Step Care is an exciting new service being developed by the HOPE Provider Collaborative. The Step Care team focuses on adults with eating disorders who meet the threshold for inpatient care. In some cases, admission will be prevented and in others, people will be stepped down to the virtual Hospital at Home programme following a short inpatient admission.The model is underpinned by CBT-E and is fully integrated with community teams and inpatient services to offer a seamless service. Step Care maximizes the use of new technology, provides care close to home, reduces admission, length of stay, waiting times and provides earlier discharge from inpatient care.

·       Having managerial and operational responsibility for the ward and all aspects of performance.  ·       Effective day-to-day support and operational leadership and maintaining operational excellence and high levels of nursing and care. ·       Leading processes to improve the quality and operational management of the ward and even further.·       Provide and receive clinical supervision·       Co-ordinate the multi-disciplinary teams to ensure all clinical services provided to the ward function effectively and efficiently to meet individual patient needs·       Keep up to date with current topics, policies and innovations in clinical practice and have the ability to support and encourage the team to translate into practice·       Support the division to deliver specific outcome measures.·       Complete required ward audits in line with the Clinical Governance strategy

Provide and receive clinical supervisionCo-ordinate the multi-disciplinary teams to ensure all clinical services provided to the ward function effectively and efficiently to meet individual patient needsEnsure ward environment is clean and safe for all staff, patients and visitors at all timesAct as the Designated Division Shift Co-ordinator (bleep holder) co-ordinating and undertaking seclusion reviews as requiredUse demonstrated expertise to provide vision and effective role modelling to ensure fundamental high standards of clinical care are maintainedKeep up to date with current topics, policies and innovations in clinical practice and have the ability to translate into practiceDeputise for the Nurse Manager in their absence or as required

Plan, organise and deploy staff according to competencies and workload in order to meet patient needs.Develop, implement, review and promote the importance of effective outcome focused care plans to meet individual preferences and needs, attending and contributing to ward rounds.Effectively communicate with all MDT members, taking positive risks to manage the care environment and reduce the use of restrictive practices.Build and monitor ongoing relationships with patients, their families and carers to encourage trust, whilst listening to and interpreting their needs and concerns.Ensure all patient records, records of risk and interventions that have been taken, are up to date and accurate.Use refection and supervision to learn from events and generate opportunities to improve patient outcomes.Receive and provide clinical supervision.Support the division to deliver specific outcome measures.Complete required ward audits in line with the Clinical Governance strategy.

Assessing and supporting service usersEncouraging patients to take part in therapies like role play, art, drama, and discussionAssisting with physical care in some circumstancesAssess patients by discussing their mental health conditions with themProvide treatment to patients and ensure medications are correctly administeredWork to understand the source of patients’ disordersConduct one-on-one therapy sessionsPrepare patients’ records and maintain them effectivelyConduct risk assessments on patientsMonitor their progress with their familyEnsure all legal requirements are complied with.

• Undertake record and follow guidelines for the tasks for which I have received appropriate training.• Measuring and recording of vital observations, height and weight, body mass index and ECG.• Blood glucose monitoring• Prepare and maintain the environment and equipment before, during and after patient care intervention.• Plan, develop, implement and assess approaches promote health and well-being, keeping records of what has been done.• Plan, develop, implement and assess approaches promote health and well-being, keeping records of what has been done.• Contribute to the improvement of services.• Provide support and encouragement to patient to self-manage their condition as appropriate whilst promoting recovery.• Making effective use of training to update knowledge and skills• Work effectively with individuals from other agencies to meet patients’ needs• Assess own performance and take accountability for own actions, either directly or under supervision.• Acting in a way that recognise the importance of people's rights, interpreting them in a way that is consistent with the hospital's procedures and policy and current legislation.

Record medical history and symptomsCollaborate with teams to plan for patient careAdvocate for the health and wellbeing of patientsMonitor patient health and record signsAdminister medications and treatmentsOperate medical equipmentPerform diagnostic testsEducate patients about management of illnessesProvide support and advice to patients