Karen Macey

• Referred patients to other health care providers to receive specialised services.
• Collaborated with multidisciplinary teams to provide excellent care continuity.
• Maintained compliance with complete documentation of all actions.
• Managed Continued Professional Development (CPD) to stay up-to-date on current industry developments and technology advancements.
• Adhered to healthcare legislation to maintain consistency and high standard of care across services.
• Communicated with professionals across different disciplines to coordinate treatments and provide continuity of care.
• Assessed risk of injury and implemented preventative measures to help safeguard patients.
• Handled complex cases effectively, ensuring optimal health outcomes achieved.
• Ensured compliance with all regulatory standards for safe practice maintained.

• Liaised with other healthcare providers to ensure seamless service delivery.
• Provided empathetic support for patients during difficult health journeys.
• Collaborated with multidisciplinary teams to enhance patient outcomes.
• Handled complex cases effectively, ensuring optimal health outcomes achieved.
• Collaborated with multidisciplinary teams to provide excellent care continuity.
• Synthesised health-related information to help patients comprehend diagnoses, symptoms and treatments and feel empowered through understanding.
• Communicated with professionals across different disciplines to coordinate treatments and provide continuity of care.

• Ensure that agreed quality assurance initiatives are implemented within the home.
• Liaise with health and social care regulators and local authorities to maintain standards.
• Ensure effective information governance.
• Provide service users with empowerment, dignity and respect.
• Maintain high levels of occupancy.
• Comply with regulatory requirements.
• Follow policy and procedure and cascade information to staffing team.
• Provide leadership, being approachable and transparent with communication.
• Lead staff selection process with the support of the employment team.
• Complete staff rotas to ensure that there is an appropriate skill mix taking into consideration, annual leave requirements.
• Complete probation's, supervisions, appraisals and difficult conversations with staff.
• Complete return to work notifications, meetings inline with policy and procedure. Referring to HR and Occupational health where appropriate.
• Ensure that training was up to date and completed.
• Ensure compliments and complaints are dealt with inline with policy and procedure.
• Ensure that regular staff, service user, family meetings were held and reviews with the funding providers.
• Develop, implement and review person centred care plans, risk assessments and professional prescriptions.
• Support service users with financial affairs.
• Ensure incident/accidents are reported in a timely manner, accessing safeguarding notifications and CQC notifications.
• Informing and keeping families up to date using transparent communication.
• Ensuring home compliance with DOLS.
• Following the mental capacity act and ensuring that MCA assessments were completed and any decision made in the best interest of the service user was the least restrictive and involved the MDT.
• Ensure that the home remains compliant with health and safety legislation (e.g environmental health, health and safety, asbestos, legionella, fire regulations).
• Liaise with health and social care professionals (e.g, social workers, palliative teams, SALT, dietitian, OT, Physio, psychiatry).
• Auditing the service

• Overall running off the home, liaising with key stakeholders, staff, service users and families.
• Built firm but respectful relationships with staff, leading by example and providing continued encouragement for high levels of motivation and satisfaction. Liaised with agencies and looked at reducing agency use.
• Regularly monitored operational progress ensuring that KPI, training, supervisions are completed.
• Complete assessments/care plans/risk assessments to ensure service users needs are met and risk is minimised.
• Created detailed written plans and obtained customer consent to proceed with care planning following the MCA.
• Introduced accessible format and pictorial format information to enable independence and service user choice.
• Liaise with the wider Leonard Cheshire Team to improve services, quality team, finance team, behaviour support teams.
• Manage safeguarding , deprivation of liberty referrals, mental capacity act assessments.
• Manage risk within the home.
• Complete CQC returns.
• Liaise with key stakeholders.
• Monitor staff training needs.
• Arrange external agencies to provide clinical training.
• Ensure clinical governance is adhered to by monitoring the effectiveness of the service in key areas to enable the service to sustain and improve their performance.
• Ensure financial budgets are being monitored and are on target.
• Liaise with the local LA and CCG for them to complete inspections.
• Compliance with documentation, policy and procedures.

• Deputise for the overall running off the home, liaising with key stakeholders, staff, service users and families.
• Built firm but respectful relationships with staff, leading by example and providing continued encouragement for high levels of motivation and satisfaction. Liaised with agencies and looked at reducing agency use.
• Regularly monitored operational progress ensuring that KPI, training, supervisions are completed.
• Complete assessments/care plans/risk assessments to ensure service users needs are met and risk is minimised.
• Created detailed written plans and obtained customer consent to proceed with care planning following the MCA.
• Introduced accessible format and pictorial format information to enable independence and service user choice.
• Liaise with the wider Leonard Cheshire Team to improve services, quality team, finance team, behaviour support teams.
• Manage safeguarding , deprivation of liberty referrals, mental capacity act assessments.
• Manage risk within the home.
• Complete CQC returns.
• Liaise with key stakeholders.
• Monitor staff training needs.
• Arrange external agencies to provide clinical training.
• Ensure clinical governance is adhered to by monitoring the effectiveness of the service in key areas to enable the service to sustain and improve their performance.
• Ensure financial budgets are being monitored and are on target.
• Liaise with the local LA and CCG for them to complete inspections.
• Compliance with documentation, policy and procedures.
• Completed clinical observations with staff
• Completed clinical tasks
• Liaised with professionals to ensure that holistic care needs were met
• Provided guidance to junior staff, fostering professional growth and development.
• Conducted performance evaluations, enhancing individual employee development.
• Facilitated conflict resolution amongst employees, promoting a harmonious work environment.
• Supervised team members for optimal task completion.
• Upskilled staff through targeted training opportunities, enhancing team capabilities.
• Monitored health and safety measures for guaranteed compliance.

• Managed, motivated and developed a team of Ten Nurses and support workers to consistently deliver exceptional holistic care to individuals who had a diagnosis of learning disabilities and mental health/ challenging behaviour.
• Monitored service development in line with the CQC key lines of enquiry (KLOE's) for the community setting.
• Monitored team development, setting targets, objectives and providing constructive feedback for continued growth.
• Worked closely with the Clinical commissioning group (CCG) to ensure investment and commitment to pilot service and to ensure we were meeting strategic targets.
• Improved long-term care for the individuals and prevented hospital admissions.
• Managed hiring and recruitment, employee motivation, supervision and training.
• Provided monthly reports to the regional manager and CCG, outlining recruitment, referrals, prevented hospital admissions and outcomes of the service provided.
• Managed rota's and annual leave
• Collaboratively worked with key stakeholders, social care, health care, mental health inpatient services and community services.
• Built professional and transparent relationships with the service users and families/carers.
• Provided PBM training to NHS staff from multiple sectors
• Managed commitments, time and meetings.
• Managed mental capacity act assessments (MCA), safeguarding alerts, deprivation of liberty (DOLS) referrals and referrals for a mental health act assessment (MHA) to be completed when an individual was in the community at risk of being harm to themselves and/or others.
• Managed risk assessments, initial assessments and liaised with the multidisciplinary team to provide a bespoke holistic care plan to meet the individuals needs.

As the acting team manager and team manager my main responsibilities are: Continuing to develop the service whilst ensuring smooth day to day running of the team, supervising band 6,5 and 4 staff and completing supervisions and appraisals. Completing staff specific tasks such as absence, probation, annual leave requests, mileage and lone working procedures. I prioritise and allocate referrals received, ensuring that initial assessments and contact targets are achieved. I raise safeguarding incidents and IR1 for incident management as well as support members of the team to raise safeguarding incidents. I ensure that clinical governance and auditing is completed for the team and that information is fed back up to the service manager and the clinical commissioning group. I audit and collate information from the team's statistics for a monthly report that I complete for presentation to the clinical commissioning group on a monthly basis. I liaise with multiple professionals and provide clinical visits to service users with complex needs within the community and inpatient settings to provide comprehensive assessment/care planning/interventions and monitoring following a proactive or crisis intervention route. I attend blue light meetings, community treatment reviews , Care Programme Approach (CPA) and psychiatry reviews. I work closely with the consultant psychiatrists/General Practitioners (GP) to review and monitor the physical and mental health well being of each service user as well as monitor medication changes for the service users within my care. As part of my role I also provide training in positive behavioural management to Avon and Wiltshire Partnership staff and bespoke training to the service users carers/family/care providers tailored specifically to the service user and their presenting need. I have started to undertake investigations as part of my role and to write reports for the investigations completed. I handle compliments and complaints that arise from service users, families, carers, professionals and care providers with a sensitive manner and timely fashion.

Establishing a new pilot scheme to work with people with learning disabilities, mental health and/or challenging behaviour as a senior member of staff.Developing pathways for the service and a crisis care pathway with multiple professionals. Liaising with multiple professionals and outside agencies to ensure that the holistic care needs of the service users are met. Ensuring assessments and reports were completed in a timely fashion and referrals to appropriate professionals were made following assessment. Supervision and appraisals of the band 5 and band 4 staff.Reporting Safeguarding incidents and raising IR1 incident forms.Ensuring that clinical governance and auditing for the team was completed in a timely manner and reported on to the service manager. Working closely with the co-located and integrated health and social care team, psychiatry, GP, primary and secondary care sectors to ensure that reasonable adjustments were made for service users with a learning disability to access mainstream services.

I was working in an integrated health and social care team for people with a learning disability. I managed my own caseload of service users with a learning disability, mental health and/or challenging behaviour's completed assessments such as; initial, contact and risk assessments, care plans, capacity assessments and CPA crisis and contingency plans. I liaised with primary care and other mainstream services to ensure that the service users within my care received the most beneficial and holistic care and reasonable adjustments were made when required. I worked closely with the service user/family/carers/advocates and the MDT to ensure continuity of care.I prepared cases to present at funding panels when additional funding needed to be sourced to keep the service user at home with additional support from their care provider facilitated training on a document called "What's the plan" which is an easy read plan for people with a learning disability and mental health as part of the CPA training. I also facilitated positive behavioural management and epilepsy training.I was the care coordinator for service users on the CPA care pathway and I completed positive behavioural management plans, CPA assessments/reviews, risk assessments and crisis and contingency plans.

For a 6 month part of this employments I spent: (Health Facilitation Nursing) One day a week I spent working with service users with physical health issues. I liaised with GP surgeries, hospital liaison nurses, completed health action plans, hospital passports and dementia triage. I also held nurse led epilepsy clinics and completed epilepsy management plans and emergency management plans.

(Continuing healthcare CHC Nursing) One day a week I spent completing CHC assessments and reviews as well as capacity assessments and arranging best interest meetings.

The dietetics team covered Bristol, South Gloucestershire and North Somerset . As a dietetics assistant I would liaise and provide home visits with service users/families and carers to support them with the care plans that had been put into place. I supported the dietetics service with training primary care/GP practice staff to understand the holistic and dietary needs of people with a learning disability. I was seconded to the University of the West of England (UWE) in 2009 and qualified as a learning disability nurse in 2012. Whilst I was waiting for my registration/pin to come through I worked as a dietetics assistant.