Overview
Purpose of the role
We are hiring a Band 5 Registered Nurse to complete clinical assessments, deliver training, and sign off staff competencies for complex community care packages. You’ll help ensure safe, effective, person-centred care in line with CQC expectations, working within your scope of practice and under the oversight of our Nursing Lead.
Responsibilities
- Clinical assessment & care planning
- Complete pre-admission and review assessments for clients with complex and/or nursing needs.
- Produce and update care plans, risk assessments (RAG) and escalation plans.
- Participate in 72-hour, 14-day and periodic case reviews after start-up.
- Training, coaching & competency sign-off
- Plan and deliver skills training (1:1 and small groups) and supervised shifts for support workers/carers.
- Sign off competencies within your verified scope. Where policy requires, obtain dual sign-off with the Nursing Lead for higher-risk skills.
- Maintain accurate training records, competency checklists and refresher schedules.
- Clinical governance & safety
- Support medicines safety (MAR setup/checks, omissions reduction, error reporting).
- Contribute to incident management using SBAR; escalate promptly; assist learning reviews.
- Participate in audits (documentation, infection prevention, equipment checks) and uphold safeguarding.
- Communication & partnership
- Provide clear clinical guidance to coordinators, families and field staff; contribute to MDT handovers.
- Liaise with GPs, community nursing/therapy teams and commissioners (ICB/CHC) as appropriate.
Competency sign-off areas (must be able to assess & sign off)
- Enteral feeding – gastrostomy (PEG), jejunostomy (JEJ), and NG/NJ tube management.
- Suctioning – oral/nasal and tracheal where competent and required by the care plan.
- Respiratory management – invasive and non-invasive; including CPAP and BiPAP.
- Emergency seizure management – buccal midazolam administration as per protocol.
- Anaphylaxis management – adrenaline auto-injector (EpiPen) administration.
- Oxygen administration – set-up, titration within care plan, and monitoring.
- Observations of vital signs – pulse oximetry and blood pressure monitoring and escalation thresholds.
Note: No wound care responsibilities are included in this role; wound assessment/treatment is undertaken by clinical nurses only.
Person specification
Essential
- NMC-registered Nurse (Adult/Child/LD) with 12+ months post-registration.
- Experience in community or complex-care settings.
- Demonstrated teaching/coaching/assessing capability (e.g., Practice Supervisor/Assessor or equivalent).
- Strong clinical judgement, risk assessment and documentation; excellent communication.
- Enhanced DBS, Right to Work, OH clearance; ability to travel to clients’ homes.
Desirable
- Verified competence in tracheostomy, ventilation, PEG/JEJ, and epilepsy rescue medication administration.
- Teaching/Assessor qualification (e.g., Level 3 Award in Education & Training or equivalent).
- Experience with CQC-regulated home-care and ICB/CHC packages; safeguarding Level 3; digital care planning systems.
Scope, autonomy & escalation
You will train and sign off competencies within your verified scope and our competency frameworks. Higher-risk interventions may require dual sign-off with the Nursing Lead. Work to the NMC Code and seek guidance where required.
Pre-employment checks
NMC PIN validation; references; Enhanced DBS (Update Service preferred); indemnity (if applicable), CPD and mandatory training currency; ID, Right to Work, and OH clearance.