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Occupational Therapist – Intensive Dementia Support Service (Band 5)

Band 5

Main areaOlder Person’s Mental HealthGradeBand 5ContractPermanentHoursFull time – 37.5 hours per week (Shift working)Job ref184-1ARAHP162-A SiteMagnolia HouseTownYeovilSalary£25,655 – £31,534 per annum, pro rataSalary periodYearlyClosing26/07/2022 23:59

Somerset NHS Foundation Trust is proud to provide community, mental health and learning disability services and acute hospital services from Musgrove Park Hospital in Taunton. Our mission is to deliver outstanding care through a culture of listening, learning and continuous improvement. Over 9,000 colleagues work for our trust in a very wide range of services and we aim to provide a supportive, inclusive environment in which our colleagues can thrive. We are working towards merging our trust with Yeovil District Hospital NHS Foundation Trust in order to provide consistent and accessible services across Somerset and better supporting people in our county to maintain their health and wellbeing. We are proud to be the Health Service Journal Mental Health Trust of the Year.

Job overview

The Intensive Dementia Support Service (IDSS) East would like to invite a Occupational Therapist to join our innovative team in Yeovil. We are a countywide crisis service for people with dementia, cognitive impairment who are exhibiting a significant level of behavioural and psychological symptoms associated with dementia. This is a countywide service with 2 team bases, one in Yeovil (East) and one in Taunton( West).

The team in the East covers Yeovil, Chard, Crewkerne, Glastonbury, Street , Wells, Frome and surrounding villages.

The aim of the team is to be reactive and responsive to treat individuals at times of crisis working closely with our Community Mental Health Teams aiming to prevent hospital admission and facilitate timely supported discharges from the ward

The service provides:

  • Behavioural support planning, including role modelling of care delivery.
  • Review of medication and monitoring of medication changes made by the team’s consultant.
  • Interventions to reduce challenging behaviours (distraction techniques, assessment for pain, physical ill health)
  • Referrals and liaison with physical health services both primary and intermediate care
  • Educating and supporting services with individualised activity programmes, and the promotion of personalised care.
  • Signposting to other services.
  • Referral to Local Authority for Social Care assessment
  • Main duties of the job

    To undertake the assessment of patients referred to the Intensive Dementia Support Service . Undertake the assessment of risk and Occupational therapy assessments and contribute to the multi-disciplinary team care plan. Under the development and implementation of individual care plans for the client.

    To provide high quality patient care, working in a flexible way across the community, inpatient boundaries, as required, focusing on the need to support patients and their families/careers.

    To be responsible for assessing, developing, delivering and reviewing comprehensive and complex treatment plans in partnership/discussion with MDT, patient and carers, using evidence based practice.

    To ensure that service user and carers are fully involved in planning review of care and provide information, education and support for carers. This may include making an onward referral to carers support service.

    To provide good lines of communication within the team and external to the team for patients, carers, staff and other agencies

    To be able to conduct such an assessment taking into account the complexities associated with care of the Older Person, considering both mental health, capacity, physical health and social care needs

    To acknowledge, gather information and escalate to senior colleagues within the team areas of concern brought to your attention by staff, patients or carers.

    To complete functional OT assessments and to add the OT aspect in to the weekly MDT.

    Working for our organisation

    As an organisation, the NHS offers a wide range of benefits including flexible working, fantastic pension contributions, market leading annual leave allowance, career progression and regular conversations, not to mention our Blue Light Card and NHS exclusive discounts.

    The benefits of working in Somerset include the idyllic countryside, with our areas of outstanding beauty and stunning coastlines. You will get to enjoy these perks whilst still only being a stones throw away from bustling city centres like Bristol, Bath and Exeter and only two hours away from London.

    There are excellent educational facilities in the area and, when compared to other regions, house prices are reasonable. You will to experience the best of both in Somerset, the countryside and the cosmopolitan there is truly something for everyone!

    Detailed job description and main responsibilities

    Triaging of referrals The post holder will be aware of the eligibility criteria for the team and will make decisions based on this knowledge as to whether referrals should be accepted for assessment by the Team. Where referrals are inappropriate, the post holder will give advice to assist the referrer in decision making. The post holder will gather as much information from the referrer as possible about the client and in particular past and present risk history. The post will work with band 6 member of the team to complete this.

    Assessment The post holder will provide holistic psycho-social assessment to clients who present in a mental health crisis. The post holder will be expected to be competent and participate in both joint and lone working assessments. They will access all available sources of information including the views of family, carers and relatives. 

    To carry out Occupational therapy assessments on functional skills. To help create and plan behavioral support plans for patients using Occupational assessments to build on individualized meaningful activities. 

    Risk Assessment The post holder will carry out a comprehensive risk assessment during each new assessment and at subsequent meetings with the client. This will involve exploring clients risk and may involve exposure to challenging, hostile and distressing behaviour. The post holder will use this assessment to inform risk management plans, which may include arranging an admission to a hospital setting when community alternatives are unsuitable. The post holder will communicate this assessment to others involved in a clients care and will ensure effective management of these risks.

    Care Planning The post holder will design and implement comprehensive, safe, creative and effective care plans in conjunction with clients, carers, medical and other professionals including the on going assessment and review of the client. Interventions will be evidence-based and will be designed to reduce distress, manage risk and aid recovery through assisting clients in the management of their daily living skills, problem behaviours and communication with others. 

    The band 5 OT will be offered clinical supervision and support from the band 6 OT and be supported in attending Training.

    We are currently in the process of developing the OT pathway within both the teams which the band 5 OT will be an active part in helping to create this pathway.

    Person specification

    Esssential

    Essential criteria

  • Current Professional Registration
  • Experience as a Band 5 or equivalent Mental Health Practitioner
  • Computer literate in use of Word, Excel, Email and PowerPoint
  • Evidence of good standard of literacy/English language skills
  • able to drive
  • Knowledge of the legislative framework within which OTs work, including HCPC and COT standards
  • Demonstrate experience of effective team working
  • Desirable criteria

  • Experience of working with patients with complex needs
  • If you are successful for interview, you will be required to bring the following with you: Proof of any essential qualifications stated on the Job Description, proof of NHS payslip if coming from another NHS Organisation and Photo ID to prove your identity and Right to Work (More details will follow for successful applicants invited to interview)

    Our values are simple: Outstanding Care, Working Together, Listening and Leading. 

    We recognise that our colleagues are our most valuable resource, we are proud of the excellent levels of service our Trust provides to our service users and the dedication and conscientious of our colleagues. With this in mind, we offer a range of colleague benefits including:

    Excellent annual leave entitlement

    Enhanced rates of pay

    NHS Pension Scheme

    Free parking on most of our sites

    NHS discounts

    Training and development

    Flexible working

    Paid registration fees for the 1st year for newly qualified colleagues