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Job summary

We are looking for an experienced Health Care Assistant to join our Community Services team working through Hospice at Home to provide night support to our community based patients. The purpose of this role is to deliver individualised, holistic palliative nursing care to patients and their families in their own homes to enhance their quality of life.

As part of this you will be required to provide care under direction of other Health care professionals, undertake a range of clinical care interventions all while providing excellent patient service and care.

Main duties of the job

Deliver individualised, holistic palliative nursing care to patients and their families in their own homes to enhance their quality of life.


About us

St Michael’s Hospice is nestled in the stunning Herefordshire countryside, in a state-of-the-art facility. We offer a competitive salary and benefits package, a transferrable NHS pension or you can enrol onto our own Hospice pension. We offer Life Assurance, a superb working environment and facility, generous study leave allowance, discounts with local suppliers, individualised training needs analysis, advanced communication skills training, employee counselling service, free tea & coffee, a friendly & welcoming work environment and 30 days annual leave, plus bank holidays.

We are one of the top 100 best not for profit organisations to work for and have been caring to make a difference, to patients living with a terminal illness and their families, across Herefordshire and beyond for nearly 40 years.


Job description

Job responsibilities

Job Title: Senior Health Care Assistant (Community)

Spinal Point Range: 5,6,7 (Plus, unsocial hours payments see below)

Hours: 30 hours per week – Nights Only

Department: Community Services

Location: Base at St Michael’s Hospice, with travel around County

Reports to: Senior Community Registered Nurse

Care Provision


  • To provide individualised care to the patient and family members under the delegated direction of registered nurses, following care plans and risk assessment.
  • Following appropriate training to undertake a range of clinical care interventions e.g. stoma care.
  • To develop and utilise skills in decision-making to enhance patient care, working in an autonomous environment.
  • Contribute to clinical and health and safety risk assessments. Using discretion and judgement in emergency situation.
  • To escalate changes in condition of patients/relatives to the hub senior nurse.
  • Provide emotional/psychological support to the patient and their family, identifying referrals to the wider hospice services.
  • Ensure patients privacy and dignity are maintained at all times. Provide final care for the deceased patient and verification of expected death (being the extension of GPs arm)
  • Understand the complications/harm e.g. falls, pressure sores that can be caused by patient immobility and contribute to the prevention of such complications.
  • To provide medication management level one. Induction of new members, sharing knowledge and skills.



  • To create and promote a positive image for the organisation. Communicate in a professional and effective manner with internal and external health care professionals, patients, relatives and carers.
  • Recognise own limitations when offering emotional support. Maintain patient confidentiality at all times.
  • To be a team player, following guidelines and policies.
  • To keep accurate records of the care provided.

Health and Safety 


  • Act at all times to promote the safety and wellbeing of patients, relatives and carers.
  • Be aware of patients that are at risk e.g. of falling and ways to prevent falls.
  • Contribute to health and safety risk assessments and actions as required. Follow the incident reporting process.



  • Attend mandatory training and service training opportunities.
  • Develop and maintain own knowledge and skills in palliative care.
  • To undertake an appraisal and personal development review annually.
  • Act as a role model to new staff members.



Person Specification



  • Basic IT skills
  • In possession of a full UK driving licence, be over 21 and have held a full licence for 12 months



  • NVQ Level 3 in care or equivalent


  • Care Certificate



  • Experience of delivering hands on care for people requiring palliative care
  • Experience of dealing with challenging situations


  • Previous experience of providing care in the community

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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