Registered Nurse
19 hours ago
Leeds
Complex Care Nurse (Community) Location: Community-based across with travel to clients’ homes Reports to: Registered Manager Role purpose Provide specialist nursing in clients’ homes for adults and/or children with complex, long-term conditions. Lead on assessment, care planning, delivery, and review; train and supervise support staff; ensure safe, person-centred care in line with NMC standards and CQC regulations. About the service We support clients with high-acuity needs (e.g., tracheostomy, invasive/non-invasive ventilation, enteral feeding, seizure management, spinal injury, progressive neurological disease, complex safeguarding). Care is delivered 1:1 or within small packages, often as part of a 24/7 rota. Key responsibilities Clinical care • Complete holistic assessments, risk assessments, and person-centred care plans (including ventilation/trach, PEG/PEJ/NG, bowel/bladder, skin integrity, catheter/ stoma care, suctioning, oxygen therapy, IV/SC therapies within scope)., • Deliver and evaluate evidence-based interventions; recognise and respond to deterioration (e.g., NEWS2/PEWS) and escalate per SOPs., • Competency-assess and supervise Support Workers; provide bedside coaching and annual refreshers for tasks such as tracheostomy care, suction, ventilation checks, enteral feeding, seizure rescue protocols., • Liaise with GPs, community teams, hospices, acute trusts, and AHPs. Attend/lead MDT reviews; contribute to EHCP/CHC reviews where applicable., • Document care contemporaneously in EHR; maintain auditable records (MARs, fluid/nutrition charts, ventilation logs)., • Report incidents/near misses (e.g., Datix), conduct investigations and implement learning., • Apply the Mental Capacity Act (incl. best-interest decisions), Deprivation of Liberty Safeguards/LPS, and children’s safeguarding procedures., • Registered Nurse (Adult / Child / LD) with current NMC registration., • Post-registration experience delivering complex care in the community or acute setting., • Verified competencies in at least two of: tracheostomy care, invasive/non-invasive ventilation, enteral feeding (PEG/NG), seizure management and PRN rescue meds, central/peripheral line care and IV/SC therapies, complex moving & handling., • Confident in clinical assessment, escalation, and emergency response (BLS/ILS/PILS as appropriate)., • Strong teaching/supervision skills; able to sign off staff competencies., • Previous package leadership or case management experience; CHC/Personal Health Budget exposure., • Paediatric high-dependency or ICU/HDU background (for children’s packages)., • Tissue viability, respiratory, neuro, or palliative care experience., • Non-medical prescribing (V300) or PGD/PSD experience within scope., • Enhanced DBS (child/adult barred list as applicable) and right to work in the UK., • Occupational health clearance; up-to-date immunisations (per UKHSA guidance)., • Mandatory training: Life support (ILS/PILS), Safeguarding Adults L2–3 & Children L2–3, Infection Prevention & Control, Medicines Management, Information Governance, Moving & Handling, MCA/DoLS/LPS, Lone Working., • Rotas may include days/nights/weekends; lone working in clients’ homes; occasional shadowing/overlap shifts for training and reviews., • Care plan and risk assessment completeness and review cadence., • Incident rates and time-to-escalation; learning actions closed on time., • Staff competency sign-offs and refresher compliance., • Client outcomes: ventilation hours stability, unplanned admissions, pressure-area prevalence, nutrition/hydration goals., • Tracheostomy tubes and suction; humidification; ventilators (set-up, troubleshooting, daily checks); sats/ETCO₂ monitoring; oxygen delivery., • Enteral feeding pumps/sets; catheter/stoma supplies; syringe drivers (within scope and training)., • Emergency grab-bag use; anaphylaxis/seizure rescue protocols. Professional behaviours • Uphold NMC Code; model compassionate, culturally competent practice., • Maintain boundaries and confidentiality within clients’ homes., • Contribute to service audits, policy reviews, and CQC readiness.