Due to an upcoming retirement, we areseekinga dedicated andforward-thinkingHealthcare Professional (NMC or HCPC registered)to join ourQuality Team. This team plays a vital role in ensuring that Pendleside continues to deliver safe,effectiveand compassionate care bymaintaininghigh standardsof governance, compliance, and continuous improvement across all hospice services.
As Quality Assurance Manager, you will work closely with colleagues across the organisation to uphold regulatory requirements, champion best practice, and support the development of robust quality systems. This role requires strong leadership, excellent analytical skills, and the ability to think innovatively when shaping and influencing service quality. You will also act as a positive ambassador for the Hospice, collaborating with internal teams and external partners to promotehigh standardsand drive improvement.
Pendleside offers a supportive andvaluesdrivenworking environment where staff wellbeing and professional development are prioritised.
By joining, you will become part of a caring,collaborativeand committed team focused on delivering exceptional experiences for the patients,familiesand communities we serve.
Main duties of the job
- Maintain and develop the Hospices compliance with care standards and all other relevant regulation and best practice guidance throughout its clinical and general operations
- The format and review of clinical and non-clinical policies to ensure compliance with relevant legislation
- To coordinate a holistic clinical and non-clinical audit process, including strategic standard setting, efficient measurement systems, robustfeedbackand the facilitation of action plans
- Act as Health and Safety Lead for the Hospice ensuring compliance with relevant Health and Safety legislation
- To provide quality assurance services to Rossendale Hospice as outlined in the service level agreement
About us ABOUT US
OUR MISSION:
Pendleside exists to enhance the quality of life for people living in our community with advancing long term and life limiting illnesses, through to end of life and in bereavement.
OUR VISION:
Every adult with advancing long term and life limiting illnesses and those most important to them within our community will receivetimelyandequitableaccess to high quality services, delivered by appropriately trained staff and volunteers.
PHILOSOPHY OF CARE:
Pendleside endeavours to promote and enhance quality of life for people with advancing long term and life limiting illnesses and those important to them. It does this by delivering specialist and holistic palliative and end of life care, which addresses eachpersonsindividually assessed physical, psychological,socialand spiritual needs.
Our care is planned and continuallymonitoredto ensure appropriateness as needs may change. Effective communication with the people we serve is fundamental to our relationship with them. Their confidentiality, privacy,dignityand choice are respected at all times.
Our multi-disciplinary approachfacilitatesintegrated support in our inpatient, outpatient, day service,communityand family support services, in collaboration with other local care providers.
Care is underpinned by relevant research, best practiceguidanceand professional codes of practice.
Job responsibilities
- Maintain and develop the Hospices compliance with care standards and all other relevant regulation and best practice guidance throughout its clinical and general operations
- The format and review of clinical and non-clinical policies to ensure compliance with relevant legislation
- To coordinate a holistic clinical and non-clinical audit process, including strategic standard setting, efficient measurement systems, robustfeedbackand the facilitation of action plans
- Act as Health and Safety Lead for the Hospice ensuring compliance with relevant Health and Safety legislation
- To provide quality assurance services to Rossendale Hospice as outlined in the service level agreement
- CORE TASKS
- Clinical
- Ensure the Hospice delivers care in an effective, safe,responsiveand well led manner in conjunction with the Clinical Services Manager and Clinical Departmental Managers
- Work with relevant colleagues to develop new and review Hospice policies and procedures asrequired
- Maintain up to date knowledge of all relevant care quality commission standards and ensure these are reflected in Hospice practice and compliance activities
- Management and Leadership
- Work closely with the Hospice senior management team (SMT) and all relevant professionals in ensuring that staff and volunteers deliverhigh levelsof service and care at all times
- Contribute to Lead and manage the on-going development of operational policies, procedures and clinical guidelines ensuring their implementation,reviewand monitoring.
- To be an inspirational leader who clearly expresses the hospice vision,valuesand service quality to team membersat all times.
- Sethigh standardsof quality and performance and raise the level of expectations
- Accept accountability for own actions and areas of responsibility
- Compile and present relevant reports to senior managers and Hospice committees asrequirede.g. Audit, Health & Safety, Service user experience
- Involve others in decision making and empower where possible
- To provide out of hours management on call cover
- Communication Skills
- Foster good working relationships and effectively communicate with members of the multidisciplinary team, users of the service and other professionals working externally
- Workin accordance withHospice policies to ensure that confidentiality ismaintainedat all times.
- Personal and People Development
- Accept responsibility tomaintainand update the skillsrequiredtofulfillthe job role
- Share knowledge and experience with other staff to improve and enhance patient care
- Encourage other staff to share good practice and knowledge
- Ensure that revalidation requirements e.g. NMC, HPC registration are fulfilled
- Quality and Service Improvement
- Formulate and execute the Hospices audit schedule, ensuring that all relevant practice and activity is subject to verification against documented policy and procedures
- Ensure that any actions identified as part of the audit process are implement effectively
- Identifyareas for quality improvement and work with the Quality Improvement Lead and relevant staff to implement effectively
- Train and develop staff in clinical and general audit relevant to their job role, focusing on a team approach and encouraging ownership of compliance issues throughout the organisation
- Coordinate the reporting of adverse incidents, accidents, near misses, and errors ensuring that a log of all incidents ismaintainedand any actionsidentifiedimplemented effectively
- Oversee, and contribute as necessary, to the investigation of incident, accident and near miss reports
- Develop andmaintaina communications strategy for cascading relevant safety information e.g. CAS alerts, RIDDOR, ICO etc.
- Health, Safety and Security
- Lead the Hospices Health and Safety function (including fire safety) across the organisation
- Ensure that the Hospiceis able todemonstratecompliance with all relevant Health and Safety requirements with particular emphasis on the documentation and maintenance of necessary risk assessments
- Ensure the completion of all risk assessments and implementation ofappropriate actionsas necessary
- Ensure new risksidentifiedare added to the organisational risk register and followed up
- Train and develop staff in health and safety relevant to their job role, focusing on a team approach and encouraging ownership of compliance issues throughout the organisation
- Assist the Clinical Services Manager with the coordination of the Hospice Prevention and Control of Infection Group and development of a strategy that promotes andmonitorsexcellent practice in relation to the prevention of infection
- Governance
- Assist the Registered Manager in ensuring that the Hospice meets all necessary Care Quality Commission (CQC) Standards
- Ensure that all Hospice policies and procedures are compliant with relevant legislation and best practice guidance, documented and communicated effectively
- Ensure that Hospice policy and procedural documents are organised andmaintainedin a controlled manner
- Plan and execute a rolling plan for thetimelyreview and amendment of all relevant policy and procedural documents
- Support the Hospice senior management team in ensuring that the Hospice is compliant with all legislative and governance frameworks relating to use of computer systems to include compliance with the NHS Information Governance Framework
- Complete the annual NHSInformationGovernance Toolkitin a timely manner
- Ensure that the Hospice is compliant with the General Data Protection Regulation (GDPR)
- Ensure that Hospice policies, procedures and standards areadhered to at all timeswithparticular regardto those concerning confidentiality, information governance, health and safety, prevention and control infection and medicines management
- Ensure effective outcome monitoring of service delivery
Person Specification
- Evidence of an ability to work independently and as part of a team . click apply for full job details