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Job Title: Quality and Compliance Manager

Reporting to: Head of Quality and Compliance

Purpose of Position:

The role will include assisting the quality team, the Head of Quality and Akari Care limited with auditing, monitoring, supporting and reviewing service quality to ensure that compliance is maintained, and regulations are met.

• To monitor standards in the homes performance and provide opportunities for the service to comply with regulation and best practice guidance.
• Trend analysis within agreed areas of quality.
• Familiarisation with current legislation and changes that affect Health and Social Care.
• Monitoring agreed area of service quality.
• Implementation, monitoring and evaluation of systems and structures.
• Ensuring effective communication with Senior Managers, Regional Managers, Home Managers and External Professionals.

Main Responsibilities:

• To provide support to the Head of Quality in monitoring and reviewing service quality and providing effective communication with regards to areas of non-compliance including strategic development for achieving quality.
• To provide support to the Quality team in the regular monitoring of services for quality and provide written reports on service provision with areas of non-compliance being supported with a detailed action plan that is to be monitored and reviewed to ensure quality.
• To coordinate and carry out the auditing of services and ensure specific targets set out in action plans are adhered to.
• To review trend analysis from the service audits and develop systems and structures in conjunction with the Head of Quality to eliminate patterns of non-compliance.
• To report to the Quality team on the progress of current work plans and identified area of development and improvement within agreed timescales.
• To be responsible for the collection of any necessary data and prepare written reports as requested on progress.
• Analyse data to find the root cause of a problem or issue and report results to the Quality team including possible solutions to any issues identified.
• To monitor the implementation of systems and structures to ensure each project is fully implemented within the service. Provide written evidence to Quality team of monitoring systems.
• To research changes/amendments in government legislation and the impacts on this within the services.
• To ensure effective communication is always achieved in a positive manner that identifies solutions to any problems that arise.
• To promote good practice and act as an effective and positive role model
• To support the Head of Quality in matters relating to Safeguarding within the services and support Home Managers to carry out internal investigations, where deemed necessary by the Head of Quality.
• To support the Home Managers in preparation for CQC/CIW inspections, Local Authority Audits and any work plan developments that are deemed necessary by the Head of Quality.
• To be capable of attending Safeguarding meetings, by arrangement, in the absence of the regional manager.
• Reviewing safeguarding notifications and raising any quality concerns to your Head of Quality.
• Monitor and review all notifications that Home Managers prepare to ensure that they are appropriate and applicable in the circumstances.
• Identifying and responding to any issues/serious concerns within a home with your Head of Quality, in a timely manner, and ensuring Regional Managers and the COO is aware of any significant concerns.
• To provide duty support as part of a rota to support and assist home managers and regional managers with any issues around compliance.
• Actively lead and contribute to Home Improvement Meetings and ensure these take place on a regular basis in accordance with the requirements of the home.
• To help prepare and deliver relevant presentations to colleagues as required.
• To support and deliver induction training around quality management systems as required.
• To support, review and implement governance systems.
• To lead and develop colleagues as part of a lead role responsibility which may include training and support as needed.

Project Responsibility:

The following are the key areas of the role of the Quality and Compliance Manager; however, this list is not exhaustive:

• Provide visits to our care homes.
• Carry out an agreed schedule of audits to our care homes.
• To provide support as per Head of Quality direction in services which are struggling to maintain or meet compliance.
• Assist services in the preparation for external inspections.
• Policies and procedures (assist in writing, reviewing and updating)
• Develop and review audits with Head of Quality in line with any changes to regulation.
• Case tracking and audits of Nourish (our electronic care planning system)
• Data collection and Risk analysis utilising dashboards
• Review and monitoring of service specific and company specific action plans
• Understand and ensure the implementation of the Company's Health and Safety policy, and Emergency and Fire procedures.
• Once complaints, safeguarding and whistle blowing events are investigated the quality team will review outcomes in respect of lessons learnt being implemented.

Research Projects:

• To research changes in Legislation (for example: CQC/CIW, Health and Safety) and ensure these are communicated effectively and updated in policies.
• To research Clinical Governance systems and structures to monitor, improve and develop the quality-of-service provision.

To undertake any other responsibilities as agreed with the Head of Quality and Directors.

AKSPO