Following a period of in-patient care, prior to an individual's discharge to a residential or nursing home, the Care Home Trusted Placement Advisor (TPA) will undertake a review of the assessments completed by the Hospital Discharge Team to determine eligibility and health and social care requirements on behalf of care providers.
The TPA acts as a conduit between providers and the Trust to ensure appropriate, safe discharge and smooth transition. Assessment for such requires adequate time and effective dialogue between the individual, their representatives, the care provider and the hospital team.
The TPA role is to provide the necessary additional resource to review on behalf of the care provider a timely and thorough person-centred assessment that meets the needs of both the individual and the care provider.
To work in conjunction with colleagues to ensure safe and comprehensive pre-discharge assessment and placement reviews
Promote person-centred discharge planning to Care Home settings, ensuring that relevant risk assessments, complex needs and patient information are all provided in detail, as part of the discharge plan from hospital
Act as a point of contact for ward staff / MDT / care homes, when residents are admitted to hospital from nursing or residential care home settings, in order to monitor progress and keep on-going communications
Work in partnership with care home and hospital staff to find solutions to the perceived barriers to discharge including equipment issues, access to specialist advice, training of Care Home staff
Why Work With Us
We are based in an open planned office at the new Embankment building at Torbay hospital. We are a friendly bunch consisting of Torbay and Devon Social work care teams, Discharge liaison nurses, Trusted placement advisors, carer support workers and the voluntary sector workers.
The work is fast paced and challenging and no two days are the same. We provide support and guidance to one another on a daily basis so its a good environment to work in.
Promote appropriate, safe, timely discharge to Care Home setting, whether this is the person's existing home or a new placement - advising hospital staff on the care/facilities within Care Homes and the community support to Care Homes on discharge.
Liaising with Community Teams and other Specialist Nurses and professionals to support person centred care planning appropriate to the complex needs of individuals - ensuring that arrangements are made for input/training/follow-up with specialist teams where necessary
Work in partnership with care home and hospital staff to find solutions to the perceived barriers to discharge including equipment issues, access to specialist advice, training of Care Home staff
Report on issues raised by Care Homes about quality of discharge, working closely with the Hospital Discharge Team, MDTs, Quality Assurance Improvement Team (QAIT) and Care Home Education Service (CHES)
Facilitate the further development and implementation of best practice, good partnership working and communications within the care home community
Review and development of efficacy and impact of role and opportunities to enhance
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