Location Across Stewarts Locations in West Dublin and North Kildare.
Reporting Director of Nursing or a person delegated by them.
Relationship
Job Purpose To manage and support the delivery of optimum healthcare services to
service users accessing the Orchard clinical services
Scope of the Role To provide expertise and support in the area of Health management and
Health Promotion through the development and delivery of health and
clinical services to service users in the Orchard clinic.
Key
Duties The post holder will provide supports in line with the contemporary role of
and Responsibilities
the RNID from the report on shaping the future of ID Nursing and

professional requirements through:

• Promotion of person centeredness and person-centred

planning

• Demonstrate effective communication skills.

• Supporting individuals with an ID with health, wellbeing and

social care

• Developing nursing capacity, capability and professional

leadership

• Improving the health experience and outcomes for individuals

with an ID.

• Support delivery of the organisational strategy and nursing

priorities, to ensure high professional standards of nursing
practice and patient care are achieved, and a culture of
continuous quality improvement is promoted.

• Lead in the delivery of community liaison nursing services.

• Lead and contribute to specific nursing related objectives to

secure achievement of key performance standards and targets.

• Ensure services provided are delivered through evidence based

and safe care systems.

• To assume responsibility for his/her own professional

development and safe work practice in line with NMBI
requirements and be self-directed to manage the role and its
development.

• To maintain accountability for ongoing self-development

activities related to service provision, education, evidence-based
care, change management and quality improvement.

• The maintain knowledge and education in regard to evidence-

based care in ID settings, health and HSE strategy and national
guidelines.

Clinical

• Support and supervise the referrals and triage of Residents to

the GP service through the administrative role.

• Support and supervise the provision of GP and nurse led

appointments for Service users.

• Lead the daily clinical briefing handover process with the

medical and nursing team.

• Lead in the management and delivery of community nursing in

reach services.

• Develop, lead and deliver Nursing clinics for Residents and their

support staff in the areas prioritised by the Director of Nursing
and GP in delivery of safe care, education, health monitoring and
promotion of self-management.

• To ensure the development and delivery of services required

under the Health Act 2007 in regards to Health, such as AMR,
audit and screening.

• Develop, lead and manage database and records in relation to

Orchard service clinics and records, such as screening,
medication, etc.

• Support the GP’s in Kardex/GMS/Protocol management.

• Liaise and report on the status of hospitalised residents and

support the communication and safe discharge process.

• Provide reports and KPI’s where requested by the Director of

Nursing/ADON.

• Provide monthly reports in regard to the KPI’s of the Orchard

service.

Policy Development & Risk Management

• Contribute where appropriate to the development and review of

policies and procedures, which comply with agreed best practice,
evidence-based care and organisational and national strategies.

• To identify and develop nursing /care policies, procedures,

guidelines required by the organisation and relating to the
outputs of the orchard services in line with evidence based
care. Actively develop, implement and provide guidance on
such policies.

• To adhere to Stewarts Care policies and procedures.

• Support the delivery of health promotion and education within

the multidisciplinary process.

• Develop and maintain the safety statement and risk

assessments associated with the Orchard service.

• Record and report on adverse incidents and risks in the

Orchard clinic.

• Ensure safe custody, monitoring and management of

medication in the GP surgery.

• Ensure the management of clinical supplies through the

Orchard in line with value for money ethos (Economy,
efficiency, effectiveness), evidence-based practice and
structured services.

Management
• To act as a professional role model in the development and
delivery of evidence-based care.
• To act as line manager to the community liaison nursing team.
• To act as line manager to the Nursing administrative staff during
periods for which they are assigned to the Orchard.
• Provide continuation of service during periods of planned leave.
• To exercise leadership to ensure that services are provided in
line with current national policy & guidance for people with
intellectual disabilities, which promote the rights and inclusion
of this population.
• Develop and maintain open communication with professional
and operational managers, liaise closely with the DON/ADON,
GP, Specialist nursing team, persons in charge and other
members of the MDT.
• Attend and professionally contribute to MDT, clinical and
specialist nursing meetings.
• To demonstrate the ability to overcome challenges, propose
solutions and implement decisions to ensure opportunities are
realised for people with an intellectual disability.
• To conduct and engage in audits.
• To undertake quality initiatives, to participate and lead on
projects as assigned.
• To demonstrate measurable outcomes as a result of the service
improvement, aligned with agreed key performance indicators.
• To contribute to the development of nursing research
• To support junior colleagues and mentor nursing students.



Educational

• Develop and deliver specific and relevant nursing programmes

for all disciplines and grades of staff/management and service
users within the service as assigned by the Director of Nursing.

• Support service users and staff in the development and review

of person centred healthcare plans and monitor the

implementation and effectiveness of same for pharmacological
and non-pharmacological interventions and therapies.

• Support service users and non-nursing staff to identify barriers

and challenges in attending health services and develop
reasonable accommodations to maximise opportunity.

• Willingness to undertake training as required by the

organisation.

• The Director of Nursing (or their appointee) may allocate the

postholder special projects to meet the needs of the
organisation, as appropriate.

• To be an active member of the Stewarts Nursing research group

and undertake and promote research-based projects in nursing
throughout the organisation.

• Ensure practices on health promotion and health care planning

are evidence based and meet the specific challenges for persons
with an ID (Ageing, Reasonable accommodations etc.)

• Attend and where appropriate make presentations to the

Nurses forum.

Qualifications &
Experience Candidates must meet the following criteria relevant to the role:

• Be a registered RNID or RGN and registered in a Division of the

register of Nurses and Midwives in which the application is being
made or in exceptional circumstances, which will be assessed on a
case by case basis be registered in another Division of the register
of Nurses and Midwives.

• Possess a 3rd level qualification at level 8 (Honours) degree or

higher.

• A minimum of five years post registration (of which two must be in

the specialist area).

• Demonstrate evidence of continuing professional development.

• A formal post registration qualification in the specialist area of

Practice Nursing/Health promotion/Chronic disease management

or a related area at Higher Diploma level or equivalent (level 9) on
the NQAI framework would be an advantage.

The above Job Specification is not intended to be a comprehensive list of all duties involved and
consequently, the post holder may be required to perform other duties as appropriate to the post which
may be assigned to him/her from time to time and to contribute to the development of the post while in
office.

Terms and Conditions of Employment
Clinical Nurse Manager II – Orchard Services

Remuneration Remuneration is in accordance with the Department of Health (DOH)
consolidated pay scales.

Salary and qualifications are in accordance with Department of Health
consolidated pay scales. CNMII, scale €56,353 to €66,622 per annum for
Nursing candidates. Social Care Manager II €56,172 to €64,276 per annum
for Social Care Candidates.

Salaries and increments are paid in accordance with DOH scales.

Annual leave 25 - 28 Days depending on experience

Working week The hours allocated to this post are 37.5 hours per week, exclusive of
lunch breaks.
The allocation of these hours will be at the discretion of the Director of
Nursing or a person nominated by them and in accordance with the
needs of the service.

Probation All employees will be subject to a probationary period of 6 months, with
an extension if required of 9 months. This probationary period applies to
all employees irrespective of their role or type of role.

Garda Vetting Stewarts Care will carry out Garda vetting on all new employees. An
employee will not take up employment with the organisation until the
Garda Vetting process has been completed and the organisation is
satisfied that such an appointment does not pose a risk to the service
users and employees.

References Stewarts Care will seek up to two written references from current and
previous employers, educational institutions or any other organisation

with which the candidate has been associated. Stewarts Care reserves the
right to determine the merit, appropriateness and relevance of such
references and referees.