Mental health night recovery worker jobs
Actively Interviewing
This organisation is scheduling interviews as applications come in. They're ready to hire as soon as they find the right person. Don't miss your opportunity, apply now!
Job Title: Support Mentor (Nights)
Location: Latimer Road, Royal Borough of Kensington and Chelsea (RBKC) - Walking distance from Latimer Road underground station (Circle and Hammersmith and City Lines). Please note that unfortunately this service does not have step free access
Salary: £27,000
Shift Pattern: 37.5 hours per week, Monday to Sunday between 21:00 - 09:00 on a 6 week rolling rota which includes at least one day shift per week, weekends, and bank holidays.
About the role
Our residents in this service have experienced long term street homelessness and have faced significant challenges including with their mental health, substance use, and alcohol dependency, and struggled to sustain engagement with support services. That's why they're here, to make a change and gain the support they need to enable greater independence and recovery.
In this role, as a Support Mentor, you will work within a 24 hour service which provided person centred support to our residents. Some key responsibilities include:
- Ensuring the safety and wellbeing of residents and participants.
- Be a present member of the team on the night shift, completing handovers for day colleagues for a seamless service.
- Building trusting professional relationships with residents, helping them to achieve their goals and aspirations which could be through tailored one to one sessions, group sessions, in and out of service activities, and general wellbeing check ins.
- Focusing on empowering our residents to take control over their lives and meet their personal goals.
About you
We're looking for someone who shares our passion for supporting people who’ve experienced homelessness and may have complex needs. Our residents are at the forefront of our service delivery, so building trusting and professional relationships is key. You’ll be adaptable, proactive, and confident using your initiative to resolve challenges, and keep the night service running smoothly. Teamwork is essential and having previous knowledge of the needs our residents may have. Each support plan is tailored to the individual, so you'll help deliver care that truly meets their needs. What are we looking for:
- Understanding of the needs of those who have faced homelessness and have various complex needs including mental health, substance use, and alcohol dependency.
- Ability to use IT systems to record case notes, email relevant people, and use other software required within the role.
- Ability and willingness to show flexibility of working patterns, responding to the needs of the service and residents.
- Understanding of the housing and social needs of people with multiple and complex needs.
- Cultural awareness, Self-awareness, and ability to identify personal growth areas and take feedback.
- Sensitivity and empathy to others, and ability to deal with individual circumstances with professionalism.
- Alignment with our values of Ambition, Empowerment, Inclusivity, and Transparency.
Please refer to the JDPS attached for more details on the vacancy and our requirements/key criteria.
What we offer
- 25 days (Full time equivalent) annual leave, increasing with the length of service
- Employer Pension Contribution
- Eligibility to register with Blue Light Discount Card
- Access to discounted tickets for music events, shows, sports and more
- Reflective Practice regular sessions with a therapist provided by an external provider to support Mental Health and Wellbeing at work
- Training and Development, including access to courses, upskilling, and progression plans
- Employee Assistance Programme, including counselling
- Life Assurance Scheme
- Cycle-to-work scheme
- Annual Staff Awards
- EDI Ambassador programme
- Be part of an organisation which believes good care and support improves lives with the vision to create healthier, safer, and more inclusive communities.
- Join an organisation with a mission to empower independence through trauma-informed solutions and dynamic partnerships that keep people out of prison, out of hospital, and off the streets.
We value and celebrate the unique backgrounds, perspectives and experiences of all of our employees. We have a team of staff ambassadors who volunteer to actively support us in fortifying our organisational value of Inclusivity. They embrace this unique opportunity to deliver awareness, events, and developments to our organisation to support us in ensuring our value of Inclusivity is embedded throughout the organisation.
SIG actively encourages applications from individuals from a diverse range of backgrounds, particularly lived experience; Naturally, we approach any emerging issues with empathy and sensitivity.
About Social Interest Group (SIG)
SIG is a not-for-profit organisation providing thousands of people with good-quality support and care in residential, drop-in centres, community floating support settings, probation settings, and hospitals. We do so across London, Brighton, Bedfordshire, Luton, Kent and Liverpool. Our goal is to transform lives through empowering change.
Want to know how we work? Watch our short Theory of Change video to see how we support people towards a brighter future: Theory of Change Further details can be found on our website here: Theory of Change - Social Interest Group - Social Interest Group.
ADDITIONAL INFORMATION
Please note that this job advert may close early due to screening applications on an ongoing basis. We advise applying as soon as possible for your application to be taken into consideration at the early stages.
Please note that as part of our process, we complete an enhanced DBS check, some roles may require further vetting. We encourage applicants from all backgrounds. If you have any questions regarding this, please contact us on the details below.
Unfortunately, we are unable to provide sponsorship, please ensure you have full right to work in the UK prior to applying to our positions.
Additional information on our company policies including Gender Pay, Equality and Diversity, Company Benefits and our Candidate Privacy Policy can be found on our website.
Care | Support | Social Work | Social Worker | Support Staff | Homelessness Support | Complex Needs | Mental Health | Substance Use | Alcohol Dependency | Person Centred Support | Recovery | Independence | Housing Support | 24 hour Service | Night Shift Support
Empowering independence through trauma-informed solutions and dynamic partnerships that keep people out of prison, out of hospital and off the streets
Team Leader - Night Support
£25,467 - £27,681 per annum
Portsmouth
Permanent, Full Time
Mon & Tues - 4.30pm-12am
Wed - 5pm - 12.30am
Thur & Fri 4pm -12.30am
(30 minute unpaid break included in the hours)
Interview Dates: 2nd and 3rd of October
We have an exciting opportunity for a Team Leader – Night Support to guide and work alongside our dedicated night team, ensuring our clients are safe, supported, and empowered to achieve their goals. In this role, you will help provide not only a home but also the specialist support that enables people to feel valued, secure, and ready to take their next steps in life.
Oakdene delivers person-centred support, to empower clients and support them on their recovery journey.
We have a dedicated and passionate team, who deliver intensive support to clients living in the service. This role requires a proactive, and flexible approach. If you’re passionate about supporting individuals, with complex support needs and a range of mental health needs, then this is the role for you.
If you have an open mind and the drive to succeed, you will thrive at Oakdene, all you need to do is apply!
The role
As our Team Leader, you will support your team to achieve their potential through regular staff supervision, coaching, training, reflective practice and team meetings.
With strong communication skills, you will liaise between the day and night teams to ensure consistency, and you’ll assist with ensuring the service is fully operational and our clients are receiving the appropriate support.
You will support your team to achieve their potential through regular staff supervision, and you will oversee housing management support to clients such as taking in rent, reporting maintenance issues and keeping the service clean and welcoming
In addition, you will adhere to safeguarding responsibilities, following strict policies and procedures, and those of relevant local authorities, ensuring these are always followed. You’ll also help maintain health and safety standards, ensuring clients, visitors and buildings are safe in accordance with Health and Safety regulations, policy and procedures.
Further information:
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This role will require an Enhanced with Barred List(s) disclosure and barring service check is a requirement for this role. This would be completed on appointment of the role.
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This role will require you to work flexibly across several sites when on call
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This role will require you to work with clients on a one-to-one basis
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This role will require you to work nights and/or weekends
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This role will require you to lone work when on call
Our ideal candidate will have:
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Experience of working in a residential or institutional or similar
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Excellent communication skills, both verbal and written
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Clear verbal and written English
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Good working knowledge of Microsoft Outlook, Excel and Word plus keyboard skills for data inputting
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Confident and assertive manner
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Strong team working
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Ability to respond calmly to crisis
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Ability to deal promptly with and effectively react to challenging situations
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Have an interest and genuine concern for homelessness and related issues
Desirable Criteria:
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Experience of working in a leadership role
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Understanding of the complex support needs of people experiencing homelessness or those with complex needs
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Knowledge of voluntary and statutory agencies, housing regulations and the benefits system
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Understanding of risk assessment and person-centred, outcomes-based delivery
We reserve the right to close our adverts early if a successful candidate is found, so please submit your application as soon as possible.
Are you passionate about supporting individuals with complex needs and mental health challenges?
Oakdene delivers person-centred support, to empower clients and support them on their recovery journey.
We have a dedicated and passionate team, who deliver intensive support to clients living in the service. This role requires a proactive, and flexible approach. If you’re passionate about supporting individuals, with complex support needs and a range of mental health needs, then this is the role for you.
If you have an open mind and the drive to succeed, you will thrive at Oakdene, all you need to do is apply!
The role
As our Support Worker you’ll provide informal support and wellbeing checks for residents, monitor CCTV, respond to incidents, and maintain clean and safe communal areas. You’ll deliver detailed handovers to day staff, triage out-of-hours issues, and support clients using trauma-informed and psychologically informed approaches. You’ll uphold safeguarding and health & safety standards, administer basic first aid (training provided), and maintain accurate records in line with GDPR. You’ll also represent the organisation professionally and work confidently when lone working.
Our ideal candidate:
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Good communication skills (clear) verbal and written English
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Good keyboard skills for data inputting
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Basic knowledge of Microsoft Outlook, Excel and Word
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Polite and assertive manner
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Ability to self-motivate as you will work on your own
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Collaborate well in a team
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Ability to respond calmly in a crisis
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Have an interest and genuine concern for homelessness and related issues
This role requires night and weekend work, including lone working, and an Enhanced DBS with Barred List(s) check will be completed upon appointment.
We offer a monthly salary, a contributory pension scheme, 20 days annual leave (rising to 25), plus bank holidays, and business mileage paid at HMRC rates.
If you’re ready to make a difference, apply now and become part of a team that truly cares. We reserve the right to close the advert early if a successful candidate is found.
Two Saints is committed to safeguarding and safer recruitment.
We carry out pre-employment checks such as DBS checks, Overseas police checks (where appropriate), reference checks, and CV gap querying for all new staff members.
We're looking for a kind, compassionate and resilient Support Worker to join our Mental Health Service in Redbridge.
£30,090.00 per annum, working 40 hours per week.
Want to feel like you're making a difference? You'll feel at home here.
Making you feel at home here means helping you thrive in every way. That's why we offer a wide range of benefits, award-winning Learning & Development and a culture that welcomes all. These aren't token gestures - we've thought long and hard about how best to support our team. After all, our people are doing something amazing: helping to transform lives every day.
Our benefits include:
Annual leave increasing up to 30 days with length of service
Free DBS
Exclusive discounts and cashback via Reward Gateway® and opportunity to buy a Blue Light Card
Fully paid induction programme and further training
ILM courses and Apprenticeship Programmes
Cycle to work scheme
Employee Assistance Programme for 24-7 confidential support
Online wellbeing resources
A generous pension - we will contribute up to 4% and life assurance cover up to £10,000 (T&Cs apply)
Quarterly Staff Awards to reward & recognise our amazing staff's commitment and contribution
All applicants must be legally eligible to work in the UK by the start of employment as Look Ahead are not able to offer sponsorship.
Specialist Support Workers within Look Ahead are required to have either an extra dimension of experience or a higher qualification level as determined relevant for the particular post. Specialist Support Workers provide information, social inclusion and vocational opportunities to support people to recover and stay well; exercise choice and control in their care and lives; and participate on an equal footing in the community. Support is also provided to develop a model of re-enablement towards self-advocacy, self-management and empowerment, incorporating the principles and practice of recovery, co-production and peer support.
Well House is a crisis house supported accommodation service that supports individuals for between 14 and 28 days as an alternative to requiring hospital admission for their mental health needs. The service works closely in partnership with a multi-disciplinary team in order to meet individual needs, manage risk and support individuals to achieve positive outcomes.
The service operates 24 hours a day, 7 days a week to ensure members of the local community are able to access critical mental health support at all hours. The service receives referrals primarily from a local hospital emergency department and crisis lines, and may receive these referrals at anytime of day or night.
What you'll bring:
Essential:
* Up to NVQ Level 2/3 or equivalent or experience supporting people with their mental health.
* Specialist knowledge relevant to supporting people with a Mental Health diagnosis.
Desirable:
* We welcome and value applicants with lived experience of mental health services in our communities
About us:
Look Ahead is a leading, not-for-profit care and support provider in London and the South East. Our vision is to build better lives through social care and housing in local communities. As an organisation we deliver over 100 services, providing support to thousands of customers each year. Our mission is to co-design and deliver services that offer innovative social care solutions and support people to thrive. We work across mental health, homelessness and complex needs, young people and care leavers and learning disabilities so there are plenty of opportunities to grow and progress your career with us.
We have a strong social purpose and we live and work by our values:
* We focus on Excellence and innovation.
* We are Caring and Compassionate.
* We are Inclusive and Trusted.
* We work in Partnership and are One-Team.
Look Ahead is committed to safeguarding and promoting the welfare of children and adults at risk, and expects all employees, workers and volunteers to share this commitment.
If your application for this role is unsuccessful, but we feel that you would be suitable for another role, we may contact you to discuss alternative opportunities. If this occurs you would not need to submit another application for the alternative role.
We reserve the right to close this advert early if we are able to appoint to the vacancy before the advertised closed date.
We are committed to diversity and inclusion at work and are accredited with Silver in the Inclusive Employers Standard 2021. We are a proud member of the Employers Domestic Abuse Covenant and encourage applications from a diverse range of applicants of all backgrounds.
Actively Interviewing
This organisation is scheduling interviews as applications come in. They're ready to hire as soon as they find the right person. Don't miss your opportunity, apply now!
Job Title: Deputy Service Manager
Location: Based across 4 residential services based in Croydon (11 minute walk from East Croydon station) you will need to be able to travel between sites during the night shift to provide full managerial support. Access to own transport is ideal. Please note that unfortunately this service does not have step free access
Salary: £30,200
Shift Pattern: 37.5 hours per week, supporting the night team who predominantly work Monday to Sunday 20:00 - 08:00, you will work within these hours, as well as daytime hours to attend trainings and meetings. You will also take part in our out of hours on call rota.
Please note that this is one of two positions within the service. We also have a day time role available. Please type 286319 into our careers site search tool to view the other role.
About the role
We're looking for a Deputy Service Manager to join our residential service based in Croydon. You will support the Service Manager to provide leadership and line management to a team of Night Recovery Workers and Night Concierge which totals around 10. You will be present to ensure a quality service is delivered 24 hours a day, working closely with the day teams to ensure quality handovers.
You will provide general leadership to the team so they feel empowered to be productive and perform well within their roles, supporting a service which focuses on Forensic Mental Health for 27 people across 4 sites in Croydon. The teams support our residents with person centred support to empower them to overcome their personal barriers with their mental health, and have greater independence and fulfilled living.
Some key responsibilities include:
- Line Management including providing support and guidance, conducting support and supervisions, and ensuring duties are carried out effectively
- Support with the operational delivery of the service
- Risk Management ownership, ensuring processes and policies are followed
- Property and Housing Management; ensuring the accommodation meets our requirements and is safe to live in
About you
We are seeking a passionate, driven and motivated individual to lead the service in a trauma informed and inclusive way. You will have knowledge around the Mental Health complexities that residents can face, and have a can-do attitude which can help empower the team to deliver their KPI's. We look for:
- Experience in working with people who have enduring mental health and complex backgrounds
- Ability to motivate and empower a team to achieve KPI's
- Ability to provide advice, guidance, and support to the team on all aspects of service delivery including resident related queries
- Willingness and ability to work flexibly to meet service needs
- IT proficiency - we use various systems so look for someone who can learn and navigate new systems including case management, microsoft, ATS, HR systems, and other types of organisational software
- Alignment with our values of Ambition, Empowerment, Inclusivity, and Transparency
Please refer to the JDPS attached for more details on the vacancy and our requirements/key criteria.
What we offer
- 25 days (Full time equivalent) annual leave, increasing with the length of service
- Employer Pension Contribution
- Eligibility to register with Blue Light Discount Card
- Discounted tickets for music events, shows, sports and more through Tickets for Good
- Reflective Practice regular sessions with a therapist provided by an external provider to support Mental Health and Wellbeing at work
- Training and Development, including access to courses, upskilling, and progression plans
- Employee Assistance Programme, including counselling
- Life Assurance Scheme
- Cycle-to-work scheme
- Annual Staff Awards
- EDI Ambassador programme
- Be part of an organisation which believes good care and support improves lives with the vision to create healthier, safer, and more inclusive communities.
- Join an organisation with a mission to empower independence through trauma-informed solutions and dynamic partnerships that keep people out of prison, out of hospital, and off the streets.
We value and celebrate the unique backgrounds, perspectives and experiences of all of our employees. We have a team of staff ambassadors who volunteer to actively support us in fortifying our organisational value of Inclusivity. They embrace this unique opportunity to deliver awareness, events, and developments to our organisation to support us in ensuring our value of Inclusivity is embedded throughout the organisation.
SIG actively encourages applications from individuals from a diverse range of backgrounds, particularly lived experience; Naturally, we approach any emerging issues with empathy and sensitivity.
About Social Interest Group (SIG)
SIG is a not-for-profit organisation providing thousands of people with good-quality support and care in residential, drop-in centres, community floating support settings, probation settings, and hospitals. We do so across London, Brighton, Bedfordshire, Luton, Kent and Liverpool. Our goal is to transform lives through empowering change.
Want to know how we work? Watch our short Theory of Change video to see how we support people towards a brighter future: Theory of Change Further details can be found on our website here: Theory of Change - Social Interest Group - Social Interest Group.
ADDITIONAL INFORMATION
Please note that this job advert may close early due to screening applications on an ongoing basis. We advise applying as soon as possible for your application to be taken into consideration at the early stages.
Please note that as part of our process, we complete an enhanced DBS check, some roles may require further vetting. We encourage applicants from all backgrounds. If you have any questions regarding this, please contact us on the details below.
Unfortunately, we are unable to provide sponsorship, please ensure you have full right to work in the UK prior to applying to our positions.
Additional information on our company policies including Gender Pay, Equality and Diversity, Company Benefits and our Candidate Privacy Policy can be found on our website.
Empowering independence through trauma-informed solutions and dynamic partnerships that keep people out of prison, out of hospital and off the streets
Actively Interviewing
This organisation is scheduling interviews as applications come in. They're ready to hire as soon as they find the right person. Don't miss your opportunity, apply now!
Creative Support are looking for an energetic and enthusiastic individual to manage our team of support staff at our Supported Accommodation service in Tameside. We require someone with a good understanding and experience in the field of mental health.
As a Team Leader you will received guidance and support from the registered service manager to help maintain high quality support to oversee the supported accommodation service. You will also join a cohort of experienced regional managers who, alongside the registered manager, will provide peer support to you in your role.
The successful applicant will be supporting active and independent service users with mental health needs with a wide range of interests and goals. No two days will be the same at this service as we support our service users to follow their passions and engage in a range of activities including: meals out, cooking/baking, board games, movie nights, arts and crafts and many more.
The Role:
-To directly lead the team and be responsible for the line management of team members
-To operate as a Team Leader across different streams of support and ensure effective running of services with the support of other senior staff.
-To undertake within your duties direct support to service users.
-To provide person-centred care and support to enable people with mental health needs to live as independently as possible and be part of their community.
-To engage with service users and build trusting therapeutic relationships.
-To undertake assessments of new referrals and ensure robust review processes for those who use the services
-To work closely with other professionals and agencies to provide a coordinated personalised service, which meets the identified needs of individuals, promotes their recovery and maintains their quality of life.
-To deputise for the Mental Health Manager in relevant work areas when required. To provide staff supervision and management, undertaking initial assessments and liaising with other professionals and agencies.
Vacancy Reference Number: 87379
Applications for this role must be submitted via the Creative Support website using the above vacancy reference number
Full training is provided, as is the opportunity to work towards QCF Diploma in Health and Social Care. Benefits of working with Creative Support include a probationary bonus, pension contributions, 28 days Annual Leave and company paid enhanced DBS.
We are a passionate, inclusive, and anti-racist organization - Stonewall Diversity Champion, Disability Confident Employer who have recently received Investors in People Gold awarded.
Applications are reviewed as they are received, we do not provide feedback for unsuccessful applications. We can only accept applications from candidates who are located in and eligible to work within the UK – This post will not be open to Sponsorship under the UKVI scheme, and we are unable to accept applicants with Skilled Worker Visas.
Creative Support is a not for profit provider of person centered care and support





The client requests no contact from agencies or media sales.
Actively Interviewing
This organisation is scheduling interviews as applications come in. They're ready to hire as soon as they find the right person. Don't miss your opportunity, apply now!
Job Title: Deputy Service Manager
Location: Based across 4 residential services based in Croydon (11 minute walk from East Croydon station) you will need to be able to travel between sites to provide full managerial support. Access to own transport is ideal. Please note that unfortunately this service does not have step free access
Salary: £30,200
Shift Pattern: 37.5 hours per week, Monday to Sunday between 08:00 - 20:00, you will work within these hours, as well as some evenings and weekends hours to ensure 24 hour seamless service delivery alongside the team. You will also take part in our out of hours on call rota.
Please note that this is one of two positions within the service. We also have a night role available. Please type 286320 into our careers site search tool to view the other role.
About the role
We're looking for a Deputy Service Manager to join our residential service based in Croydon. You will support the Service Manager to provide leadership and line management to a team of Recovery Workers, Engagement Workers, and other frontline care and support staff. You will be present to ensure a quality service is delivered 24 hours a day, working closely with the night teams to ensure quality handovers.
You will provide general leadership to the team so they feel empowered to be productive and perform well within their roles, supporting a service which focuses on Forensic Mental Health for 27 people across 4 sites in Croydon. The teams support our residents with person centred support to empower them to overcome their personal barriers with their mental health, and have greater independence and fulfilled living.
Some key responsibilities include:
- Line Management including providing support and guidance, conducting support and supervisions, and ensuring duties are carried out effectively
- Support with the operational delivery of the service
- Risk Management ownership, ensuring processes and policies are followed
- Property and Housing Management; ensuring the accommodation meets our requirements and is safe to live in
About you
We are seeking a passionate, driven and motivated individual to lead the service in a trauma informed and inclusive way. You will have knowledge around the Mental Health complexities that residents can face, and have a can-do attitude which can help empower the team to deliver their KPI's. We look for:
- Experience in working with people who have enduring mental health and complex backgrounds
- Ability to motivate and empower a team to achieve KPI's
- Ability to provide advice, guidance, and support to the team on all aspects of service delivery including resident related queries
- Willingness and ability to work flexibly to meet service needs
- IT proficiency - we use various systems so look for someone who can learn and navigate new systems including case management, microsoft, ATS, HR systems, and other types of organisational software
- Alignment with our values of Ambition, Empowerment, Inclusivity, and Transparency
Please refer to the JDPS attached for more details on the vacancy and our requirements/key criteria.
What we offer
- 25 days (Full time equivalent) annual leave, increasing with the length of service
- Employer Pension Contribution
- Eligibility to register with Blue Light Discount Card
- Discounted tickets for music events, shows, sports and more through Tickets for Good
- Reflective Practice regular sessions with a therapist provided by an external provider to support Mental Health and Wellbeing at work
- Training and Development, including access to courses, upskilling, and progression plans
- Employee Assistance Programme, including counselling
- Life Assurance Scheme
- Cycle-to-work scheme
- Annual Staff Awards
- EDI Ambassador programme
- Be part of an organisation which believes good care and support improves lives with the vision to create healthier, safer, and more inclusive communities.
- Join an organisation with a mission to empower independence through trauma-informed solutions and dynamic partnerships that keep people out of prison, out of hospital, and off the streets.
We value and celebrate the unique backgrounds, perspectives and experiences of all of our employees. We have a team of staff ambassadors who volunteer to actively support us in fortifying our organisational value of Inclusivity. They embrace this unique opportunity to deliver awareness, events, and developments to our organisation to support us in ensuring our value of Inclusivity is embedded throughout the organisation.
SIG actively encourages applications from individuals from a diverse range of backgrounds, particularly lived experience; Naturally, we approach any emerging issues with empathy and sensitivity.
About Social Interest Group (SIG)
SIG is a not-for-profit organisation providing thousands of people with good-quality support and care in residential, drop-in centres, community floating support settings, probation settings, and hospitals. We do so across London, Brighton, Bedfordshire, Luton, Kent and Liverpool. Our goal is to transform lives through empowering change.
Want to know how we work? Watch our short Theory of Change video to see how we support people towards a brighter future: Theory of Change Further details can be found on our website here: Theory of Change - Social Interest Group - Social Interest Group.
ADDITIONAL INFORMATION
Please note that this job advert may close early due to screening applications on an ongoing basis. We advise applying as soon as possible for your application to be taken into consideration at the early stages.
Please note that as part of our process, we complete an enhanced DBS check, some roles may require further vetting. We encourage applicants from all backgrounds. If you have any questions regarding this, please contact us on the details below.
Unfortunately, we are unable to provide sponsorship, please ensure you have full right to work in the UK prior to applying to our positions.
Additional information on our company policies including Gender Pay, Equality and Diversity, Company Benefits and our Candidate Privacy Policy can be found on our website.
Empowering independence through trauma-informed solutions and dynamic partnerships that keep people out of prison, out of hospital and off the streets