Occupational Therapist - Complex Care at Home Team

Job overview

The Complex Care at Home Service (CC@H) is looking to recruit an experienced occupational therapist to become part of the team. The team provides proactive, preventative case management to a mainly frail older cohort of patients living in Gloucester, Cheltenham and the Forest of Dean.  This position is based in Cheltenham, but the role requires the person to be able to support their colleagues in other areas as required.

Our team love coming to work in a role that allows them to use a health coaching approach to support a person to achieve their goals. We always try to use Health Coaching and Motivational Interviewing skills and utilise outcome measures that evidence their effectiveness in improving a person’s health and wellbeing.

The CC@H service is a truly multi-disciplinary team who support people living with complex health conditions and frailty to remain as independent as possible in their choice of residence. The role is rewarding and challenging but never boring. You will be supported by an amazing team of clinicians, therapists, health and wellbeing coordinators and social care colleagues.

You will be visiting people in their own homes and supporting them to live well and improve their resilience, with a focus on what matters to them and their concerns.

If you have the skills and knowledge required that allows people to truly focus on what matters to them whilst supporting them to achieve their goals, please get in touch.

Main duties of the job

The post holder will work as a key part of the Complex Care at Home team having a clinical role with responsibility for planning, managing and co-ordinating the care of people with highly complex needs and long term conditions within a defined caseload.

The post holder will use case management techniques to deliver Personalised Proactive care to prevent avoidable deterioration in people’s health and ultimately reducing the occurrence of unplanned hospital admissions.

Detailed job description and main responsibilities

• To support patients through the use of health coaching techniques to improve their motivation and resilience, resulting in improvements their physical and emotional health
• Proactively manage a caseload of complex patients living with dementia, long term conditions and/or frailty and at risk of deterioration.  Patients will be identified through an agreed case finding approach and by referral from other partners in the health and social care community
• To be competent in risk assessments including moving and handling assessments, adopting a positive risk-taking approach to the management of risk within the home environment
• To undertake all aspects of clinical duties as an autonomous practitioner and be professionally and legally accountable for a designated patient caseload
• Responsible for the assessment of the occupational focussed health and social care needs. To gather data and interpret complex clinical information in order to plan care appropriately
• Work collaboratively with the patient, family and carers applying a coaching approach to problem solving and enabling appropriate self- management
• Work closely with the Community Matrons, Health & Well Being Coordinators, Integrated Community Teams (ICTs), GPs, practice staff, and wider health and social services to ensure care delivery is of high quality and meets required standards, helping to facilitate joint integrated working across the locality and with other stakeholders
• To participate in surveys and clinical audit and the evaluation of services as well as regular supervision