Community link worker jobs in Belfast
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Job description
Job Purpose
The hospital to home service works collaboratively with hospitals to support people when they are discharged from hospital to return home. As a Hospital to Home Outreach Worker, you will provide temporary, practical and emotional support to service users within their home and make sure they understand the care and local community services available to them.
The service is time limited, usually up to 4 or 6 weeks, to adjust and settle back in their homes.
Key Tasks
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Assess the needs of service user’s either in hospital before discharge, or in their homes, and understand what barriers and enablers there might be to moving home.
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Aid the discharge process and improve patient experience through tasks such as:
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Key cutting
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Co-ordinating with colleagues for the setup of the home environment such as checking fridge for in-date food
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Checking heating, electric and gas is functional prior to discharge
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Allowing access to the property for cleaning/repairs and receiving equipment
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Provide and/or arrange the practical and emotional support needed to enable service users to return home and/or remain safely at home.
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Be vigilant and make referrals/signpost for additional needs that our wider team, or partners can support. E.g. for benefit checks, energy advice, carers support, befriending.
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Help maximise service user independence by adopting an enabling approach.
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Develop a listening, caring and professional relationship with the service user and their families/carers.
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Provide domestic practical support within the home such as:
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Light cleaning,
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Washing (e.g. bedding),
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Changing bed sheets etc.
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Prepare and service drinks and simple meals with or for the service user ensuring nutritional needs are met.
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Accompany service user outside the home e.g. hospital/GP appointments etc.
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Support service users with other tasks e.g. making telephone calls on their behalf, reading and responding to correspondence, completing simple forms (training will be provided) as directed by the service user’s etc.
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Ensure services provided by AUKEL in the community are safe and person centred.
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Report safeguarding concerns, in accordance with AUKEL safeguarding procedures.
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Provide cover in the case of sickness and annual leave periods of colleagues.
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Support service user reviews, ensuring all visiting information is uploaded on to Salesforce.
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Support volunteers in the team and provide support and guidance to their development.
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Work with a range of professionals including:
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Supporting health and social care professionals with patient discharge
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Liaising with the hospital health and social care professionals (e.g. Social Workers) to facilitate smooth supported discharge.
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Handypeople & contractors.
Administration
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Input all records, reviews, and visiting information to service user’s case notes in a timely manner to maintain up-to-date and accurate records on Salesforce.
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Report all “no access” failed visits, or changes in service user’s condition or circumstances in accordance with AUKEL’s policies and procedures.
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Ensure service user comment sheets are completed.
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Ensure service user’s feedback questionnaires are sent at the end of each intervention and record returns.
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Submit travel expenses regularly for sign off by manager.
Quality
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Be familiar with and to implement AUKEL policies and procedures in line with our Values.
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Ensure the service is delivered in accordance line with Care Quality Commission principals.
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Ensure integration with other AUKEL projects, and service users are referred and/or sign-posted to appropriate support services available to them.
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Respond to safeguarding or other concerns and make appropriate reports and management action.
Liaison
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Work in collaboration with other agencies providing support within the service user’s home.
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Work under the direction of the service manager and project officer/s.
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Represent AUKEL and participate in appropriate external meetings and events to remain aware of local, regional, and national issues affecting quality and compliance issues affecting care and home support services.
General
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Meet regularly with your line manager for support, supervision, and appraisal.
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Attend team and staff meetings, and other meetings as required.
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Undertake any other duties within the competence of the post holder as may be required from time to time for the continued smooth running of AUKEL.
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Complete any training which is required to fulfil the role.
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Carry out the duties of the post in accordance with AUKEL policies and procedures including Equal Opportunities, Mental Capacity, Deprivation of Liberty, Food Hygiene, Health & Safety, Confidentiality, Complaints, GDPR (General Data Protection Regulation), Safeguarding Vulnerable Adults etc.
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Work within AUKEL’s expectations of professional boundaries and confidentiality
Functional Links
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The post holder reports to the manager /or Project Officer.
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Close working with NHS health & social care professionals.
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Close working with AUKEL internal departments e.g. Finance Team, Information and Advice, Befriending services, Community services, and our Handyperson services.
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Close working with external partner agencies e.g. Food Banks, Age UK Redbridge, Barking & Havering, and Age UK Waltham Forest.
The client requests no contact from agencies or media sales.
Job Purpose
The weekend Hospital to Home Project Officer is responsible for responding to referrals received over the weekend from both Royal London Hospital & Homerton Healthcare NHS Foundation Trust. You will work with the manager on Friday to deliver services and plan visits on the weekend for you to attend.
The service supports people returning after a stay in hospital, helping them to settle back at home, regain confidence and support with some practical tasks, e.g. shopping/cleaning. You will manage referrals, carry out assessments, and in liaison with the manager, allocate service users to Hospital to Home Outreach Worker caseloads. You will provide direct frontline support and co-ordinate visits to the service users’ home in preparation for their return home. You will work collaboratively to lead and manage the weekend service to support the smooth transition from hospital to home for service users. The service is time limited, up to 4 or 6 weeks, to adjust, build confidence, and settle back in their homes.
You will also be required to undertake community-based outreach as part of service delivery, including visiting service users in their homes both pre-and post-discharge. This includes conducting access visits, welfare checks, and providing practical support such as shopping assistance to ensure a safe and sustainable transition from hospital to home. Over the weekend you be based in the hospital, with lone working visits to client’s properties for support.
Key Tasks
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Act as the first point of contact for all referrals over the weekend across both hospitals.
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Meet with patients in the community and/or hospital and carrying out assessments and risk assessments.
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Enter referrals on to AUKEL’s case management system Salesforce in accordance with GDPR guidelines.
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Allocate referrals to Hospital to Home Outreach Workers using tech available Field Service App, training will be available.
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Collect feedback from service users and upload to case management system.
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Deputise for the manager at discharge planning and other meetings as required.
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Monitor the case loads of each of the Hospital to Home Outreach Worker (HHOW) to ensure they are evenly and fairly balanced.
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Work collaboratively with other agencies providing support services.
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Work with people with a range of needs, dealing with issues ranging from social isolation and keeping people engaged in their community, to prevent unnecessary readmission to hospital.
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Plan and develop person centred interventions to provide short term support for people after hospital discharge.
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Deliver the front-line support services over the weekend such as:
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Undertake home visits to service users pre- and post- discharge to support safe and timely hospital discharge.
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Provide welfare checks to monitor service users’ wellbeing during post-discharge period.
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Deliver practical, person-centred support during visits, including shopping assistance and other essential tasks to aid independent living.
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Identify and respond to risks within the home environment, escalating concerns where appropriate
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Provide occasional cover for the A/L of other Project Officers
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Work with people with a range of needs, dealing with issues ranging from social isolation and keeping people engaged in their community, to preventing unnecessary admission to hospital.
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Supervise, support and develop HHOWs and volunteers in your service.
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Liaise with the handyperson service about referrals and jobs for service users.
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Ensure HHOW are resourced to sign post service users to other services when the home and settle service intervention ends.
Administration
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Keep AUKEL’s case management system up to date, input all data, and ensure all referrals, interventions, time spent with service users are recorded.
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Allocate referrals to HHOW using tech available Salesforce ‘Field Service’ App.
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Ensure data collected meets the requirements of the service’s contract monitoring and key performance indicators.
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Ensure service user feedback questionnaires are sent at the end of each intervention and record returns.
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Ensure admin tasks relating to service users, HHOW or general admin is carried out in a timely and efficient manner.
Quality
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Be familiar with and to implement AUKEL policies and procedures in line with our Values.
-
Ensure the service is delivered in accordance line with Care Quality Commission principals.
-
Ensure integration with other AUKEL projects, and service users are referred and/or sign-posted to appropriate support services available to them.
-
Respond to safeguarding or other concerns and make appropriate reports and management action
Liaison
-
Represent AUKEL and participate in appropriate external meetings and events to remain aware of local, regional and national issues affecting quality and compliance affecting care and home support services.
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Work in collaboration with hospital colleagues including discharge teams, A&E, ward staff, community teams to support the successful discharge of people and reduce readmission.
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Liaise with other AUKEL home and settle services across London and work collaboratively to maintain effective services, including sharing staff where appropriate.
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Work closely with the AUKEL handyperson service to meet contractual obligations where a handyperson service is provided as part of the service.
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Liaise with contractors to arrange deliveries and works to service user’s homes.
General
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Meet regularly with your line manager for support, supervision, and appraisal.
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Attend team and staff meetings, and other meetings as required.
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Undertake any other duties within the competence of the post holder as may be required from time to time for the continued smooth running of AUKEL.
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Complete any training which is required to fulfil the role.
-
Carry out the duties of the post in accordance with AUKEL policies and procedures including Equal Opportunities, Mental Capacity, Deprivation of Liberty, Food Hygiene, Health & Safety, Confidentiality, Complaints, GDPR (General Data Protection Regulation), Safeguarding Vulnerable Adults etc.
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Work within AUKEL’s expectations of professional boundaries and confidentiality
Functional Links
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The Hospital to Home Project Officer is supervised directly by the Hospital to Home Manager.
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Close working with NHS health & social care professionals.
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Close working with AUKEL internal departments e.g. Finance Team, Information and Advice, Befriending services, Community services, and our Handyperson services.
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Close working with external partner agencies e.g. Food Banks, Age UK Redbridge, Barking & Havering, and Age UK Waltham Forest.