Quality and Compliance Officer - Hereford, United Kingdom - St Michael's Hospice

Tom O´Connor

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Tom O´Connor

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Description

About Us
St Michael's Hospice is nestled in the stunning Herefordshire countryside, in a state-of-the-art facility.

We offer a competitive salary and benefits package, a transferrable NHS pension or you can enrol onto our own Hospice pension.

We have a Life Assurance, and we offer a superb working environment and facilities, generous study leave allowance, discounts with local suppliers, individualised training needs analysis, advanced communication skills training, employee counselling service, free tea & coffee, a friendly & welcoming work environment, 30 days annual leave, plus bank holidays.


We are one of the top 100 best not for profit organisations to work for and have been caring to make a difference, to patients living with a terminal illness and their families, across Herefordshire and beyond for nearly 40 years.


About the job
We're looking for a Quality and Compliance Officer to join our Quality team.

We're looking for someone with good organisational skills and high attention to detail, as the main responsibilities of the role will be to review, monitor and improve systems to ensure organisational compliance with the Care Quality Commission (CQC) and other regulatory bodies as required including monitoring, maintaining and co-ordinating organisational wide policies and procedures.


We are seeking someone who has extensive knowledge of Microsoft Office programmes and an ability to learn new systems, previous experience of working in the Healthcare Organisation, knowledge of CQC requirements, as well as experience of developing and implementing quality improvement initiatives and procedures.

Job Description and Person Specification

Job Title:
Quality and Compliance Officer


Spinal Point Range: 7,10,13


Hours: 30 hours per week (Full time: 37.5 hours per week)


Location:
St Michael's Hospice, Bartestree


Reports to:
Head of HR and Education


Job Purpose:

To review, monitor and improve systems to ensure organisational compliance with the Care Quality Commission (CQC) and other regulatory bodies as required including monitoring, maintaining and co-ordinating organisational wide policies and procedures.


Responsibility Areas:


Problem Solving/Innovation

  • Identifies potential compliance issues or gaps in relevant requirements.
  • Creates solutions and new processes for organisational compliance and Quality Improvement e.g. Policy of the Month.
  • Develops ways to monitor the effectiveness of systems by informal audit and reports.
  • Investigates irregularities and noncompliance issues in accordance with direction from SMT/OMT and recommends potential solutions or escalates when appropriate.
  • Develops templates for Quality Improvement processes e.g. flowcharts for reporting in conjunction with the Clinical Quality Lead
  • Monitors complaints, ensuring they are documented and responded to in line with Complaints Policy.

Communication

  • Escalates identified areas of concern to Head of HR and Education, verbally and by quarterly reports.
  • Working with the Clinical Quality Lead to influence and educate colleagues on Compliance and Quality Improvement e.g. learning from incidents and feedback.
  • Reports and supports others in reporting regulatory information to external agencies e.g. CQC, Integrated Commissioning Service (ICS), Health and Safety Executive etc. by ensuring pathways for information are clearly defined and accurate.
  • Together with colleagues, prepares written quarterly reports on internal compliance for dissemination to managers (and Board) for trend analysis and quality assurance.
  • Leads on Incident Reporting process by providing clear systems for use, improving
- accuracy, monitoring and timely completion of ensuing actions to provide evidence for CQC and others.

  • Alongside Clinical Governance Lead, acts as Q&C representative on:
  • Clinical Governance & Care Committee
  • provides framework and data for Quality section of Report.
  • Operational Management Team
  • provides a compliance overview to support managers.
  • Strategic Quality Improvement Group
  • advising on effective implementation of systems introduced by clinical teams e.g. integrating external policies/guidelines with internal ones.
  • Other ad hoc project groups as required.
  • Prepares content and format for Clinical Governance (CG) bulletins and Audit Newsletter, to communicate change, learning from incidents and audits, and celebrating success.
    Planning/Organising
  • Supports the planning of organisation wide processes for compliance with the Care Quality Commissions and Quality Improvement.
  • Responsible for developing, maintaining and monitoring in house incident reporting system (Vantage). Championing and training staff in the use of the system.
  • Monitors, maintains and reviews a log of organisational policies, procedures, guidelines and patient information and highlights need for new documentation to managers.
  • Organises relevant updates of organisational documentation e.g. Stateme

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