity at all times.
• Performed daily clinical observations, recording medical data accurately and securely.
• Carried out safe, secure manual handling, assisting patients with daily care routines whilst promoting independence.
• Improved patients' quality of living, engaging in fulfilling and meaningful activities to encourage community access.
• Maintained hygiene standards, cleaning and clearing patient rooms according to ward protocol.
• Maximised patient comfort by accurately assessing pain levels and administering pain-relieving medication.

• Greeted visitors upon arrival, verifying identity and booking details and issuing visitor passes.
• Transmitted digital and printed documents to customers by post or email.
• Performed administrative support tasks such as data entry, appointment scheduling and phone call screening.
• Expertly handled complaints and recorded customer feedback to enhance guest experience.
• Resolved minor customer issues and requests for information, escalating complex problems to line manager.
• Assisted administrative staff with special projects using file management skills.
• Sorted and distributed business correspondence to correct department or staff member.
• Kept reception area clean and neat to give visitors positive impression of company.
• Received incoming packages and mail, dispersed parcels and correspondence and shipped outgoing items daily.
• Answered enquiries and addressed, resolved or escalated issues to management personnel to ensure client satisfaction.
• Answered telephone enquiries from clients, vendors and public.
• Resolved issues swiftly and efficiently in friendly, supportive manner.

• Received patients and answered queries regarding services available
• Managed patient care as well as medication orders and treatments
• Scheduled appointments as per schedule of doctor and informing patient accordingly
• Evaluate patients physical impairments and doing assessments for national state pension department
• Monitored cardiac and physical status of patient under care
• Maintained patients’ critical records and assisted with execution of physician’s order performed diagnostic tests ( EKG's, Stress tests, Tilting tests, Audiometry, venepuncture and sonograms
• Documented and organised patients records for reference in case of emergencies
• Registered patients as per hospital policy and educated them about medical policies to be followed
• Maintained front office supplies and record of monetary transactions on daily basis in proper books and registers
• Treated unstable patients with IV drip and IV push medications;
• Monitored for effectiveness and side effects
• Assisted patients in filling up medical forms
• Assessed and evaluated patient needs, supporting accurate diagnosis and care planning.
• Worked closely with fellow nurses, doctors and clinicians to ensure consistent communication and promote continued best care practices.
• Maintained accurate, up-to-date patient records, maximising data accuracy.
• Relayed confidential clinical information carefully, updating patient records to reflect changes to treatment plans.

• Assessed and evaluated patient needs, supporting accurate diagnosis and care planning.
• Established positive rapport with patients and families through active listening and compassionate care.
• Worked closely with fellow nurses, doctors and clinicians to ensure consistent communication and promote continued best care practices.
• Liaised with senior physicians to plan timely, successful patient discharges.
• Monitored and recorded patient condition, carrying out and reporting regular observations.
• Maintained accurate, up-to-date patient records, maximising data accuracy.
• Administered medication according to patient requirements, maintaining meticulous attention to detail to avoid errors.
• Performed procedures including blood tests and x-rays to appropriately prepare patients for surgery.
• Efficiently performed data entry with sharp attention to detail. Recorded pertinent patient information and navigated database in order to schedule and manage appointments.
• Treated unstable patients with IV drip and IV push medications; monitored for effectiveness and side effects
• Monitored patients with acute and chronic cardiac diseases
• Participated and trained in events of cardiac arrest/fatal arrhythmias by performing CPR , vitals and medication administration
• Built caring, compassionate relationships with patients, providing emotional support and encouragement during complex surgeries.