Clinical Lead Nurse

On-site in London·Full-time·Added yesterday (last checked 6 Nov)

TLC Care

27 open roles

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Our summary

Contract: Permanent, full-time hours
Closing date: Apply by Saturday 5 December

Skills

Nice to have

The role

Salary/Benefits: Competitive Salary

Contract: Permanent

Hours: Full Time

Hours per week: 40

The TLC Care ethos is people come first. At TLC Care we specialise in the ownership and management of care homes, and we have an impressive track record of delivering high quality services. We expect our team members to give their best and strive for continuous improvement to ensure the highest standards of care and service are delivered to all customers.

Main Purpose

To be the clinical lead in the home working in partnership with your Home Manager and Care Services Manager to provide clinical expertise and guidance across the home.
To be responsible and accountable for the wellbeing of residents within the communities, ensuring that their physical, emotional and social needs are met whilst enabling them to achieve their full capability and potential.
To support the Home Manager and Practice Development Lead with the development of nurses within the home including all of our Managing our People processes.
To provide inspirational leadership to the team members to ensure safe, smooth and efficient running of our care communities in accordance with our policies and processes and the CQC KLOEs and quality statements.
To showcase outstanding care practices, in line with our values of truth, love and compassion acting as a role model for all team members and working in partnership with the home leadership team to achieve outstanding CQC ratings.
To promote a learning culture in our care home through mentoring, coaching and professional best practice, ensuring all home team members have the necessary skills, and are competent, to deliver the highest standards of care to our residents.
To support and train international and overseas nurses to pass the NMC OSCE.
To demonstrate a high level of integrity, take ownership of personal and team actions, communicate effectively, promote collaboration, nurture a positive, professional work environment, and assist with development of, and adherence to, TLC Care values, TLC Care's operations policies, legal requirements, and Standard Operating Procedures.
To promote the importance of good clinical practice across the home, embedding clinical initiatives and projects and driving continuous improvement.

Leadership

Prioritise, organise and manage your own and others' workloads to drive efficiency and quality.
To be responsible for the day-to-day management of employee absence in the communities, conducting return to work interviews and sharing trends with your HM and/or CSM.
To support with effective rota management aligned to skill mix and needs of the resident.
To delegate appropriately, adopting the principles of fair practice and assessment of competence of nurses and carers.
To assist in the maintenance of a safe and healthy working environment by ensuring adherence to Health & Safety policies and procedures.
Work as an effective and responsible leader, supporting others and exploring the mechanisms to develop new ways of
working.
Be committed to expanding professional development by actively seeking new knowledge of nursing and health by reading, enquiring and participating in continuing education programmes.
To carry out one to one supervisions (bi-monthly) and annual appraisals of team members, identifying learning needs and working in partnership with the PDL to deliver learning and development solutions.
To work in partnership with all Heads of Departments to provide a seamless service for our residents ensuring that the care, hospitality and wellbeing is outstanding.
To ensure staff are wearing the correct uniform and can be clearly identified.

Communication

Communicate and engage effectively with residents, relatives, team members, and external stakeholders, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred methods of communicating.
To support with the management and response to Negative Feedback working closely with your HM and the team to understand and implement lessons learnt to drive continuous improvement.
To attend stand up meetings, team meetings, resident meetings, relative meetings and clinical governance meetings.
To support with HR processes and procedures such as investigations, absence management, capability management and disciplinary/grievance hearings.
To attend handovers and implement suggestions to drive improvements in this area if and when needed.
To coach and support the team across all areas of communication and work in partnership with HR and the Home Leadership Team to drive our DEIB strategy.

Care Planning

To ensure that the pre-admission process and home's admission procedures are followed, pro-actively engaging with residents and families to support an outstanding move in process.
To ensure each resident has a Named Nurse/Key Worker and they are aware of who they are. To be the coach for all named nurses and key workers working together to ensure that knowledge of our residents is shared throughout the team to enhance the overall care experience.
To be responsible for ensuring there is evidence that the care profile has been drawn up with the involvement of the resident (and/or their next of kin) and that the resident (and/or their next of kin) is aware of their right of access to their records.
To ensure that all team members understand the importance of person-centred care plans and to coach and lead in this area.
To audit care plans in line with TLC Care policy and process, feeding back learning to the team and driving continuous improvement in this area.
To work with the team to ensure that care plan evaluations are completed accurately and in line with the principles of relationship centred care.
To monitor care plans to show there is evidence that the care provided is based on the care documentation and that this is the care required by the resident.
To work closely with the care plan champion to drive continuous improvement in this area.
Wound Management and Tissue Viability
To work in partnership with the CSM, Unit Managers and nurses to ensure that wounds are assessed, monitored and
reviewed.
Required to have clinical knowledge and practical skills in tissue viability.
Detail any wounds on the units and ensure that all tissue viability concerns are communicated to the Unit Manager, Nurses, CSM and Home Manager.
Ensure there is an individual care plan for all wounds with a weekly evaluation detailing measurements, stage of healing and progress.
Liaise with the district nurse for their involvement with any residential residents.
Encourage healthy diet and fluids for residents in relation to wound management.
Review that alternating pressure relief mattresses and cushions are set at the correct weight for the residents.
Ensure repositioning of residents is carried out in line with requirements
Enhance the knowledge, skills and attitudes of team members towards skin integrity to educate as to how we can improve skin integrity for residents
Report any tissue viability concerns to nurse in charge/CSM/HM.

Nutrition

To ensure that all residents are weighed monthly.
To ensure that all residents have a MUST assessment completed monthly.
To ensure any risks identified are updated in any associated care plans and regularly reviewed and monitored.
To be the champion for IDDSI working in partnership with the Hotel Services Manager (HSM), Head Chef and Resident Experience Manager, Food and Beverage.
To ensure food and fluid intake charts are in place for those residents with problems relating to nutrition and/or hydration.
To ensure that the team record special dietary requirements in the care plan and that these needs are communicated to the catering team.
To ensure choking assessments are carried out for residents with swallowing difficulties and ensure the appropriate GP/SALT team referrals are made.
To ensure residents requiring food via a PEG have a care plan in place and that the team are appropriately trained and competent to deliver this care.

Continence

Ensure that all residents on the units have a completed continence assessment and any residential clients have been referred to the District Nurse for full assessment where required.
To ensure that all residents with continence problems have a care plan detailing relevant actions to promote continence, ensuring dignity and respect at all times.
To ensure that all residents with catheters have a care plan detailing the care required and the catheter @type, size, balloon size, length and date of next change as minimum.
To work with the team to promote privacy and dignity at all times for our residents when using the toilet facilities.

Infection Control

Uphold and promote the Home's infection control policy and ensure this is read and implemented by the care team.
To be the designated lead for infection control in all units, working in partnership with the CSM, HSM and Infection Control Champion.
Observe team members to monitor that they are maintaining standard universal precautions, washing their hands appropriately and gloves and disposable aprons are worn by staff to deal with body waste.
To ensure that baths, bath hoists, commodes and shower chairs used are in a good state of repair, reporting any defects to the maintenance team.
Ensure that residents with infections have associated care plans which are followed by the team and updated based on need.

Resident Hygiene

Observe to ensure that all residents are well groomed, wearing appropriate clothing and that the care records detail resident choices about their attire and appearance.
To ensure that residents' preferences in terms of bathing, showering, dental and optical care are well supported and evidenced through their individualised care plan.
To become a Tympa Health Champion and ensure twice monthly clinicals are held in the care home.
Ensure annual health checks are conducted by the GP or nurse practitioner. Mobility
Ensure that residents are enabled to move independently when possible and walking aids are accessible for resident use.
Ensure there is no evidence of the use of restraint regardless of consent (e.g. tables placed in front of residents, lap straps on wheelchairs when not being transferred. Any rare exceptions e.g. lap strap for balance for bi-lateral amputee has been agreed with the resident and documented.)
Where bed rails are necessary ensure, there is a risk assessment which has been signed by the resident (and/or their relative.).
Liaise with Maintenance to ensure all bedrails have had a recorded maintenance check within the last 6 months and are in full working order.
To monitor and review care plans for residents at risk of falling detailing the interventions required to minimise the risk.
Review the environmental risks and minimise by ensuring residents wear appropriate footwear and slip and trip risks are minimised.
Ensure that any falls are recorded in the accident and incidents system and the care plan and work in partnership with the HM and CSM to look at trends and areas for improvement.

Medication

To be responsible for the safe administration of drugs in accordance with company policy and NMC guidelines.
To keep strict control of recording, ordering and the return of medication to the pharmacy
To be the EMAR champion in the home carrying out regular dashboard checks and audits to drive outstanding medication practices.
Ensure all qualified nurses, team leaders and unit managers(residential) have undergone the required training and an annual competency assessment conducted by yourself, CSM or HM.
Review to ensure that processes for controlled drugs are in place and twice daily CD checks are recorded and the stock of CDs correlates with the CD book.
Ensure effective processes are in place for storage of medicines e.g. internal and external medicines storage, medication trolleys, room and fridge temperatures, stock management, expiry dates. To ensure daily medication stock counts are in place and stock levels are correct.
Review EMAR charts and reports for compliance e.g. missed doses, gaps in entries, exceptions, directions.
Ensure topical MAR chart records are checked and complete with no gaps.
To ensure PRN medication is line with processes and PRN protocols are person-centred and completed.
To ensure processes are in place for high-risk medicines and care plans are as per requirements and up to date.
To ensure all processes are in place for medication related risk assessments e.g. covert medication, crushed medication, self-administration, oxygen, non-prescribed medication.
To be responsible for and support with the medicine's reconciliation process.
Responsible for reporting medication errors to the Home Manager, CSM and GP and monitoring trends and supporting with the provision of coaching and training in this area.

Resident Safeguarding

To be competent in the Safeguarding of Vulnerable Adults and the Mental Capacity Act and implement Safeguarding
Vulnerable Adults and Mental Capacity Act policies and procedures together with taking responsibility for reporting any safeguarding concerns to the senior person on duty.
Ensure that where there are concerns that the resident may lack capacity, mental capacity assessment and best interest decisions are completed for specific decisions regarding the care and treatment of the resident.
Where a resident lacks capacity, to liaise with Multidisciplinary team in order to complete best interest decisions.
Where a resident lacks capacity, ensure there is documented evidence that the appropriate advocacy has been sought.
Ensure Independent Advocacy Services are available, used and communicated to staff, residents and relatives.
Ensure where a resident lacks capacity and restrictive measures are implemented in the best interests of the resident, a
Deprivation of Liberty Safeguards application is made to the relevant authority.
To coach the team in increasing their awareness around Safeguarding Vulnerable Adults and Mental Capacity Act.

Competency Assessment

Conduct regular competency assessments for various roles, including designated Train the Trainers, to identify learning and development needs in the home.
To review competency of new team members and contribute to the assessment of performance during the probation period through feedback to their line manager.
Work in partnership with the Home Leadership team to identify training and development needs, understand skill gaps and training requirements.
To continually assess competency of team members across both days and nights through observations, coaching and analysis of feedback and trends within the home.

Environmental Sustainability

To be part of the ISO14001 project team working as part of the home leadership team to ensure that are environmental sustainability goals are achieved.
To oversee environmental sustainability practices across the care team ensuring that goals, objectives and actions are implemented.
To work in partnership with the CSM and Director of Medicines to ensure that care provided to a resident includes appropriate sustainability initiatives, such as waste reduction and energy conservation.
To work in partnership with the CSM and PDL to train team members on sustainable practices, collaborate with suppliers to source environmentally friendly products, and promote environmental awareness among residents and team members.
To ensure feedback on progress in this area is fed into the stand-up meetings, team member meetings, resident meetings and relative meetings.

General

Work in partnership with the Home Manager and the Home Leadership team to deliver outstanding customer experience in all of our homes.
Support the Home Manager in sustaining accreditations maximising team member involvement. These accreditations will include IIP Platinum, ISO9001, ISO14001 and Hospitality Assured.
Develop your understanding and use of Care Compliance systems to support the effective delivery of care and to enable you to coach and support others.
Promote choice and dignity to the residents of the care homes with the services we provide.
Explore and make suggestions for innovative technologies to enhance training delivery and effectiveness.
Attend mandatory training days/courses, as and when required.
Maintain your own professional knowledge and competence to ensure you are up to date with industry regulations, best practices and emerging trends in the care sector.
Co-ordinate and supervise monthly target areas for the champions assigned to you to focus on.
Encourage and support e-learning compliance throughout the group with a target of >97% compliance at each home.
Attend forums, team meetings, relative and resident meetings as and when appropriate to share knowledge of key topics and to receive feedback that could drive further training and development initiatives.
Recommend improvements and share knowledge at central forums to drive organisational continuous improvement.
Deliver short training sessions to the team in your areas of clinical expertise.

Skills, Knowledge and Qualifications:

Required:

Registered Nurse
Previous Care Home /supervisory experience with comprehensive knowledge of adult social care.
Relevant experience in medical setting and liaising with healthcare professionals
Good time management and organisational skills
Understanding of clinical competency requirements.
Proficient skills with the use of Microsoft Office
Proven track record of leading, empowering and supporting a team.
Good communication skills (written, verbal, non-verbal)
Strong leadership skills
Team player
Highly organised
Ability to motivate and engage team members ensuring effective teamwork.
Satisfactory DBS check
Personal qualities
Dedicated
Passionate
Innovative
Caring
Compassionate
High quality standards
Resident and team focused.
Able to adapt to change.
Ability to drive results.
Approachable
Confident
Enthusiastic
Flexible
Influencing skills
Positive attitude and passionate
Self-motivator
Ability to promote a professional image at all times.
Ability to travel to other business units where needed