ABOUT US
Partnership Care & Support Ltd is a specialist provider of supported living and community health.
services for adults with complex physical health needs, learning disabilities and autism. We are
committed to delivering safe, person-centred, high-quality care that promotes independence, dignity
and quality of life.
John Wilson House is our five-bed specialist supported living service, supporting adults with complex.
and highly specialist clinical needs – including enteral feeding, non-invasive ventilation, epilepsy
management, complex medication regimes, and significant moving and handling requirements –
alongside learning disabilities and autism. It is a service that demands clinical excellence, strong
leadership and a genuine passion for making a difference.
THE OPPORTUNITY
We are seeking an experienced, motivated and clinically skilled Lead Nurse or clinical nurse specialist.
to join our team at John Wilson House. This is a pivotal role within our service, providing clinical
leadership, operational oversight, and governance across our specialist supported living provision.
Whether you are a seasoned clinical leader looking for your next challenge, or an experienced
community or LD nurse ready to step into a lead role, we want to hear from you. We are open to both
full-time applicants and job-share arrangements between two Lead Nurses.
What makes this role stand out?
- You will lead a specialist clinical team delivering genuinely complex care – this is a role with real clinical depth and variety.
- You will have the autonomy to shape clinical standards, training programmes, competency frameworks and quality governance.
- You will work in a supportive, values-led organisation where clinical quality and staff development are genuine priorities.
- You will have the backing of an experienced Director (Advanced Clinical Practitioner, 28 years’ experience) and a Quality Assurance Lead (28 years’ clinical experience).
- You will make a direct, visible and meaningful difference to the lives of the people we support.
KEY DETAILS AT A GLANCE
Post Title: Lead Nurse / Clinical Nurse Specialist
Service: John Wilson House – Specialist Supported Living (5-bed)
Location: Hounslow / West London (TW5)
Organisation: Partnership Care & Support Ltd
Reports To: Registered Manager / Director
Contract Type: Contractual basis
Hours: Average hours between 30 and 40hrs or Job Share (two Lead Nurses)
Salary: Competitive – dependent upon experience. Details provided upon application.
Annual Leave: In accordance with Partnership Care & Support Ltd terms and conditions.
Pension: Auto-enrolment pension scheme.
Probationary period: six months.
On-Call: Participation in the clinical on-call rota as required.
Start Date: To be agreed upon with the successful candidate.
DBS: An enhanced DBS check is required for this post.
Registration: Current NMC registration is essential and must be maintained throughout employment.
JOB PURPOSE
The Lead Nurse is responsible for providing clinical leadership and operational oversight at John Wilson House, ensuring the delivery of safe, effective and person-centred care to adults with complex physical health needs, learning disabilities and autism. The post holder will uphold the highest standards of clinical governance, staff competency and quality assurance in line with CQC Fundamental Standards, the NMC Code, NICE guidance and Partnership Care & Support Ltd policies and procedures.
The Lead Nurse will be the clinical backbone of the service – supporting the Registered Manager in all aspects of clinical quality, leading the nursing team, developing staff skills, and acting as the primary clinical point of contact for commissioners, families and external professionals.
MAIN RESPONSIBILITIES
1. Clinical Leadership
- Provide day-to-day clinical leadership across John Wilson House.
- Lead the nursing team in delivering evidence-based, person-centred care to all service users.
- Ensure safe, well-reasoned clinical decision-making across all nursing interventions.
- Support complex clinical assessments, including health needs assessments and care planning.
- Lead multidisciplinary team (MDT) meetings as appropriate, acting as the clinical lead voice.
- Monitor the health and wellbeing of all service users and identify early signs of deterioration.
- Ensure timely and appropriate escalation of deteriorating or unstable health conditions.
- Promote a culture of clinical openness, safety and continuous improvement.
2. Clinical Care Oversight
The Lead Nurse will maintain oversight of and set the standard for care delivery across the following clinical areas:
- PEG / PEG-J enteral feeding and nasojejunal (NJ) feeding management.
- Complex medication management, including high-risk medications and controlled drugs.
- Catheter care and suprapubic catheter management.
- Respiratory care, including non-invasive ventilation (BiPAP/CPAP).
- Oxygen therapy and airway management.
- Oral and oropharyngeal suctioning.
- Pressure area care and wound management.
- Epilepsy management including rescue medication (buccal midazolam) protocols.
- Continence care and bowel management.
- Diabetes management where applicable.
- Infection prevention and control.
- Moving and handling for service users with complex physical needs.
- End-of-life care planning and palliative support where applicable.
- Clinical observations and vital signs monitoring.
3. Clinical Governance
- Lead clinical audits and ensure timely completion of audit cycles.
- Investigate incidents, near misses and medication errors, completing Root Cause Analysis investigations where required.
- Promote and embed the Duty of Candour across the nursing team.
- Implement lessons learned from incidents, complaints and clinical reviews.
- Monitor compliance with all clinical policies and procedures.
- Maintain governance dashboards and contribute to quality reporting.
- Ensure safe, accurate and contemporaneous clinical record-keeping.
- Monitor and maintain staff competency records and training compliance.
4. Leadership and Management
- Lead, motivate and professionally develop the nursing team.
- Support the Team Lead and Care Coordinator in their roles.
- Promote effective, collaborative and respectful multidisciplinary working.
- Participate in the recruitment, selection and induction of clinical staff.
- Manage clinical performance, including addressing underperformance appropriately.
- Conduct annual appraisals and contribute to professional development planning.
- Provide regular clinical supervision and reflective practice sessions.
- Produce and manage nursing rotas, ensuring safe staffing levels at all times.
- Monitor sickness and absence, authorising leave within delegated authority.
- Coordinate emergency cover and ensure continuity of care.
5. Training and Competency Development
The Lead Nurse will design, deliver and monitor clinical training programmes across the following areas and will assess and sign off staff competency before independent practice:
Clinical Training
- PEG / PEG-J / NJ / Feeding
- Oxygen Therapy
- Non-Invasive Ventilation
- Airway Suctioning
- Epilepsy & Rescue Medication
- Catheter Care
- Medication Administration
- Clinical Observations
- Dysphagia Awareness
- Pressure Area Care
Statutory & Mandatory
- Basic Life Support
- Safeguarding Adults
- Mental Capacity Act
- DoLS / LPS
- Moving and Handling
- Infection Prevention & Control
- Fire Safety
- Equality & Diversity
Governance & Specialist
- Sepsis Recognition
- Escalation of Deterioration
- Positive Behaviour Support
- Bowel Management
- Root Cause Analysis
- Duty of Candour
- Clinical Audit
- Diabetes Management
6. Stakeholder Engagement and Quality Assurance
- Liaise with commissioners, ICBs, clinical professionals, families and external agencies.
- Attend safeguarding meetings, MDT meetings and commissioner reviews as the clinical lead.
- Ensure CQC compliance across the five key domains: Safe, Effective, Caring, Responsive, and Well-Led.
- Contribute to inspection readiness: maintaining current care plans, risk assessments, competency records and audit schedules.
- Monitor and report on clinical KPIs, including medication audit outcomes, incident trends, infection control compliance, safeguarding actions and hospital admissions.
- Maintain and review Health Action Plans, Hospital Passports and service improvement plans.
- Lead or contribute to clinical quality improvement projects.
PERSON SPECIFICATION
Applications will be shortlisted against the following criteria. Please ensure your application clearly demonstrates how you meet the essential criteria.
QUALIFICATIONS AND REGISTRATION
Registered Nurse (Adult – RN) and/or Registered Nurse (Learning Disability – RNLD).
Current, valid NMC registration with no conditions or restrictions.
Dual NMC registration (Adult and Learning Disability).
Relevant post-registered clinical qualification or specialist practitioner qualification.
Teaching and assessing/mentorship qualification (e.g., ENB 998, PGCE, Practice Assessor training).
Leadership or management qualification.
EXPERIENCE
Minimum 5 years post-registration nursing experience.
Demonstrated experience supporting adults with complex physical health needs.
Experience working within learning disability and/or autism services.
Experience in supported living, residential care or community nursing.
Experience in a clinical leadership, senior or charge nurse role.
Experience conducting clinical audits and root-cause analysis investigations.
Experience in competency assessment and sign-off of clinical staff.
Experience managing PEG/PEG-J/enteral feeding.
Experience managing non-invasive ventilation (BiPAP/CPAP) in a community or supported living setting.
Experience of end-of-life care and palliative care planning.
Experience in DNACPR discussions and documentation.
KNOWLEDGE AND CLINICAL SKILLS
Sound knowledge of CQC Fundamental Standards and the inspection process.
Knowledge of the Mental Capacity Act 2005, DoLS and LPS frameworks.
Knowledge of safeguarding adults legislation and reporting processes.
Knowledge of clinical governance, Duty of Candour and incident management.
Competent in medication management including high-risk and controlled medications.
Competent in epilepsy management and buccal midazolam administration.
Competent in pressure area assessment and management.
Competent in infection prevention and control.
Knowledge of Positive Behaviour Support principles.
Knowledge of sepsis recognition and escalation pathways.
LEADERSHIP, COMMUNICATION AND PERSONAL ATTRIBUTES
Excellent clinical communication skills (written and verbal).
Strong leadership and motivational skills with the ability to develop and support a clinical team.
Ability to manage performance, address underperformance and conduct appraisals.
Ability to work under pressure, prioritise effectively and make confident clinical decisions.
Ability to develop and deliver clinical training programmes.
Commitment to person-centred care, dignity and equality.
Reflective practitioner with a commitment to ongoing professional development.
Ability to build effective relationships with service users, families, commissioners and clinical teams.
IT proficiency (care management systems, Microsoft Office).
Flexibility to work across shifts and participate in clinical on-call rota.
KEY PERFORMANCE INDICATORS
The lead nurse will be held accountable against the following performance indicators, reviewed at probation (6 months) and annual appraisal:
KPI
Measure
Review Frequency
1. CQC Compliance
All five domains maintained at Good or Outstanding
Ongoing
2. Medication Error Rate
Reduction in medication errors and increased reporting compliance
Monthly
3. Staff Competency
100% of clinical staff signed off before independent practice.
Rolling
4. Mandatory Training
95%+ compliance across the team at all times
Monthly
5. Clinical Audit Completion
All audits completed within the agreed schedule
Quarterly
6. Incident Management
All incidents investigated within agreed timescales; RCAs completed
Rolling
7. Safeguarding
All safeguarding concerns were raised, escalated and followed up appropriately.
Rolling
8. Hospital Admissions
Reduction in avoidable hospital admissions through proactive clinical management
Quarterly
9. MDT Engagement
Active participation in MDT meetings and commissioner reviews
Monthly
10. Staff Supervision
All nurses receiving regular clinical supervision
Monthly
11. Service User Outcomes
Health Action Plans and Hospital Passports reviewed and updated regularly
6-Monthly
12. Family and Commissioner Satisfaction
Positive feedback from families and commissioners; complaints managed well
Quarterly
TERMS AND CONDITIONS OF EMPLOYMENT
Contract Type: Permanent, subject to a satisfactory six-month probationary period.
Working hours: 37.5–40 hours per week. Full-time or job-share arrangement between two Lead Nurses (subject to agreement).
Probation: six months. Performance, conduct and attendance will be assessed during this period.
Salary: Competitive and commensurate with experience. Details provided upon application.
Annual Leave: In accordance with Partnership Care & Support Ltd. terms and conditions. Details provided upon appointment.
Pension: auto-enrolment into the workplace pension scheme in accordance with the Pensions Act 2008.
NMC Registration: Current NMC registration must be maintained throughout employment. lapses in registration will be treated as a matter of professional and contractual concern.
DBS Check: An Enhanced Disclosure and Barring Service (DBS) check will be required. This post is exempt from the Rehabilitation of Offenders Act 1974.
Training: Mandatory participation in all required clinical and statutory / mandatory training is a condition of employment.
On-Call: Participation in the clinical on-call rota is required. On-call arrangements will be confirmed on appointment.
Confidentiality: strict compliance with GDPR, the Data Protection Act 2018, and organisational confidentiality policies is required at all times.
Safeguarding: The post holder is responsible for promoting and safeguarding the welfare of all service users. All safeguarding obligations and policies must be complied with.
Flexibility: The Lead Nurse may be required to work across Partnership Care & Support Ltd services where clinically appropriate and in agreed circumstances.
Accountability: The Lead Nurse is professionally accountable under the NMC Code and operationally accountable to the Registered Manager and Director.
Notice Period: To be confirmed in the contract of employment.
HOW TO APPLY
We would love to hear from you. To apply, please send your current CV and a supporting
statement (no more than two sides of A4) to:
Email: [email protected] and [email protected].
Subject Line: Lead Nurse Application
Your supporting statement should clearly address how you meet the essential and desirable criteria in the Person Specification. Applications that do not include a supporting statement may not be progressed to shortlisting.
Work Location: In person
