Cqc and Quality Standards Lead

Full time Band 8a (indicative banding pending job matching)

Are you looking for a new leadership challenge? An exciting new opportunity for a Quality Standards Lead has arisen within Lincolnshire Community Health Services NHS Trust (LCHS). We are the primary community healthcare provider in Lincolnshire delivering community-based services aimed at supporting people to manage their own health at home and reducing the need for people to go into hospital. We are looking for a proactive, dedicated and dynamic individual to take a leadership role to support leaders to ensure to ensure Trust compliance with all clinical delivery standards, external reviews, inspection response actions and work with leaders in the development and delivery of the assurance framework to demonstrate compliance against clinical standards, Working in close liaison with Trust leaders and clinical teams, you will ensure teams are aware of what is required by CQC providing advice on clinical compliance standards and ensure the reflection of best practice. You will be required to develop and lead an effective peer review framework across the Trust.

The post holder will have experience and/or understanding of the CQC, their role and the regulatory framework they work within. You will have expert knowledge and understanding of the CQC’s Fundamental Standards and other quality standards the Trust is required to meet..

To support leaders of teams and services to ensure all internal and external CQC quality and safety standards are evidenced and monitored.

The post holder will be responsible for reporting assurance on compliance and progress on key actions to the Trust’s Board via Quality and Risk Committee.

To ensure Trust compliance with all clinical delivery standards, external reviews, inspection response actions and meeting expected CQC care delivery outcomes.

Work with leaders in the development and delivery of the assurance framework to demonstrate compliance against clinical standards.

Work closely with both the Head of Nursing and Professional practice and Head of Quality Governance and Patient Safety to meet statutory obligations and standards for clinical healthcare governance

To implement effective systems and processes to support the Trust’s clinical delivery compliance with the:

- Health and Social Care Act 2008
- Care Quality Commission (Registration) Regulations 2009
- Health and Social Care Act 2008 (Regulated Activities) Regulations
- Mental Health Act 1983
- Mental Capacity Act 2005

To work in close liaison with leaders and clinical teams within the Trust, to ensure that teams are aware of what is required by CQC within all service lines, by providing advice on clinical compliance standards and ensure the reflection of best practice.

**SAFEGUARDING**:
**POLICIES, PROCEDURES & GUIDANCE**:
LCHS policies, procedures and guideline - It is a condition of your employment that as an employee you are expected to adhere to our policies, procedures and guidelines. These can all be found on the Trust’s website.

To work in close liaison with leaders and clinical teams within the Trust, to ensure that teams are aware of what is required by CQC within all service lines, by providing advice on clinical compliance standards and ensure the reflection of best practice.

Develop and lead an effective peer review framework across the Trust to enable individuals and teams to understand their clinical compliance and provide effective assurance against fundamental clinical standards of care.

Develop and deliver induction and training programmes to ensure staff are skilled in the Trusts quality improvement methodology.

Develop and co-ordinate a robust monitoring and reporting system and ensure there is a data management system of clinical evidence that demonstrates compliance against CQC fundamental clinical standards of care. This will include the maintenance and archive of all evidential documents in line with required standards.

In partnership with the corporate governance team support implementation, co-ordination and monitoring of a Trust wide CQC evidence information system.

Ensure the collection of evidence required to show levels of compliance with the fundamental standards

Work with the Divisions to co
- ordinate the collection, storage and sharing of key items of evidence showing how fundamental standards are being consistently delivered. To act as a key coordinator of evidence collation of the Trusts PIR and support and prepare key leaders as part of the well led assessment and wider focus group engagement activities.