Rehabilitation Assistant – Care Home Support Team

A Vacancy at Epsom and St Helier University Hospitals NHS Trust.

The Rehabilitation Assistant will work as part of the multidisciplinary Care Home Support Team to provide proactive, person-centred rehabilitation and support to care home residents, particularly older people living with frailty, functional decline and complex health needs.

Working under the direction and supervision of registered clinicians, particularly Occupational Therapists and Physiotherapists, the post holder will deliver and progress delegated rehabilitation programmes aimed at maximising independence, mobility, function and quality of life and reducing avoidable deterioration and hospital attendance.

The post holder will take a holistic approach to rehabilitation, considering mobility, transfers, activities of daily living, continence, equipment needs, environment and personal goals. They will contribute to the development and review of Universal Care Plans (UCPs) by gathering relevant information, identifying changes from baseline and ensuring concerns are communicated to the appropriate registered clinician

Main Duties and Responsibilities

Rehabilitation and Functional Support

Continence Assessment and Support

Care Coordination and MDT Working

Equipment, Mobility and Falls Prevention

Education and Enabling Care

Caseload and Autonomous Working

Documentation, Quality and Service Improvement

Key Working Relationships

St George’s, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey. Our sites include St George’s Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

At gesh we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.

Main Duties and Responsibilities

Rehabilitation and Functional Support

· Work closely with Occupational Therapists and Physiotherapists to deliver comprehensive delegated rehabilitation programmes within care homes.

· Support residents with mobility, transfers, strength, balance, exercise, functional activities and activities of daily living.

· Progress agreed rehabilitation programmes within defined parameters and report deterioration, lack of progress or other concerns promptly to the supervising clinician.

· Undertake delegated functional assessments and observations, including mobility, transfers, falls risk, functional ability, equipment use and environmental factors.

· Promote an enabling approach, supporting residents to maintain or regain independence and helping care home staff embed rehabilitation into everyday care.

Continence Assessment and Support

· Undertake delegated continence assessments and gather relevant information regarding normal continence, toileting patterns, mobility, cognition, environment and current continence products or support.

· Support agreed toileting and continence plans, promoting independence with toileting wherever appropriate.

· Recognise changes, red flags or concerns and escalate these to the appropriate registered clinician or specialist service.

· Work with residents and care home staff to ensure continence support is dignified, person-centred and consistent with the wider rehabilitation plan.

Care Coordination and MDT Working

· Work collaboratively with Occupational Therapy, Physiotherapy, nursing, pharmacy, GPs and wider health and social care professionals.

· Attend relevant multidisciplinary discussions where appropriate and contribute information about residents' function, rehabilitation progress and changes from baseline.

· Support residents following hospital discharge by implementing delegated rehabilitation plans and identifying early signs that recovery is not progressing as expected.

· Communicate effectively with residents, families, carers and care home staff to support coordinated, person-centred care.

Equipment, Mobility and Falls Prevention

· Support assessment, provision and safe use of mobility and functional equipment within agreed competencies.

· Train and support residents and care home staff in the safe use of agreed equipment and mobility aids.

· Identify equipment defects, risks or changing needs and report these promptly to the relevant clinician.

· Contribute to falls prevention and risk reduction through delegated assessment, rehabilitation and education.

Education and Enabling Care

· Coach and support care home staff to promote mobility, independence and rehabilitation as part of residents' everyday care.

· Demonstrate agreed exercises, mobility techniques, positioning, transfers and functional activities.

· Work with families and carers, where appropriate, to reinforce agreed rehabilitation approaches.

· Promote a culture that focuses on what residents can do and supports them to maintain function and independence.

Caseload and Autonomous Working

· Manage a delegated caseload and workload, prioritising visits according to agreed service processes and clinical direction.

· Work independently within agreed treatment plans, competencies and scope of practice.

· Recognise changes in residents' condition and seek advice or escalate promptly when required.

· Participate in supervision, appraisal, mandatory training and continuing development relevant to the role.

Documentation, Quality and Service Improvement

· Maintain accurate, contemporaneous and complete electronic clinical records.

· Record interventions, resident progress, outcomes and concerns in line with service and Trust standards.

· Contribute to service data collection, audit, quality improvement and evaluation of rehabilitation outcomes.

· Participate in learning from incidents, feedback and service improvement activity within the scope of the role.

This advert closes on Wednesday 14 Oct 2026