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Night Assistant Recovery Worker
Waking Nights • Recovery • Supported Living
Night Assistant Recovery Worker
Support adults through the night within Moreways Healthcare's specialist supported living services, helping maintain safety, recovery, healthy routines and continuity while developing your own experience in complex mental health support.
22:00–08:00
About the role
Moreways Healthcare provides specialist supported living and community-based support for adults with mental health needs, learning disabilities, autism, complex emotional needs and other conditions requiring structured support.
We also support people progressing through forensic and step-down pathways, including individuals moving from hospital or more restrictive settings into community living.
As a Night Assistant Recovery Worker, you will form part of the waking-night team responsible for ensuring that people remain safe, supported and settled during the night.
The role has an important recovery focus. You will encourage people to maintain healthier routines, use agreed coping strategies, manage periods of anxiety or distress and continue developing independence rather than becoming unnecessarily reliant on staff.
This role is particularly suitable for somebody who wants to develop experience in specialist mental health and recovery support while working within clear support plans, risk assessments and service procedures.
Observe
Remain awake, attentive and aware of changes in presentation, behaviour, mood or wellbeing.
Support
Provide calm reassurance and practical support when somebody is awake, unsettled or requires assistance.
Escalate
Recognise when a concern requires support from a senior colleague, manager, on-call service or external professional.
Record
Maintain clear overnight records so the incoming team understands anything significant that has occurred.
Key responsibilities
- Provide active waking-night support during the established 22:00–08:00 shift.
- Remain awake, attentive and available throughout the night.
- Read and follow individual support plans, risk assessments and agreed night-time arrangements.
- Maintain a calm, respectful and safe environment within the supported living service.
- Support individuals who are anxious, distressed, unsettled or unable to sleep.
- Encourage healthy and consistent bedtime and night-time routines where identified within the support plan.
- Support people to use agreed coping or self-management strategies where appropriate.
- Undertake agreed welfare checks or observations where required.
- Recognise changes in mood, mental state, behaviour, physical health or presentation.
- Report and escalate significant changes or concerns promptly.
- Support medication processes where authorised, trained and assessed as competent.
- Respond appropriately to incidents, emergencies and safeguarding concerns.
- Complete accurate daily notes, observation records and incident documentation.
- Provide clear and relevant handovers to incoming day staff.
- Maintain the security and general safety of the service without imposing unnecessary restrictions on residents.
- Maintain professional boundaries, confidentiality and respectful communication at all times.
How the role works in practice
The Night Assistant Recovery Worker operates within established support and risk-management arrangements and should seek guidance when something falls outside their experience or authority.
Know the plan
Understand the individual's night-time needs, relevant risks, routines and agreed support strategies.
Notice change
Pay attention to meaningful changes in sleep, mood, behaviour, health or engagement.
Respond safely
Use agreed approaches and seek senior or professional support when required.
Hand over
Ensure relevant overnight information is available to the next shift.
Risk awareness and escalation
Some individuals supported by Moreways Healthcare have complex mental health or forensic histories. Their support may include specific arrangements relating to mental health relapse, substance misuse, behaviour, community access, vulnerability or other identified risks.
Depending on the individual, arrangements may also include Section 37/41 conditional discharge, Section 117 aftercare, MAPPA involvement or other professionally agreed risk-management measures.
You are not expected to make clinical or legal decisions outside your role. You are expected to understand the plan, recognise when something has changed and inform the appropriate senior colleague or manager.
If you are uncertain about a situation, seek guidance rather than making assumptions.
Who you may support
Recovery-focused night support
Recovery does not stop when the daytime team finishes its shift.
Poor sleep, anxiety, changes in routine and periods of distress can all affect a person's wellbeing and ability to manage the following day. Appropriate night support can therefore make a meaningful contribution to stability and recovery.
At the same time, staff should avoid automatically stepping in where a person is able to manage something independently. The aim is to support people to use their own skills and strategies wherever this can be done safely.
Working as part of the wider team
Night staff are an important part of the overall support team. Your observations may be relevant to daytime support, key working, risk review or professional discussions.
You should therefore communicate clearly with Recovery Workers, Senior Support Workers, Service Managers and other colleagues and provide accurate information during handovers.
Depending on the circumstances, concerns may also need to be escalated through the on-call manager or communicated to external professionals by the appropriate senior member of staff.
What we are looking for
Experience and qualifications
Previous experience in supported living, mental health, learning disability, autism, forensic services or another complex support environment would be beneficial.
A Level 2 Health and Social Care qualification or equivalent experience would also be useful, although we will consider applicants with relevant transferable experience and the right values for the role.
You should be comfortable using digital systems to access information and complete support records.
You will complete Moreways Healthcare's mandatory induction and training programme together with any service-specific training required for your role.
Why join Moreways Healthcare?
- Develop practical experience within specialist supported living and community services.
- Work with adults with mental health, learning disability, autism, complex and forensic needs.
- Build your understanding of recovery-focused support, risk management and professional documentation.
- Gain experience of waking-night work within structured supported living services.
- Learn alongside experienced Recovery Workers, Senior Support Workers and Service Managers.
- Develop towards Night Recovery Worker, Recovery Worker, Senior Support Worker or other more experienced roles as your knowledge and competence grow.
What good assistant recovery support looks like
Good support means knowing when you can manage a situation within the agreed plan and when you need assistance from somebody more senior.
It means remaining observant without being intrusive, providing reassurance without creating dependency and documenting information clearly enough that colleagues understand what has happened.
Most importantly, it means treating the person as an adult living in their own home rather than simply as a set of risks or tasks to complete.
If you are reliable, calm, compassionate and keen to develop your skills within mental health and complex supported living, we would welcome your application to join Moreways Healthcare as a Night Assistant Recovery Worker.
Job Features
Waking Nights • Recovery • Supported Living Night Assistant Recovery Worker Support adults through the night within Moreways Healthcare’s specialist supported living services, helping mainta...
Activity Hubs Service Manager
Community Reintegration • Meaningful Activity • Service Leadership
Activity Hubs Service Manager
Lead the development and coordination of meaningful activity, skills, community reintegration and progression opportunities across Moreways Healthcare's supported living and community services.
About the role
Moreways Healthcare supports adults with mental health needs, learning disabilities, autism, complex emotional needs and other conditions that may affect independence and participation in community life.
We also support individuals progressing through forensic and step-down pathways, including people moving from hospital, secure settings or other highly structured environments into supported living and increasingly independent community life.
The Activity Hubs Service Manager will lead the development and coordination of Moreways Healthcare's structured programme of meaningful activity, community reintegration, skills development and progression opportunities.
This is not intended to be a traditional day-centre model in which people are simply brought together to occupy time. The purpose is to create practical pathways that help individuals develop confidence, routine, transferable skills, social connections and greater independence.
Activity may be delivered within Moreways Healthcare services, through community venues, through external partners or through individual opportunities such as volunteering, education and employment preparation.
Purpose
Ensure activity connects directly with individual goals rather than existing solely to fill people's time.
Opportunity
Build relationships with community organisations, colleges, employers and voluntary-sector partners.
Progression
Create pathways from structured support towards greater confidence, participation and independence.
Leadership
Develop staff, systems and partnerships capable of delivering measurable and sustainable outcomes.
Key responsibilities
- Lead the development of Moreways Healthcare's programme of structured activities, skills development and community participation.
- Ensure activity provision reflects individual support plans, strengths, interests and agreed outcomes.
- Develop opportunities that promote independence rather than unnecessary reliance on provider-led activities.
- Coordinate activity and progression opportunities across supported living, outreach and community services.
- Develop partnerships with education providers, community organisations, voluntary groups, leisure services and employers where appropriate.
- Support individuals to access volunteering, education, employment preparation and skills-development opportunities.
- Develop practical workshops around independent living, digital inclusion, budgeting, cooking, travel and other relevant areas.
- Promote physical activity, wellbeing and healthy routines through appropriate community opportunities.
- Ensure activities are inclusive and adaptable for people with autism, learning disabilities, mental health needs and differing communication requirements.
- Ensure risk-management arrangements are considered when activities take place outside supported living services.
- Develop procedures for planning, recording and evaluating activities and community engagement.
- Monitor participation and outcomes rather than simply recording attendance.
- Provide leadership and direction to staff involved in delivering activity and community programmes.
- Ensure staff receive appropriate induction, supervision, training and development.
- Develop service standards and quality measures for activity and community-integration work.
- Contribute to individual reviews and provide evidence of progress where activity forms part of a person's agreed outcomes.
- Maintain effective communication with Service Managers and frontline teams across the organisation.
- Identify gaps in current provision and develop practical solutions.
- Monitor budgets associated with activity provision and ensure resources are used effectively.
- Contribute to service development proposals, commissioner discussions and new initiatives where appropriate.
From activity to progression
Meaningful activity should have a purpose. For one person, the starting point may simply be leaving the house regularly. For another, it may be travelling independently, enrolling on a course or preparing for employment.
The programme should therefore provide different stages of opportunity rather than assuming everyone requires the same intervention.
Engage
Identify interests and build confidence for people who may initially be reluctant to participate.
Develop
Use structured opportunities to build practical, social and independent-living skills.
Connect
Help individuals move from provider-led activity towards ordinary opportunities available within their community.
Progress
Support volunteering, education, employment preparation and increasingly independent participation.
Community reintegration is central to the role
Moreways Healthcare's longer-term objective is to help people build sustainable lives outside formal support systems wherever this is possible.
This is particularly important for individuals moving through forensic or hospital step-down pathways, where a long period within institutional or highly structured environments may have reduced opportunities to develop ordinary community roles and relationships.
Community reintegration may therefore involve learning to travel independently, using local facilities, managing appointments, joining groups, volunteering, rebuilding social confidence or preparing for education and employment.
The aim is not simply to increase activity. It is to increase capability, confidence, social inclusion and meaningful participation.
Programme areas
Supporting people with complex and forensic needs
Some individuals supported by Moreways Healthcare have significant mental health or forensic histories and may require structured risk-management arrangements while participating in community activities.
Depending on the individual, arrangements may include Section 37/41 conditional discharge, Section 117 aftercare, MAPPA involvement, forensic community-team oversight or other professionally agreed restrictions.
You will ensure activity planning takes appropriate account of these arrangements without using risk as a reason to exclude people unnecessarily.
Good planning should identify how participation can occur safely and progressively, including appropriate staffing, travel arrangements, contingency planning and information sharing where required.
Leading and developing the team
Performance and outcome measurement
The Service Manager will be expected to demonstrate what difference the programme is making.
Attendance alone is not sufficient evidence of success. Performance monitoring should consider whether individuals are developing skills, becoming more confident, increasing independent community use, building social connections or moving towards education, volunteering or employment.
You will develop appropriate reporting arrangements and provide senior managers with clear information about participation, outcomes, barriers, capacity and areas requiring development.
Where an activity or intervention is not producing meaningful benefit, you should be prepared to review or redesign it.
Partnership development
Much of the best community activity should take place outside Moreways Healthcare rather than within services created solely for people receiving support.
Building strong external partnerships will therefore be a significant part of the role.
What we are looking for
Experience and qualifications
Previous management experience within supported living, mental health, learning disability, autism, community rehabilitation, forensic services or another relevant environment would be advantageous.
Experience of developing community programmes, volunteering, employability, education, skills development or social-inclusion initiatives would be particularly relevant.
A relevant Health and Social Care, Management, Community Development or similar qualification would be beneficial, although substantial relevant experience will also be considered.
You should be confident using digital systems, preparing reports, monitoring performance and communicating professionally with internal and external stakeholders.
Why lead this work with Moreways Healthcare?
- Shape a programme focused on community reintegration rather than traditional institutional activity provision.
- Work across supported living, outreach and specialist step-down services.
- Develop opportunities for adults with mental health, learning disability, autism, complex and forensic needs.
- Create stronger pathways into education, volunteering, employment and independent community participation.
- Build partnerships with external organisations rather than relying only on internally delivered provision.
- Influence how Moreways Healthcare measures progression and meaningful outcomes across its services.
What successful activity leadership looks like
Success is not a busy calendar filled with activities. It is people becoming more confident, more skilled and less dependent on formal services.
It may mean somebody learning to travel independently, joining a community group without staff support, completing a course, volunteering regularly, developing healthier routines or preparing for employment.
The strongest programme will ultimately help people use Moreways Healthcare's own activities less because they have developed sustainable roles, interests and relationships within the wider community.
If you are an imaginative and accountable service leader who can connect supported living with genuine community opportunity, we would welcome your application to join Moreways Healthcare as an Activity Hubs Service Manager.
Job Features
Community Reintegration • Meaningful Activity • Service Leadership Activity Hubs Service Manager Lead the development and coordination of meaningful activity, skills, community reintegration and p...
Forensic Mental Health • Step-Down • Community Reintegration
Forensic Mental Health Recovery Worker
Support adults progressing through forensic mental health and step-down pathways, combining recovery-focused practice with robust risk awareness to help people build safer, more independent lives within the community.
About the role
Moreways Healthcare provides specialist supported living and community-based support for adults with mental health needs, learning disabilities, autism, complex emotional needs and other conditions that can require structured or intensive support.
A significant part of our work involves forensic and step-down pathways. We support individuals moving from hospital, secure services or other highly structured environments towards greater independence in ordinary community settings.
As a Forensic Mental Health Recovery Worker, you will work directly with individuals whose mental health history may be linked with previous offending, behavioural risk, substance misuse, vulnerability or significant periods of institutional care.
Your role is to help the person make meaningful progress while maintaining the safeguards required for safe community living. This requires a balance of engagement, professional curiosity, clear boundaries, consistency and an understanding of the individual's specific risk-management arrangements.
Recovery
Help individuals recognise strengths, maintain mental health stability and develop strategies that support long-term recovery.
Risk
Understand and consistently follow individual risk plans, restrictions, relapse indicators and contingency arrangements.
Reintegration
Support gradual and sustainable participation in ordinary community life, relationships, activities and responsibilities.
Independence
Build practical capability so that support can become less intensive as confidence, stability and skills develop.
Key responsibilities
- Build respectful and professionally boundaried relationships with individuals supported through forensic and complex mental health pathways.
- Act as a key worker where allocated and contribute to support planning, outcome reviews and risk-management arrangements.
- Understand individual relapse indicators, triggers, protective factors and contingency plans.
- Support people to recognise changes in their own mental health and use agreed coping and relapse-prevention strategies.
- Support individuals to understand and comply with professionally agreed restrictions or conditions where applicable.
- Promote positive risk-taking and independence within agreed risk-management parameters.
- Support daily living skills including budgeting, shopping, cooking, household routines and tenancy responsibilities.
- Support attendance at mental health, social care, probation or other professional appointments where agreed.
- Support medication processes where authorised, trained and assessed as competent.
- Encourage meaningful activity, community participation, volunteering, education and other progression opportunities.
- Recognise and respond appropriately to deterioration in mental state, behavioural escalation or increased risk.
- Identify safeguarding concerns, vulnerability, exploitation or other risks and escalate them appropriately.
- Maintain accurate, factual and contemporaneous support records.
- Contribute relevant information to handovers, multidisciplinary reviews and professional discussions.
- Follow agreed procedures for incidents, missing-person concerns, substance misuse, safeguarding and emergency situations.
- Respect the person's rights, dignity and privacy while maintaining necessary professional safeguards.
- Support progression towards greater independence and less restrictive support whenever this can be achieved safely.
Supporting forensic step-down
Moving from secure or inpatient care into the community is a significant transition. It can involve greater freedom and opportunity, but also increased responsibility and exposure to situations that were previously controlled by the environment.
Effective step-down support therefore needs to be planned and progressive.
Stabilise
Establish consistent routines, engagement and understanding of the individual's agreed community arrangements.
Practise
Develop independent-living, emotional-regulation and community skills within appropriately managed boundaries.
Expand
Increase responsibility, community participation and autonomy as progress and risk allow.
Progress
Work towards sustainable community living and less intensive support where this is appropriate.
Section 37/41, conditional discharge and complex risk
Some people supported by Moreways Healthcare may be subject to forensic mental health arrangements including Section 37/41 conditional discharge.
Others may receive Section 117 aftercare, have MAPPA involvement, be supported by a forensic community mental health team or have other professionally agreed arrangements relating to community access, substances, relationships, medication, contact, residence or other identified risks.
You must understand the arrangements relevant to the individual you support. Conditions and restrictions should never be treated as informal suggestions, but neither should staff introduce additional restrictions simply because a person has a forensic history.
The aim is to implement agreed measures accurately and proportionately while continuing to support recovery and independence.
Understanding risk in context
Forensic risk management is not simply about watching for obvious incidents. Staff should understand the person's known patterns, triggers, vulnerabilities and protective factors and recognise when smaller changes may be relevant.
Relapse prevention and recovery
An important part of forensic recovery is helping individuals recognise what contributed to previous deterioration and what helps them remain well.
This may involve supporting awareness of sleep, medication, stress, relationships, substance use, routine, warning signs and engagement with professional support.
You should understand the individual's relapse-prevention arrangements and help reinforce them through ordinary day-to-day support.
Where significant changes occur, these should be recorded and escalated rather than dismissed because they do not yet amount to a crisis.
Community reintegration
Public protection and individual recovery are not competing objectives. Good forensic support should enable people to develop safer, more sustainable roles within their community.
You may support people to access local facilities, education, volunteering, employment preparation, leisure opportunities, faith or cultural communities and other activities that strengthen ordinary community identity.
Some people may initially require staff support for these activities. Others may progressively develop the skills and confidence to undertake them independently.
The objective is to create sustainable community connections rather than long-term dependence on provider-organised activities.
Professional boundaries and relational security
Effective forensic support depends on strong relationships, but those relationships must remain professionally boundaried.
You should be approachable, reliable and respectful while remaining alert to changes in interpersonal dynamics, boundary-testing or patterns that may affect risk or stability.
Consistency between staff is particularly important. Different members of the team should not create conflicting rules, make informal exceptions to agreed arrangements or develop overly personal relationships with individuals.
Working with the professional network
Forensic mental health support commonly involves close partnership working with external professionals.
Your role is to provide accurate observations from everyday supported living, follow through agreed actions and escalate relevant changes through the appropriate channels.
What we are looking for
Experience and qualifications
Previous experience supporting adults with forensic mental health needs, severe mental illness, complex emotional needs, substance misuse, offending histories or other complex presentations would be highly relevant.
Experience within supported living, forensic services, secure or rehabilitation settings, community mental health, probation-related services or step-down provision would also be advantageous.
A Level 3 Health and Social Care qualification or equivalent relevant experience would be desirable.
You should have a working understanding of person-centred support, support planning, safeguarding, risk assessment and professional information sharing.
Familiarity with the Mental Health Act, Section 37/41 pathways, Section 117 aftercare, MAPPA and relevant social care and criminal justice frameworks would be particularly useful.
You will complete Moreways Healthcare's mandatory induction and training programme together with any additional learning required for the service and individuals you support.
Why join Moreways Healthcare?
- Work directly within specialist forensic and mental health supported living pathways.
- Support people moving from secure or inpatient environments towards greater community independence.
- Develop practical expertise in Section 37/41, conditional discharge, relapse prevention and positive risk management.
- Work alongside forensic mental health, social care and criminal justice professionals.
- Gain experience balancing public protection, individual rights and recovery-focused progression.
- Develop towards Senior Recovery Worker, Senior Support Worker, Lead Support Worker or specialist forensic-support roles.
What successful forensic recovery support looks like
Successful forensic support is neither permissive nor unnecessarily restrictive.
It means understanding the person's history without defining them by it, recognising risk without assuming that risk can never change and promoting independence without ignoring professional safeguards.
Progress may mean sustaining a community placement, remaining mentally well, avoiding substance misuse, maintaining constructive relationships, developing independent-living skills, complying with conditional-discharge requirements or moving towards a less intensive level of support.
The strongest Forensic Mental Health Recovery Workers help people make that progress while ensuring that relevant changes are identified, recorded and communicated before they become crises.
If you are resilient, professionally curious and committed to helping people progress safely from restrictive settings towards meaningful community lives, we would welcome your application to join Moreways Healthcare as a Forensic Mental Health Recovery Worker.
Job Features
Forensic Mental Health • Step-Down • Community Reintegration Forensic Mental Health Recovery Worker Support adults progressing through forensic mental health and step-down pathways, combining reco...
Health Care Assistant
Supported Living • Mental Health • Independence
Health Care Assistant
Join the team at Moreways Healthcare and support adults to maintain their wellbeing, develop everyday skills and live as independently as possible within their own supported living environment.
About the role
Moreways Healthcare is looking for a motivated and compassionate Health Care Assistant to join our supported living team at St Peter's House in Finchley.
St Peter's House supports adults who may have mental health needs, complex histories or require structured assistance to maintain stability and develop greater independence within the community.
Your role will be to provide practical, emotional and recovery-focused support in accordance with each person's individual support plan.
You may help individuals maintain routines, attend appointments, manage aspects of everyday living, engage with community activities, improve confidence and recognise changes in their own wellbeing.
This is not an institutional healthcare role. You will be working within a supported living environment where the people we support have their own homes, choices, rights and individual routines.
Support
Provide reliable, respectful and individualised support based on assessed needs and agreed outcomes.
Enable
Encourage people to develop skills and complete tasks for themselves wherever possible.
Observe
Recognise meaningful changes in mental health, physical wellbeing, behaviour or engagement.
Connect
Support access to community life, healthcare, meaningful activity and professional services.
Key responsibilities
- Provide person-centred support in accordance with individual support plans and agreed outcomes.
- Build respectful and professionally boundaried relationships with the people living at St Peter's House.
- Support individuals to develop and maintain daily routines that promote stability and independence.
- Encourage people to undertake practical daily living activities for themselves wherever possible.
- Support meal planning, shopping and food preparation where this forms part of an individual's support arrangement.
- Support attendance at healthcare, mental health and other professional appointments where agreed.
- Encourage meaningful community participation, social activities and opportunities that reduce isolation.
- Recognise changes in mood, behaviour, physical wellbeing or mental state and report concerns appropriately.
- Support medication processes where authorised and only after relevant training and competency assessment.
- Follow individual risk assessments, relapse-prevention plans and agreed support strategies.
- Use agreed de-escalation or Positive Behaviour Support approaches where relevant.
- Respond appropriately to safeguarding concerns, incidents and emergencies.
- Maintain accurate, factual and timely support records.
- Participate in effective shift handovers and communicate relevant information to colleagues.
- Respect residents' privacy, dignity, personal space and tenancy rights.
- Work constructively with colleagues, Service Managers and external professionals.
- Complete mandatory training and maintain required competencies.
- Promote choice, autonomy and positive risk-taking within agreed support arrangements.
An important point about supported living
Moreways Healthcare's supported living services are designed to help people maintain their own homes and live as independently as possible.
The role is therefore different from working within a nursing home or traditional residential-care setting.
Support should be enabling rather than task-driven. If somebody is able to prepare part of their own meal, organise their own belongings, make a telephone call or complete another everyday task, staff should support that independence rather than automatically taking over.
Any health-related or medication support must remain within the boundaries of the individual's commissioned support package, organisational procedures and the worker's training and competence.
Supporting independence in everyday life
Understand
Know what the individual can already do, where support is needed and what outcomes they want to achieve.
Support
Provide the right amount of assistance without doing more than is necessary.
Build
Develop skills, confidence, routines and self-management through repeated everyday practice.
Progress
Help the person take increasing responsibility as their capability and confidence grow.
Areas you may support
Supporting mental health and recovery
Individuals may experience periods in which their mental health is less stable. Frontline staff can play an important role in recognising early changes and supporting agreed recovery strategies.
Changes in sleep, routine, social engagement, mood, self-care, appetite or behaviour may sometimes be relevant to the person's mental health.
You are not expected to diagnose or provide clinical treatment. Your responsibility is to know the person's agreed plan, observe relevant changes, record them accurately and escalate concerns appropriately.
You should also encourage individuals to use the coping and relapse-prevention strategies that have been developed with them and their professional team.
Complex and forensic support
Some individuals supported by Moreways Healthcare may have complex or forensic histories and require structured risk-management arrangements.
Depending on the person, arrangements may include Section 37/41 conditional discharge, Section 117 aftercare, MAPPA involvement or forensic community-team support.
Staff must follow the specific arrangements applicable to the individual without introducing unnecessary additional restrictions.
Relevant changes, concerns or possible breaches of agreed arrangements must be recorded and escalated through the appropriate channels.
Working at St Peter's House
St Peter's House is one of Moreways Healthcare's supported living services in Finchley.
You will work as part of a team providing structured support throughout the day and evening, alongside waking-night provision.
Good teamwork is essential. Staff should provide consistent support across shifts, communicate significant information clearly and avoid creating different expectations depending on who is working.
You will also be expected to contribute to a calm, respectful environment in which residents are supported as adults living within their own home.
What we are looking for
Experience and training
Previous experience within supported living, mental health, learning disability, autism or another health and social care environment would be advantageous, but applicants with the right values and transferable skills may also be considered.
A relevant Health and Social Care qualification is welcomed but is not necessarily required for entry into the role.
You must have sufficient written and digital skills to complete electronic support records and communicate relevant information accurately.
Moreways Healthcare will provide an induction and mandatory training programme. Additional service-specific training will be provided according to the needs of the people you support.
No worker should undertake a task requiring specific competency until the relevant training and competency assessment has been completed.
Why join Moreways Healthcare?
- Work within a specialist supported living environment focused on independence and community life.
- Support adults with mental health, complex, learning disability, autism and forensic needs.
- Receive structured induction and relevant training for your role.
- Develop practical experience in recovery-focused support, professional recording and positive risk management.
- Work alongside experienced Support Workers, Recovery Workers and Service Managers.
- Develop towards Senior Support Worker, Recovery Worker, Forensic Recovery Worker or leadership positions as your competence and experience grow.
Safeguarding and safer recruitment
Moreways Healthcare is committed to safeguarding adults who use our services and expects all employees to share that responsibility.
Appointment will be subject to the appropriate pre-employment checks for the role, which may include an Enhanced DBS check, employment history, references, identity and right-to-work verification and other safer-recruitment requirements.
We are committed to equality of opportunity and welcome applications from people from a wide range of backgrounds who meet the requirements of the role.
What good support looks like
Good support is not measured by how many tasks staff complete for somebody.
It is measured by whether the person feels safe and respected, whether their choices are heard, whether risks are managed proportionately and whether they are developing the confidence and skills to manage more of their own life.
Some progress may be small and gradual. Consistent everyday support can nevertheless make a significant difference to stability, confidence and long-term independence.
If you are compassionate, reliable and interested in supporting adults with mental health and complex needs within a specialist supported living environment, we would welcome your application to join Moreways Healthcare as a Health Care Assistant.
Job Features
Supported Living • Mental Health • Independence Health Care Assistant Join the team at Moreways Healthcare and support adults to maintain their wellbeing, develop everyday skills and live as indep...
Complex Care Support Worker
Complex Needs • Autism • Mental Health • Supported Living
Complex Care Support Worker
Provide structured, individualised support to adults with complex needs, helping people build stability, confidence and greater independence within Moreways Healthcare's supported living and community services.
About the role
Moreways Healthcare supports adults whose needs may be more complex than can be addressed through generic support alone.
This can include autistic adults, people with learning disabilities, severe or enduring mental health needs, complex emotional needs, dual diagnosis, behavioural risks or individuals progressing from hospital or more restrictive environments into supported living.
As a Complex Care Support Worker, you will provide structured and consistent support according to each person's individual plan. You may work with people who require enhanced staffing, more intensive engagement, detailed risk-management arrangements or a highly personalised approach to communication and daily routines.
The purpose of the role is not to take over a person's life. It is to provide the right level of support while developing confidence, capability, communication and independence wherever possible.
Individualised
Understand the person's communication style, strengths, routines, triggers and support needs rather than applying a generic approach.
Consistent
Follow agreed support strategies across different shifts so the person experiences predictable and coherent support.
Enabling
Build skills and confidence rather than automatically completing everyday tasks on the person's behalf.
Risk-Aware
Recognise significant changes and follow agreed risk-management, safeguarding and escalation arrangements.
Key responsibilities
- Provide individualised support in accordance with each person's support plan, risk assessment and agreed outcomes.
- Develop respectful, consistent and professionally boundaried relationships with the people you support.
- Understand individual communication needs and use agreed communication strategies.
- Support daily routines in a way that promotes predictability, confidence and independence.
- Support individuals with shopping, meal preparation, household routines and other independent-living tasks where these form part of their plan.
- Encourage people to make choices and participate actively in decisions about their own support.
- Support access to community activities, appointments, education, volunteering and other meaningful opportunities where appropriate.
- Support medication processes where formally authorised and only after appropriate training and competency assessment.
- Recognise changes in mental health, physical wellbeing, behaviour, communication or engagement.
- Use agreed Positive Behaviour Support, de-escalation or proactive support strategies where relevant.
- Understand known triggers, early warning signs and protective factors.
- Respond appropriately to episodes of distress, behavioural escalation or increased vulnerability.
- Follow safeguarding procedures and promptly report concerns relating to abuse, neglect or exploitation.
- Maintain clear, factual and contemporaneous support records.
- Participate in effective handovers and share relevant information with colleagues.
- Respect the person's home, privacy, belongings and personal space.
- Work collaboratively with Service Managers, colleagues and external professionals.
- Complete required mandatory and service-specific training.
Complex support does not mean unnecessary restriction
Some people require intensive or highly structured support because of the interaction between their mental health, autism, learning disability, communication needs, behavioural presentation or identified risks.
The fact that somebody has complex needs does not mean that staff should automatically take control of decisions or restrict ordinary choices.
Moreways Healthcare expects staff to use the least restrictive approach possible while following any specific restrictions or safeguards that have been formally agreed within the individual's support and risk-management arrangements.
You should understand why a particular strategy is in place, apply it consistently and seek review where the person's needs or level of independence have changed.
How complex support works
Understand
Learn the person's communication, routines, strengths, sensory needs, risks and preferences.
Anticipate
Use proactive support to reduce avoidable distress and identify changes before they become crises.
Support
Provide consistent assistance while encouraging the person to do as much as they can for themselves.
Progress
Review outcomes and support increasing independence where this can be achieved safely.
Autism and communication
Autistic people may experience communication, sensory and environmental differences that require staff to adapt their approach.
This might include using clearer language, allowing additional processing time, following predictable routines, reducing unnecessary sensory demands or using individual communication tools.
Staff should not assume that distress or behaviour has the same meaning for every person. Understanding the individual's usual communication and presentation is essential.
Where specialist communication or behavioural strategies are in place, these should be followed consistently and reviewed through the appropriate professional channels.
Areas you may support
Positive Behaviour Support
Some individuals may require Positive Behaviour Support as part of their overall support arrangement.
The purpose of PBS is not simply to react to behaviour once it occurs. Staff should understand the factors that may contribute to distress or escalation and use proactive strategies to improve quality of life and reduce the likelihood of incidents.
This may include changes to communication, routine, environment, choice, meaningful activity or how staff respond to early indicators of distress.
Any restrictive intervention must only be used where formally authorised, properly assessed, lawful, proportionate and within the worker's training and competence.
Mental health and complex risk
Some people supported by Moreways Healthcare may experience significant mental health needs alongside autism, learning disability or other complex needs.
Others may have forensic histories or be progressing through structured step-down arrangements, including Section 37/41 conditional discharge, Section 117 aftercare, MAPPA involvement or forensic community-team oversight.
You should understand the arrangements relevant to the individual you support and recognise changes that may indicate increased risk or deterioration.
Staff are expected to follow agreed plans accurately, document relevant information and escalate concerns through the appropriate channels rather than making clinical or legal decisions outside their role.
Supporting independence
Intensive support can unintentionally create dependency if staff routinely do more than is necessary.
You should therefore consider what the person can do independently, what they can do with prompting or guidance and what genuinely requires direct staff assistance.
Progress may involve small steps such as preparing part of a meal, making a choice independently, tolerating a change in routine, travelling with less support or communicating a need more effectively.
These everyday gains can have a significant effect on long-term independence and quality of life.
Working with the wider professional team
Complex support often requires partnership with external health and social care professionals.
Depending on the person, Moreways Healthcare may work alongside social workers, care coordinators, community mental health teams, learning disability teams, autism specialists, psychologists, occupational therapists, psychiatrists, commissioners and other professionals.
Your everyday observations can contribute important information to reviews and professional decision-making.
You should therefore record information accurately, follow through agreed actions and communicate concerns through the appropriate channels.
What we are looking for
Experience and training
Previous experience supporting adults with autism, learning disabilities, complex mental health needs, behavioural risks or forensic histories would be advantageous.
Experience within supported living, Positive Behaviour Support, community mental health, learning disability services or other complex-needs environments would also be relevant.
A relevant Health and Social Care qualification is welcomed but practical experience, values, judgement and willingness to learn are also important.
You must have sufficient written and digital skills to complete electronic records and communicate relevant information accurately.
Moreways Healthcare will provide mandatory induction and training together with any additional service-specific learning required for the people you support.
Staff must not undertake medication, behavioural, moving-and-handling or other specialist interventions unless these form part of the role and the required training and competency assessment have been completed.
Why join Moreways Healthcare?
- Work within specialist supported living focused on independence rather than institutional care.
- Support adults with autism, learning disability, mental health, complex and forensic needs.
- Develop practical experience in Positive Behaviour Support, communication and complex risk management.
- Work alongside experienced support staff, managers and external multidisciplinary professionals.
- Receive role-specific induction and training appropriate to the individuals you support.
- Develop towards Senior Support Worker, Recovery Worker, Forensic Recovery Worker, PBS-focused or leadership roles as your experience grows.
Safeguarding and safer recruitment
Moreways Healthcare is committed to safeguarding adults who use our services and expects every employee to share that responsibility.
Appointment will be subject to the appropriate safer-recruitment checks for the role, which may include an Enhanced DBS check, employment history, references, identity and right-to-work verification and other required checks.
Moreways Healthcare is an equal opportunities employer and welcomes applications from people with the skills, values and experience required to perform the role safely and effectively.
What excellent complex support looks like
Good complex support is calm, predictable and purposeful.
It means staff understand the person well enough to anticipate difficulties, adapt communication, reduce avoidable distress and recognise when something genuinely changes.
It also means never allowing the complexity of someone's needs to obscure their abilities, preferences, rights and potential for further independence.
If you are patient, reliable and interested in supporting adults with autism and other complex needs through structured, person-centred practice, we would welcome your application to join Moreways Healthcare as a Complex Care Support Worker.
Job Features
Complex Needs • Autism • Mental Health • Supported Living Complex Care Support Worker Provide structured, individualised support to adults with complex needs, helping people build stability, con...
