Glenarie - Rmn Nurse

Rmn - 42 hours
. role purpose
to provide safe, effective, compassionate and person-centred mental health nursing care to residents who may have complex mental health, dementia, neurological, behavioural and/or physical health needs. the postholder will practise within their competence, the nmc code, applicable law, professional guidance and lotus care policies.
the rmn will assess needs, plan and evaluate care, administer medicines safely, respond to deterioration, promote recovery and quality of life, and lead shifts when allocated. they will work closely with residents, families, colleagues and external professionals to support continuity of care and positive outcomes.

2. core accountabilities
• maintain professional registration and remain personally accountable for nursing decisions, actions, delegation and documentation.
• deliver care that protects dignity, privacy, rights, choice, culture, identity and individual preferences.
• recognise and respond promptly to mental or physical deterioration, emergencies and safeguarding concerns.
• lead and coordinate the shift when requested, ensuring safe deployment, effective handovers and clear escalation.
• use evidence, audit findings, incidents, complaints and feedback to improve the quality and safety of care.
• work openly and professionally, raising concerns and being candid when care has not met the required standard.

3. clinical assessment, care planning and delivery
• complete timely, holistic assessments on admission and whenever needs change, including mental state, physical health, cognition, communication, capacity, medication, mobility, falls, skin integrity, pain, nutrition, hydration, continence, sleep and social wellbeing.
• assess and manage relevant risks, including self-harm, suicide, aggression, vulnerability, exploitation, absconding, smoking, substance use, choking, falls and clinical deterioration.
• develop, implement and regularly evaluate personalised care plans with measurable outcomes, involving the resident and their representative wherever possible.
• use trauma-informed, recovery-focused and least-restrictive approaches that promote independence, positive risk-taking and meaningful occupation.
• complete required observations and clinical monitoring accurately, recognise significant changes, obtain appropriate medical advice and escalate without delay.
• respond effectively to emergencies, provide first aid and life support within competence, and follow emergency transfer and escalation procedures.
• support safe admission, transfer and discharge, ensuring accurate information, medicines and risk details accompany the resident and reach the receiving team.
• contribute to reviews, multidisciplinary meetings, safeguarding meetings, best-interest meetings and statutory assessments as required.

4. mental health and behavioural support
• build therapeutic relationships through respectful communication, active listening, consistency and clear professional boundaries.
• identify triggers, early warning signs and relapse indicators, and ensure support plans describe practical prevention and response strategies.
• use de-escalation, distraction, reassurance and positive behaviour support approaches safely and proportionately.
• record and analyse antecedents, behaviours and consequences where abc monitoring is indicated, and use findings to improve support plans.
• monitor the impact and side effects of psychotropic medicines, seek timely review, and support reduction of inappropriate over-medication where clinically appropriate.
• ensure any restrictive intervention is lawful, necessary, proportionate, time-limited, recorded and reviewed in accordance with policy and the resident's care plan.
• understand and follow relevant mental health act arrangements where applicable, seeking specialist advice when the limits of the role are reached.
5. medicines management
• administer, record, store and dispose of medicines safely in line with the prescription, medicines policy, competence assessment and professional standards.
• complete medicines reconciliation following admission, return from hospital or other transition, and resolve discrepancies promptly with the prescriber or pharmacy.
• ensure prn protocols state the indication, dose, minimum interval and maximum dose; record the reason for administration and evaluate the outcome.
• follow controlled drug, self-administration, homely remedy, covert medication and high-risk medicine procedures, including lawful decision-making and required checks.
• report and respond to omissions, errors, adverse reactions and near misses immediately; monitor the resident and contribute to investigation and learning.
• undertake or support medicines audits, stock checks and competency observations, and act promptly on identified concerns.

6. safeguarding, consent, capacity and legal frameworks
• recognise possible abuse, neglect, exploitation, discrimination or improper treatment and take immediate action to protect the person.
• report safeguarding concerns promptly through lotus care procedures and to external agencies where required; preserve relevant evidence and maintain accurate records.
• seek valid consent before care or treatment and respect a capacitous person's right to make decisions, including decisions others may consider unwise.
• apply the mental capacity act 2005 to decision-specific assessments and best-interest decisions, involving relevant people and choosing the least restrictive option.
• identify when restrictions may amount to a deprivation of liberty and escalate for appropriate authorisation and review.
• follow whistleblowing procedures and challenge unsafe, discriminatory or undignified practice without delay.
7. leadership, supervision and staffing
• lead the shift when allocated, maintain oversight of residents' changing needs and ensure tasks are prioritised and completed safely.
• allocate and delegate work only to staff who are competent, appropriately trained and supported; retain accountability for decisions to delegate.
• conduct clear handovers, safety briefings and clinical discussions, communicating changes in risk and care requirements.
• provide day-to-day guidance, role modelling, coaching and constructive feedback to care staff and nursing colleagues.
• support induction, competency assessment, supervision and learning within the limits of the postholder's training and authority.
• identify staffing or skill-mix concerns, implement immediate risk controls where possible and escalate to the registered manager or on-call manager.
• address poor practice promptly, document concerns objectively and contribute to performance processes when requested.
8. communication and multidisciplinary working
• communicate in ways each resident can understand, making reasonable adjustments and using accessible formats, interpreters or communication aids where needed.
• maintain professional, timely communication with relatives and representatives in accordance with consent, confidentiality and best-interest arrangements.
• work collaboratively with gps, psychiatrists, community mental health teams, pharmacists, hospitals, social workers, commissioners, therapists and other partners.
• make timely referrals, follow up outstanding advice and ensure recommendations are incorporated into care plans and communicated to the staff team.
• escalate professional disagreements or delays where these could compromise safety, wellbeing or continuity of care.

9. clinical governance and quality improvement
• report accidents, incidents, near misses and concerns promptly, take immediate protective action, and contribute to investigation, learning and action plans.
• support the registered manager to meet regulatory requirements and maintain evidence of safe, effective, caring, responsive and well-led practice.
• participate in audits of care plans, risk assessments, medicines, infection prevention, documentation, nutrition, hydration and other clinical areas.
• monitor agreed actions to completion and share learning through handovers, meetings, supervision and training.
• respond professionally to feedback and complaints, support open communication and contribute to improvements and duty of candour processes.
• use current evidence, professional guidance and local policy to inform practice; identify outdated or unsafe processes and escalate them.
10. infection prevention, health and safety
• follow standard infection prevention precautions, outbreak guidance, hand hygiene, ppe, waste and sharps procedures.
• maintain a safe environment and report hazards, defects or unsafe equipment immediately; use clinical and moving-and-handling equipment only when trained and competent.
• follow fire, evacuation, emergency, lone-working and business-continuity arrangements, taking an active role in drills and incidents.
• complete risk assessments and required checks within the role, and cooperate with occupational health requirements.
11. records, confidentiality and information governance
• make clear, accurate, contemporaneous and attributable records of assessments, decisions, care, medicines, communication and outcomes.
• protect confidential and personal information, sharing it only when lawful, necessary and proportionate.
• use electronic and paper systems securely, maintain access controls and follow data protection, retention and information-sharing procedures.
• ensure records support continuity, audit and accountability and are available to authorised people when needed.
12. learning and professional development
• maintain an active nmc registration, appropriate indemnity arrangements and evidence required for revalidation.
• complete mandatory and role-specific training, competency assessments, supervision and appraisal within required timescales.
• maintain continuing professional development relevant to mental health, older people, complex needs and the service's resident profile.
• reflect on practice and use feedback, incidents, complaints, research and audit to improve knowledge and performance.
• seek advice and decline or escalate tasks that fall outside current competence, training or authority.

Applicants to email a CV to cheryl.vickerstaffe@lotuscare.uk
Please state Glenarie and job title in email subject header.