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Clinical Skills
1. Working autonomously within the parameters of the role leading and supporting junior staff and wider care team to implement the delivery of quality nursing care, contributing to the physical, psychological, social, recreational and spiritual care in a recovery-focused way through therapeutic engagement and activities, and taking steps to address any issues that arise.
2. Leading on and undertaking activities to ensure that the fundamentals of care are met - nutrition, hydration, hygiene, comfort, emotional and social support:
3. Leading and supporting/teaching junior staff on risk assessment and risk
management that involves making decisions based on knowledge of the
research evidence, knowledge of the individual service user and their social
context, knowledge of the service user’s own experience and clinical judgment.
4. Supporting and supervising junior staff to develop the management of care needs 

Producing reports and in-care reviews
5. Coordinating junior staff and the wider care team in providing hands-on care to service users and evaluating processes of care delivered. This will include:
6. Escorting service users, as required, in line with Trust policies.
7. Advocating for service users’ needs and rights within Trust policy. Encouraging and empowering service users to have an optimum level of responsibility for their individual programme of care.

Knowledge and Frameworks:
8. Demonstrating an enhanced understanding of Mental Health signs and
symptoms and an understanding of how these may present in practice
including recognition of impact on patient presentation and behaviour
including risk factors. Supporting and teaching junior staff to develop
understanding of mental health signs and symptoms and develop appropriate responses to these in practice.
9. Recognising and responding appropriately to challenging behaviour in line with Trust policies and training. Leading and coordinating junior staff and the wider care team in the management of difficult situations and de-escalation and developing resilience and strategies to manage, including on leading staff and patient ‘de-briefing’ sessions.

10. Demonstrating a depth of knowledge and understanding of the fundamentals of the Mental Health Act, Mental Capacity Act and Deprivation of Liberty and other legislation applicable to the practice area and how they are implemented in practice ensuring adherence to legislation at all times. Teaching junior staff to understand the legal frameworks that support their practice.
    Communication:
    11. Contributing to an effective communication process with appropriate and accurate information to patients, carers, family, friends and colleagues.
    Engaging and listening carefully and actively, and responding using appropriate language and accessible communication methods and skills. Developing communication skills to enable and support difficult conversations,
    acknowledging cultural differences and professional boundaries.
    12. Demonstrating effective clinical communication and documentation to internal and external stakeholders ensuring: effective verbal and written handover of relevant and objective information. Demonstrating ability to determine key information, ability to recognise and describe effectively symptoms of mental illness, distress or of a deteriorating patient, and ability to escalate issues of concerns effectively and in a timely manner.
    13. Contributing towards the on-going quality of service and care by managing the patient caseload, organising care including delegating tasks and duties appropriately to staff with relevant competency, identifying and mitigating any risk issues in relation to the service users’ health and social care. Informing the relevant Health care professionals if there are any significant.
11. Maintaining timely and accurate service user written/electronic records in line with Trust policy. Use care plans, pathway documents and Information
    System progress notes appropriately and in a timely manner.
    15. Reporting, without delay, any safety or security concerns to maintain the safety of service users, carers, staff and others in line with Trust policy.
    16. Understanding and contributing to the Trust risk assessment policy, including being aware of the need to follow all safeguarding procedures; being aware of the necessity to safeguard and promote the welfare of children, young people and vulnerable adults at all times when working with service users. Supporting junior staff to respond appropriately if there are any significant factors, or incidents relating to the safeguarding service user.
    17. Maintaining confidential information in accordance with Trust Policies.

Teamworking and Professional development:
18. Protecting service users, self and others by maintaining a clean and healthy environment in accordance with health and safety and infection control policies. Ensuring safe working practices and working environment including monitoring and maintaining cleanliness of the service area and report, without delay, all hazards - real and potential. Leading audit and compliance activities and reports.
19. Working in ways that support shared responsibility within the team:
demonstrating support, respect and courtesy towards colleagues; working in a professional manner and with Trust values always in mind, respecting the boundaries of the relationship with service users/patients, carers and staff.
20. Leading, attending and participating in team meetings and contributing ideas to multi-professional team discussions.
21. Leading sessions on reflective practice for the wider care team to ensure effective patient care is based on evidence based practice and with Trust values in mind. Leading staff training and meetings including reflective practice groups and activities including the development of reflective portfolio.
22. Participating in supervision by nominated senior staff member, including annual review of performance as part of the appraisal (or PADR) system. Providing and coordinating and overseeing the supervision to Bands 2 – 5 nursing staff.
23. Demonstrating and promoting a clear leadership role to others and acting as role model to others at all times in accordance with Trust values.
24. Undertaking mandatory training as required by Trust policy plus support junior staff to complete Care Certificate, Trust Level 2 Apprenticeship if appropriate and other CPD training related to the role or area of work.
25. Supporting the team manager to conduct clinical or governance reviews of the team’s activity and the monitoring of performance and collating and
disseminating the information to the appropriate individual. Contributing to relevant audit practice development on research activity that may be taking place in the work area