Job Description

Greyfriars is a Psychiatric Intensive Care Unit situated within the grounds of Wotton Lawn Hospital. We provide care to patients who are acutely unwell and carry additional risk. We are a specialist, nurse led service, where we operate a referrals based system of eligible criteria in line with the PICU National Minimum Standards.



Service users are supported by a variety of healthcare workers including nurses, doctors and allied health professionals such as psychologists, art therapists, physiotherapists, occupational therapists and sports exercise therapists.



We have four wards in the main building as well as a nurse-led Psychiatric Intensive Care Unit (PICU) and Low Secure Unit (LSU) in the grounds.



Everyone in the hospital is committed to making the admission and stay with us as pleasant as possible, and all staff work closely with both the regional Crisis and Home Treatment Teams (CHTT) and Community Mental Health Teams (CMHT) to ensure seamless services are provided.



Wotton Lawn Hospital tour - YouTube



Clinical



Work according to the Nursing and Midwifery Council (NMC) Code of Professional Conduct and relevant professional guidelines as a named nurse or key worker taking responsibility for the assessment of care and health education needs Develop, implement and evaluate care plans in conjunction with service users, carers and other professionals ensuring individual needs are met As named nurse to have responsibility for undertaking mental and behavioural state examinations for own service users and service users being admitted, repeated on at least a weekly basis and clinical risk assessment and management plans. Assist service users to meet their personal care needs e.g. assisting with bathing and washing, as outlined in the Care Plan. This intervention may be delegated where appropriate Liaise with and offer specialist assessment and advice to other agencies and professions, including participating in Multi-Agency meetings to offer advice and opinions to facilitate the ongoing treatment and care of service users and to ensure adherence to National Service Framework (NSF) guidelines Actively support service users in the management of their medication within a 'concordance framework' and relevant policies. Administer medication, including Intra-muscular injections depot medication as appropriate and monitor side effects. Delegate the checking and delivery of medication when appropriate.

We welcome applications from newly qualified nurses



We have a skilled and dedicated workforce of over 5000 colleagues working in a diverse range of services over 55 sites and within people's homes. We strive to enable a welcoming workplace culture that builds and celebrates civility, inclusivity and diversity, while providing a sense of belonging and trust.



Annual staff surveys, regular Pulse surveys and other engagement opportunities provide our people with lots of opportunity to tell us about their experiences of working with us. In the latest staff survey, 61% of colleagues gave us their views. It was great to hear that:



72% of colleagues would recommend the Trust as a place to work, ranking us 1st for Provider Trusts in the South West region on this question.

76% would recommend the standard of care provided in our services if a friend or relative needed treatment, also ranking us 1st in the South West region.

81% said that care of patients and service users is the Trust's priority, compared with an average in comparable NHS Trusts in England of 64%.



This high-level overview shows we are in a healthy position, with higher scores than average for comparable organisations, alongside a great response rate, indicating good staff engagement. However, we also know we have plenty of room for improvement in many areas. To that end, we continue to prioritise and invest in our commitment to genuinely becoming a Great Place to Work with consistent top-quartile performance in the annual staff survey and Pulse surveys.



Maintain accurate written records and statistics to ensure that service user details and details of the care given is recorded in notes and on the Trust database(s) in line with Trust policies Contribute to the preparation of appropriate reports, including reports for Mental Health Act Tribunals and Mental Health Managers review meetings as required by rule 6 (1) of the Mental Health Tribunal rules Provide and receive complex and sensitive information from service users, carers or other professionals and agencies, on a daily basis Work with and support other members of the Multi-disciplinary team, using clinical judgements in the absence of key members of the team, including medical staff Ensure that psychological intervention or treatment is offered to service users as outlined in the National Institute for Health and Clinical Excellence (NICE) guidelines De-escalation of aggression using verbal skills and physical breakaway skills

Leadership / Management



Contribute to service development and quality initiatives in line with local and national policies using audit and policy development where applicable. Undertaking other duties appropriate to the post as requested by senior managers Ensure that through competent planning and organisational skills, the post holder allocates sufficient time to receive ongoing clinical and managerial supervision, to include work load management. Implementing risk assessments and management plans on a daily basis working with people with common, severe, and enduring mental health problems who are frequently distressed and emotionally disturbed Take charge of the ward in the absence of senior staff for clinical, environmental and managerial aspects. * Shift Co-ordination - including allocation of resources, deployment of staff, upholding the requirements of the Mental Health Act, maintaining a safe environment, liaising with other disciplines, service users and carers.