Complex care Nurse in Domiciliary care settings

Job Description

Complex Care Nurse – Domiciliary Care

Role Overview
A Complex Care Nurse in domiciliary care provides specialist clinical nursing support to adults with long-term, complex, or life-limiting conditions in their own homes. The role focuses on delivering safe, person-centred care while promoting independence, dignity, and quality of life.

Key Responsibilities

Clinical Care

• Deliver high-quality nursing care to clients with complex needs (e.g., neurological conditions, spinal injuries, learning disabilities, respiratory conditions)

• Manage and monitor long-term conditions and complex care packages

• Administer medications, including injections, IV therapies, enteral feeding, and oxygen therapy

• Perform advanced clinical procedures such as:

  • Tracheostomy care and suctioning

  • Ventilation (invasive and non-invasive)

  • PEG/NG feeding

  • Catheter and stoma care

  • Wound and pressure ulcer management

• Recognise and respond to clinical deterioration and emergencies

Care Planning & Assessment

• Conduct holistic assessments and develop personalised care plans

• Review and update risk assessments and care plans regularly

• Ensure care delivery aligns with evidence-based practice and clinical guidelines

• Support hospital discharge planning and admission avoidance

Leadership & Support

• Train, supervise, and assess the competency of healthcare assistants and support workers

• Provide clinical leadership within the client’s home environment

• Offer education and emotional support to clients and families

• Act as a clinical role model, promoting best practice

Multidisciplinary Working

• Work collaboratively with GPs, consultants, therapists, social workers, and community teams

• Attend MDT meetings and case reviews

• Act as an advocate for the client, ensuring their voice and preferences are respected

Governance & Safety

• Maintain accurate, timely clinical documentation

• Ensure compliance with CQC/NMC standards, safeguarding policies, and infection control

• Participate in audits, incident reporting, and quality improvement initiatives

• Maintain professional registration and ongoing CPD

Skills & Competencies

• Strong clinical assessment and decision-making skills

• Excellent communication and interpersonal skills

• Ability to work autonomously in a community setting

• Compassionate, patient-centred approach

• Effective time management and organisational skills

• Confidence in managing complex and unpredictable situations

Qualifications & Experience

• Registered Nurse (Adult / Learning Disabilities) – NMC registered

• Experience in complex care, community nursing, ICU, or specialist settings

• Up-to-date clinical competencies relevant to complex care

• Full UK driving licence (with own Car)

Working Environment

• Client’s homes and community settings

• Flexible working patterns (days, nights, weekends, depending on care package)

• Lone working with on-call and clinical support

About The Role

• Assess clients with complex health needs in their own homes

• Develop, implement, and regularly review individualised care plans

• Deliver advanced clinical care (e.g. tracheostomy care, ventilation, PEG feeding, catheter and stoma care)

• Safely administer and manage medications and therapies

• Monitor clinical condition and respond to deterioration or emergencies

• Maintain accurate, timely clinical documentation and reports

• Train, supervise, and assess competencies of healthcare assistants

• Support and educate clients, families, and carers

• Liaise with GPs, consultants, and multidisciplinary teams

• Identify and manage risks within the home environment

• Ensure compliance with NMC Code, CQC standards, safeguarding, and infection control policies

• Participate in audits, reviews, and continuous professional development

Skills Needed

About The Company

Established in 2019, Walfinch has rapidly expanded its services across the UK, becoming a trusted name in domiciliary care. The company offers a comprehensive suite of services, including elderly care, dementia support, and assistance for individuals with various health conditions. Walfinch's commitment to quality is evident through its rigorous recruitment process, ensuring all carers meet high standards of professionalism and compassion. By focusing on personalized care plans, Walfinch empowers clients to design services that fit their unique needs, promoting independence and enhancing quality of life.

Company Culture

Walfinch fosters a supportive and flexible work environment, emphasizing teamwork and open communication. Employees appreciate the personable management and the emphasis on work-life balance, with flexible hours accommodating diverse schedules. The company values its carers, recognizing them as the cornerstone of its services, and ensures they are well-supported and appreciated. This positive workplace culture contributes to high-quality care for clients and a fulfilling work experience for staff.

Desired Criteria

Required Criteria

• NMC pin
• Experience in complex care
• Right to Work in the UK.

Closing Date Wednesday 31st December, 2025