Quality Assurance Manager

To lead on
quality, compliance and governance
across the organisation's CQC-regulated services, ensuring care is consistently
Safe, Effective, Caring, Responsive and Well-led
.

The post-holder will:

• Make sure the organisation is
  inspection-ready at all times
  , not just when CQC is due.
• Identify risk and poor practice early and drive
  real, measurable improvement
  .
• Provide senior leaders and Registered Managers with
  clear assurance and clear challenge
  .

Key Responsibilities

1. Governance, Compliance & CQC

2. Maintain and develop the organisation's
   quality and compliance framework
   in line with:

3. Health and Social Care Act 2008 (Regulated Activities) Regulations
4. CQC standards and current guidance
5. Ensure policies, procedures and practices reflect CQC
   fundamental standards
   and the
   Single Assessment Framework
   .
6. Lead or support completion of:
7. CQC
   Provider Information Return (PIR)
8. CQC registration changes and variations
9. Provide expert advice to the senior team and Registered Managers on regulatory requirements and best practice.

10. Support services in responding to CQC inspection reports, warning notices, action plans and other regulatory communications.

11. Audit, Monitoring & Quality Improvement

12. Design, implement and oversee a
    scheduled audit programme
    covering (for example):

13. Care planning and documentation
14. Medication management
15. MCA/DoLS and restrictive practices
16. Safeguarding and incident management
17. Health and safety, environment and infection control
18. Complaints and compliments
19. Staffing, training, supervision and recruitment
20. Carry out
    mock CQC inspections
    and unannounced quality visits, producing clear, evidence-based reports.
21. Develop
    Quality Improvement Plans (QIPs)
    with Registered Managers and monitor progress to completion.

22. Use data from audits, incidents, complaints and feedback to identify
    themes, trends and hotspots
    , and drive targeted improvement.

23. Incident, Complaint & Safeguarding Oversight

24. Oversee organisational reporting and monitoring of:

25. Incidents and accidents
26. Safeguarding concerns
27. Complaints and serious concerns
28. Ensure incidents and complaints are
    investigated properly
    , with root causes identified and documented.
29. Ensure learning from incidents, complaints and safeguarding cases is:
30. Captured
31. Shared across services

32. Evidenced in changed practice, training, policies or supervision.

33. Data, Reporting & Assurance

34. Develop and maintain
    quality dashboards / scorecards
    for each service, including key quality and safety indicators.

35. Provide regular
    quality and governance reports
    to:
36. Senior Management Team
37. Board / Quality & Governance Committee
38. Escalate
    areas of concern or regulatory risk
    clearly and promptly, with recommended actions.

39. Contribute to strategic planning, highlighting quality and safety implications of service changes or new projects.

40. Policies, Training & Support to Services

41. Lead on the
    review, update and implementation
    of quality-related policies and procedures.

42. Work with Learning & Development / HR to:
43. Identify training needs arising from audits, incidents and inspections.
44. Ensure quality, safety and regulatory themes are reflected in training content.
45. Support and coach Registered Managers and senior staff to:
46. Understand regulatory expectations
47. Use audits and data effectively

48. Prepare for and engage confidently with CQC and commissioners.

49. Culture & Continuous Improvement

50. Promote a culture that is:

51. Open and honest
    about mistakes
52. Focused on
    learning, not blame
    , while still holding people accountable.
53. Champion
    person-centred care, dignity, choice and safety
    in all quality work.
54. Encourage staff at all levels to
    raise concerns early
    and contribute ideas for improvement.
55. Keep up to date with
    best practice and regulatory updates
    and ensure these are reflected in organisational policies and practice.