Care Home Health & Wellbeing Coordinator
Job Description
Job summary
About the Role
As a Care Home Health & Wellbeing Coordinator , you will play a pivotal role in enhancing the quality of care for residents in care homes. Working closely with GP surgeries, care homes, paramedics, and a dedicated team, you will ensure that residents receive personalised and coordinated care. Your responsibilities will include developing and implementing care plans, facilitating seamless transitions between services, and liaising with multidisciplinary professionals to provide holistic support.
You will be the key point of contact for residents and their families, engaging in empathetic conversations to understand their needs and preferences. By championing personalised care and shared decision-making, you will help improve the overall wellbeing of residents. Additionally, you will be involved in professional development activities, ensuring that you stay updated with the latest practices and policies in healthcare.
This role requires a flexible attitude. You will also contribute to the continuous improvement of services, identifying opportunities and gaps, and providing feedback to enhance care delivery. Your ability to build strong relationships with GPs, practice teams, and other care coordinators will be crucial in creating a supportive and collaborative environment.
If you are passionate about making a difference in the lives of care home residents and have the skills and experience required, we would love to hear from you.
Main duties of the job
You will be a compassionate and dedicated professional with a strong background in health and social care. Your ability to engage empathetically with residents and their families sets you apart, as you understand the importance of personalised care and support. You are highly organised and possess excellent communication skills, allowing you to coordinate care effectively and build strong relationships with multidisciplinary teams.
Your experience in managing caseloads and providing advice and support to clients demonstrates your capability to handle complex situations with discretion and sensitivity. You are proactive in identifying individuals who could benefit from support and are skilled in developing and implementing personalised care plans.
You are committed to continuous professional development and stay updated with the latest practices and policies in healthcare. Your flexible attitude enables you to adapt to varying demands when required. You are a team player who respects the views of others and works collaboratively to achieve common goals.
Your strong IT skills, particularly in Word, Excel, Outlook, and PowerPoint, complement your ability to collect and coordinate data for monitoring and evaluation purposes. You are creative in your approach to problem-solving and are always looking for ways to improve services and contribute to business planning.
About us
Fleetwood Primary Care Network (PCN) in Fleetwood, Lancashire has an exciting opportunity for a forward-thinking Care Home Health & Wellbeing Coordinator to join our networks innovative care home team.
There are 3 surgeries within the PCN, are located within close proximity of each other, with excellent inter-personal relations, a good support network and a history of collaborative working. The practices are The Mount View Practice, Broadway Medical Centre and Fleetwood Surgery. Our population of around 32,000 is diverse, with varying levels of socio-economic status, young families and elderly patients all of whom make providing care very interesting.
Job responsibilities
Basic Purpose of the Role
To collaborate with GP surgeries, care homes, paramedics, and attached teams to deliver high-quality care for care home residents.
Key Duties
Enable access to personalised care and support
a. Take referrals for individuals or proactively identify people who could benefit from support through care coordination.
b. Have a positive, empathic, and responsive conversation with the person and their family and carer(s) about their needs.
c. Support people to develop and implement personalised care and support plans.
d. Review and update personalised care and support plans at regular intervals.
e. Ensure personalised care and support plans are communicated to the GP and any other professionals involved in the persons care and upload the relevant online care records, with activity recorded using the relevant SNOMED codes.
f. Where a personal health budget is open, to work with the person and the local ICB team to provide advice and support as appropriate.
Coordinate and integrate care
a. Help people transition seamlessly between services and support them to navigate through the health and care system.
b. Refer onwards to other healthcare agencies where required.
c. Regularly liaise with the range of multidisciplinary professionals and colleagues involved in the persons care, facilitating a coordinated approach and ensuring everyone is kept up to date so that any issues or concerns can be appropriately addressed and supported.
d. Actively participate in multidisciplinary team meetings in the PCN as and when required.
e. Identify when action or additional support is needed, alerting a named clinician contact in addition to relevant professionals, and highlighting any safety concerns.
Professional development
a. Work with a named clinical point of contact for advice and support.
b. Undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities, and provide evidence of learning activity as required.
c. Attend any training courses and supervision sessions as required.
d. Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, equality, diversity and inclusion training and health and safety.
Miscellaneous
a. Establish strong working relationships with GPs and practice teams and work collaboratively with other care coordinators, social prescribing link workers and other agencies, supporting each other, respecting each others views, and meeting regularly as a team.
b. Report any Safeguarding concerns to the appropriate person
c. Act as a champion for personalised care and shared decisional making within the PCN.
d. Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level or responsibility of the role, ensuring that the work is delivered in a timely and effective manner.
e. Identify opportunities and gaps in the service and provide feedback to continually improve the service and contribute to business planning.
f. Contribute to the development of policies and plans relating to equality, diversity, and reduction of health inequalities.
g. Work in accordance with the Practices and PCNs policies and procedures.
h. Contribute to the wider aims and objectives of the PCN to improve and support primary care.
i. Undertake any other duties as may reasonably be required from time to time.
j. Ensure that all activities are monitored and evaluated.
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths
Desirable
- Qualified in Phlebotomy
Skills/Abilities
Essential
- Highly organised, able to complete administrative tasks with a high degree of accuracy.
- Ability to collect data for monitoring and evaluation.
- Strong organisational skills, and ability to coordinate information and data from a range of sources.
- Ability to develop strong working relationships with project partners.
- Excellent verbal and written communication skills ability to adapt to meet the communication styles and needs of individuals.
- Planning/organising skills/coordinating.
- First class interpersonal skills.
- Excellent team worker strong ability to motivate others in the development and delivery of meaningful occupation and activities for older people.
- Good IT skills in Word, Excel, Outlook and Powerpoint.
- Creative thinking.
Desirable
- Good system IT knowledge of EMIS.
- Experience taking patient observations including height, weight, BP, pulse.
- Knowledge of basic wound care.
Experience
Essential
- Good knowledge of the social aspect/model of care, holistic approach.
- Experience of working in a health or care environment.
- Experience of managing a caseload of clients/patients.
- Proven ability to provide advice and support to clients
- Experience of working with individuals on a 1:1 basis.
- Experience of project administration, ...
