Job Purpose
The Senior Care Worker is responsible for delivering and overseeing regulated domiciliary care services within service users’ homes in England. The postholder supports the safe, effective, and person-centred delivery of care; supervises and supports care staff working in the community; contributes to care planning and risk management; and helps to ensure compliance with CQC Fundamental Standards, organisational policies, and relevant statutory requirements. The role includes field-based supervision, support with complex care where trained and authorised, and oversight of care quality across multiple service users and visits.
The role requires professional judgement, supervisory accountability, the ability to work independently in community settings, and demonstrable competence in medication support, care documentation, and risk-based decision-making.
Leadership, Service Coordination and Field Supervision
- Coordinate daily care delivery, including rota implementation, visit allocation, and response to short-notice changes, to maintain safe and consistent service provision.
- Undertake field-based supervision, including spot checks, unannounced quality monitoring visits, and observed competency assessments of care staff.
- Provide practical guidance to care staff during community visits, including incident escalation, problem-solving, and decision-making within the scope of the role.
- Support induction, shadowing, and ongoing development of new and existing staff.
- Participate in on call duties, responding to emergencies, missed visits, and safeguarding concerns.
Care Planning, Assessment and Risk Management
- Contribute to the preparation, implementation, and review of person-centred care plans to ensure care delivery reflects assessed needs, identified risks, preferences, and agreed outcomes.
- Complete and update risk assessments relevant to domiciliary care, including:
- Home environment safety
- Lone working
- Falls, mobility, and equipment
- Medication risks
- Behavioural or cognitive risks
- Monitor and report changes in service users’ health, presentation, capacity, or home circumstances, and escalate concerns promptly to management or relevant healthcare professionals.
- Participate in multidisciplinary reviews and liaise with GPs, district nurses, therapists, and social workers.
Complex and Personal Care Delivery
- Provide and oversee high‑quality personal care, including washing, dressing, continence support, oral care, and mobility assistance.
- Deliver complex care tasks (where trained and authorised), such as:
- PEG feeding
- Catheter and stoma support
- Reablement and rehabilitation programmes
- Dementia care
- Support for individuals with behaviours of concern
- Ensure safe use of equipment in varied home environments (hoists, slide sheets, mobility aids).
- Promote independence, dignity, and choice, adapting care to each individual’s home setting.
Medication Management and Clinical Oversight
- Administer medication in line with NICE guidelines, CQC standards, and organisational policy.
- Complete medication records accurately and contemporaneously, including MAR documentation, and support regular medication audits and follow-up actions.
- Support staff medication competency through observation, feedback, refresher support, and escalation of any practice concerns in line with organisational procedures.
- Liaise with pharmacies and healthcare professionals regarding medication changes, discrepancies, or concerns.
Ensure safe storage, handling, and disposal of medication within service users’ homes.
Quality Assurance, Compliance and Record Keeping
- Maintain accurate, timely, and professional records using digital care systems (e.g., Birdie).
- Ensure compliance with:
- CQC Fundamental Standards
- Health & Social Care Act 2008
- Mental Capacity Act (MCA)
- Deprivation of Liberty Safeguards (DoLS)
- Safeguarding Adults legislation
- Infection prevention and control
- Participate in internal audits, investigations, and service improvement initiatives.
- Support the Registered Manager in preparing for inspections, reviews, and Home Office compliance checks.
Communication, Professional Conduct and Stakeholder Engagement
- Lead structured handovers and ensure effective communication across shifts and teams.
- Build positive relationships with service users, families, healthcare professionals, and colleagues.
- Uphold confidentiality, GDPR requirements, and professional boundaries.
- Represent Hillside Care Services CIC professionally during reviews, home visits, and multi‑agency meetings.
Required Qualifications & Experience
Essential
- NVQ/QCF Level 3 Diploma in Health & Social Care (or equivalent).
- Minimum 12 months’ recent experience in adult social care, including practical experience in domiciliary care, community visits, or a comparable care setting.
- Demonstrable experience supporting adults with complex needs and contributing to care planning, risk assessment, escalation, or supervision within a regulated care environment.
- Competence in medication support or administration, accurate digital care documentation, and safe lone working in community settings.
- Strong understanding of safeguarding, MCA, DoLS, and CQC regulations.
Desirable
- Working towards Level 4 or Level 5 in Leadership for Health & Social Care.
- Additional specialist training (PEG, epilepsy, dementia, end‑of‑life care).
- Experience in rota coordination, field supervision, spot checks, staff mentoring, or observed competency assessment.
Sponsorship and Compliance Context
This role is based in England and relates to the delivery of regulated domiciliary care services in service users’ homes. Appointment is subject to satisfactory pre-employment checks, including proof of right to work in the UK, references, an enhanced DBS check, and verification of qualifications, training, and relevant care experience. The postholder must work in accordance with organisational policies, regulatory requirements, and safe staffing arrangements applicable to community-based adult social care.
Genuine Vacancy Statement
This post is an established operational role required to support the safe and effective delivery of regulated domiciliary care services. The duties reflect the day-to-day needs of the service and require the postholder to undertake the specific responsibilities associated with a Senior Care Worker role, including supervision, field-based quality oversight, medication support, risk-aware decision-making, and direct care delivery where required. The role is not created solely for sponsorship purposes and must be carried out in accordance with the responsibilities and working arrangements set out in this document.
Skills & Competencies
- Leadership and team coordination in community settings.
- Ability to assess risk and make informed decisions independently.
- Strong communication and documentation skills.
- High level of professionalism, empathy, and resilience.
- Competent in digital care systems and mobile working.
- Ability to manage competing priorities across multiple service users.
Person Specification
Essential
- Level 3 Diploma in Adult Care, Health & Social Care, or an equivalent relevant qualification.
- Experience of working with adults requiring personal care and support in domiciliary, community, or comparable regulated care services.
- Ability to work independently across multiple visits, make sound decisions in service users’ homes, and escalate concerns appropriately.
- Competence in medication support, accurate record keeping, safeguarding practice, and person-centred care delivery.
- Effective communication skills and the ability to work constructively with service users, families, colleagues, and healthcare professionals.
Desirable
- Experience of supervising or supporting other care staff in community or home care settings.
- Experience of spot checks, observed practice, medication audits, or other quality assurance activity.
- Additional training relevant to the client group, such as dementia care, catheter care, PEG support, or reablement.
- Working towards a Level 4 or Level 5 qualification in adult care leadership or management.
Salary and Sponsorship Note
Any offer of employment, the applicable salary, and any sponsorship-related support shall be subject to the Company’s approval processes, operational requirements, affordability, and the immigration rules and sponsor guidance in force at the relevant time. Nothing in this document shall be construed as a guarantee of visa sponsorship or as confirmation that the role or any individual meets the requirements of any immigration route. Eligibility for sponsorship, where applicable, shall be determined separately in accordance with current Home Office requirements and the Company’s internal procedures.
Additional Responsibilities
- Participate in on‑call rota (if required).
- Support emergency response and incident management.
- Promote equality, diversity, and inclusion.
- Contribute to service development and continuous improvement.
Safeguarding Statement
Hillside Care Services CIC is committed to safeguarding and promoting the welfare of vulnerable adults. All employees are required to undergo an enhanced DBS check, complete mandatory training, and participate in ongoing supervision and competency assessment.
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