Kristina Forman

• Working with patients 0+ main role as safeguarding/carers lead
• Use data tools including Sollis (structured information extracted from primary, community and acute providers), the outcomes from the Population Health Management project and soft intelligence from healthcare professionals to identify those in need of proactive care
• Using this information to work on a daily and weekly basis with healthcare professionals to inform their caseloads
• Be the co-ordinator of reactive (urgent care for those in need) and proactive (planned care to support people to live independently) services for patients
• Ensuring that healthcare professionals focus their limited resources on those in most need, co-ordinating the right intervention for each patient, ensuring consistent records are kept of care plans and interventions and ensuring that records are shared appropriately with all health and social care professionals involved in caring for each patient
• Organise and facilitate multi-disciplinary meetings between members of the wider PCN healthcare team to discuss, update and share care plans as appropriate
• On occasions being ready to chair these meeting
• Keep accurate records of decisions made about individual patients and follow up where necessary, ensuring health professionals act on the decisions
• Work closely with the administrative/care coordination teams in the member practices
• Co-ordinate collection of regular data returns to the CCG and other agencies as appropriate for patients managed within the PCN
• Contact patients where appropriate to advise about health issues or provide social prescribing advice and guidance
• Bring together all of a person's identified care and support needs, and explore their options to meet these into a single personalised care and support plan
• Co-ordinate care between GPs, other practice based clinical team members, community matrons, district nurses, palliative care nurses, community therapists, other community staff, social care, voluntary sector organisations and wider health and social care services
• Work closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed
• Raise awareness of shared decision making and decision support tools, and assist people to be more prepared to have a shared decision making conversation
• Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers, health and wellbeing coaches and other primary care roles
• This may include: o Helping people to manage their needs, answering their queries and supporting them to make appointments
• Support people to take up training and employment, and to access appropriate benefits where eligible
• Ensure that people have good quality information to help them make choices about their care
• Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing
• Explore and assist people to access personal health budgets where appropriate
• Work with clinicians to minimise the number, and maximise the effectiveness, of appointments and home visits
• Pro-actively monitor the effectiveness of appointments and the reasons for non-attendance
• Send out and obtain information, especially to help empower patients to optimise self-care
• To be able to work independently and visit at home patients who are not able to come to the practice for review
• Promptly refer any patient concerns to a clinician, and act on responses
• Respond to enquiries and requests from patients, their carers and external health and social agencies
• Help to ensure patient medical conditions are being well managed, and share care plans with other clinicians or third parties where relevant
• Monitor patient information relating to (for example), A&E attendance, hospital admission and medications
• Manage and maintain registers of Long Term Condition patients and Practices clinical systems, ensuring IT security and IG compliance at all times and adding read codes to medical records to assist with reporting
• Undertake work in areas, such as Learning Disability, Palliative Care, Mental Health and Cervical Screening
• This will include: o Participating in local training and meetings (including taking minutes); maintaining registers; coordinating reviews; booking home visits; arranging tests; ensuring appropriate methods of communication; overseeing clinics
• Keep up to date with Safeguarding by: participating in training and meetings; maintaining registers; liaising with safeguarding lead; and ensuring that reports are completed in time
• Take responsibility for own personal development by fully participating in a yearly appraisal, assessing own educational/training needs, exploring all opportunities for maintaining and updating own professional knowledge and skills, and attending training
• Keep up to date with policies and procedures and ensure that these are adhered to at all times

· Manage and direct care staff so that the residents are monitored throughout the night and their physical and emotional needs are met. Responsible for resident care during the night duty. Will contact other professionals (e.g. GPs or Funeral Directors) as appropriate. Will also act as a member of the night care team, delivering hands on care with other team members.

·

Dealing with Emergencies

· responsible for contacting relatives/next of kin in an emergency. Will contact the Registered Manager or designated other in the event of emergency (e.g. fire).

Staff management / supervision

· manage ,monitor workload of care staff and ensure that tasks are prioritised appropriately, so that residents' wellbeing, safety and care is achieved. model good practice and behaviour as a working member of the team.

· as part of supervision undertake IPPs with night care assistants and assess performance for deciding progression through the grade.

Case recording

collate and provide handover information to the senior relieving officer. Will report any inappropriate behaviour or abusive practice to senior management.

Medication

· responsible for the administration and safe storage of medication during the night duty. This included auditing and disposal.

Corporate and statutory initiatives – equalities / health and safety / e-government / sustainability

· comply with all HCC Health & Safety Policies including fire safety / evacuation and have responsibility for ensuring the health and safety of residents. complete risk assessments, reviews and audits inline with CQC standards.

• Supporting adults with mental conditions to gain skills to move to independent living
• Job role: supporting 18-65yr olds after leaving hospital, prison or family home to gain the skills and knowledge to live independently
• Including tenancy management, money management, basic life skills and acceptable behaviour and accountability
• This role also included support with medication, substance abuse, and self harm support
• Tenancy management and welfare benefit support
• Emotional and mental health support
• Education on acceptable behaviour whilst living independently
• Being organised, managing my own time, booking appointments, prioritising tasks, working todeadlines, delegating work when appropriate and maintaining attention to details
• Currently holdthe responsibility for organising and managing support workers timetables
• Being able to adapt my verbal and written communication to meet the needs of the individual
• Have a clear understanding regarding our contracts and the requirements by completing therelevant documents
• Actively work to promote the service to fill voids and bring in new business
• Managing a property, clients tenancies and clients rent accounts
• Attend referral multi agency meetings, assessing potential clients, contacting relevant agencies,liaising with the correct team for a referral
• Building positive relations with commissioning teams and multi agencies through networking and
• Continual joint working
• Manage client case load of twenty eight; check clients are receiving correct support for their needs
• Possess a working knowledge of service Budgets and budget setting
• Efficient in using all Microsoft applications and able to touch type
• Using Specialist service software to input client data
• Adhering to all policies and procedures at all times
• Instil confidence within the team to bring about a positive work environment and positiveoutcomes
• Able to make decisions and use my own initiative to ensure the smooth running of the service
• Go above and beyond my role to support other colleagues and service

• Full training and sat on numerous panels
• Experience of restorative justice and working with challenging behaviour

• Ashley arnewood manor
• Ensure the highest possible levels of care are maintained by supporting / assisting Clients, whenrequired, with all aspects of daily living
• Support training and supervision of junior and new Staff Members in all aspects of their work in the
• Home, under the supervision of senior Staff Members
• Assist Clients in all aspects of their care needs (e.g
• Physical, emotional and spiritual)
• Providesupervision and attention when needed, ensuring Clients retain their comfort and dignity
• Pay particular attention to assisting Clients who have limited mobility, or physical / learningdifficulties making the best use of aids provided
• Closely monitor Clients who may be confused and/or who have behavioural problems
• Assist in the promotion of Continence
• Assist in the delivery of care for Clients who are dying or who have a progressive illness
• Assist with
• Last Offices
• Complete, observe and review care planning needs for Clients, and complete written daily records asinstructed and in line with the Company's policies and procedures.

• Council
• Ensure the highest possible levels of care are maintained by supporting / assisting Clients, whenrequired, with all aspects of daily living
• Support training and supervision of junior and new Staff Members in all aspects of their work in the
• Home, under the supervision of senior Staff Members
• Assist Clients in all aspects of their care needs (e.g
• Physical, emotional and spiritual)
• Providesupervision and attention when needed, ensuring Clients retain their comfort and dignity
• Pay particular attention to assisting Clients who have limited mobility, or physical / learningdifficulties making the best use of aids provided
• Closely monitor Clients who may be confused and/or who have behavioural problems
• Assist in the promotion of Continence
• Assist in the delivery of care for Clients who are dying or who have a progressive illness
• Assist with
• Last Offices
• Complete, observe and review care planning needs for Clients, and complete written daily records asinstructed and in line with the Company's policies and procedures
• Assist in framework of social activities by interacting with Clients and helping them continue withhobbies and activities in the Home
• Answer Nurse Call system, giving assistance as required
• Answer the door and telephoneappropriately
• Respond accordingly, and pass on messages promptly
• Hi
• Report on well-being of Clients and liaise with GPs and Support Managers etc
• Carry out regular checks on Clients at intervals determined by senior Staff Members
• Make Visitors feel welcome
• Provide refreshments / assistance as and when required
• Make and change beds, ensuring that rooms are clean and tidy, and commodes are empty
• Ensurethe Home's resources are used appropriately
• Clean and maintain equipment used by Clients / Relatives e.g
• Wheelchairs, hearing aids, spectaclesetc
• Ensure the Home is kept clean and tidy, in line with the Company's attention to detailphilosophy
• If applicable, care for Clients' clothing and rooms as named, and ensure that all clothing is recordedand clearly marked
• Ensure full privacy and dignity is maintained for the dying and the bereaved, in line with the
• Company's policies and procedures
• Assist Clients who need help during meal times (be aware of swallowing difficulties, dietaryrequirements etc)
• Assist with serving of food / drinks as requested / required
• Escort Clients travelling to and from the Home e.g
• On social outings, hospital visits etc
• Practice maximum integrity in all dealings with Clients' affairs, and avoid abuse of the privilegedrelationship that exists with Clients
• Reason for leaving: redundancy

• Ashley arnewood manor
• Ensure the highest possible levels of care are maintained by supporting / assisting Clients, whenrequired, with all aspects of daily living
• Support training and supervision of junior and new Staff Members in all aspects of their work in the
• Home, under the supervision of senior Staff Members
• Assist Clients in all aspects of their care needs (e.g
• Physical, emotional and spiritual)
• Providesupervision and attention when needed, ensuring Clients retain their comfort and dignity
• Pay particular attention to assisting Clients who have limited mobility, or physical / learningdifficulties making the best use of aids provided
• Closely monitor Clients who may be confused and/or who have behavioural problems
• Assist in the promotion of Continence
• Assist in the delivery of care for Clients who are dying or who have a progressive illness
• Assist with
• Last Offices
• Complete, observe and review care planning needs for Clients, and complete written daily records asinstructed and in line with the Company's policies and procedures
• Assist in framework of social activities by interacting with Clients and helping them continue withhobbies and activities in the Home
• Answer Nurse Call system, giving assistance as required
• Answer the door and telephoneappropriately
• Respond accordingly, and pass on messages promptly
• Report on well-being of Clients and liaise with GPs and Support Managers etc
• Carry out regular checks on Clients at intervals determined by senior Staff Members
• Make Visitors feel welcome
• Provide refreshments / assistance as and when required
• Make and change beds, ensuring that rooms are clean and tidy, and commodes are empty
• Ensurethe Home's resources are used appropriately
• Clean and maintain equipment used by Clients / Relatives e.g
• Wheelchairs, hearing aids, spectaclesetc
• Ensure the Home is kept clean and tidy, in line with the Company's attention to detailphilosophy
• If applicable, care for Clients' clothing and rooms as named, and ensure that all clothing is recordedand clearly marked
• Ensure full privacy and dignity is maintained for the dying and the bereaved, in line with the
• Company's policies and procedures
• Assist Clients who need help during meal times (be aware of swallowing difficulties, dietaryrequirements etc)
• Assist with serving of food / drinks as requested / required
• Escort Clients travelling to and from the Home e.g
• On social outings, hospital visits etc
• Practice maximum integrity in all dealings with Clients' affairs, and avoid abuse of the privilegedrelationship that exists with Clients
• Reason for leaving: better hours/ prospects.