Head of Quality and Governance - Blackburn, United Kingdom - East Lancashire Hospice

    East Lancashire Hospice
    East Lancashire Hospice Blackburn, United Kingdom

    1 month ago

    Default job background
    Permanent
    Description

    Job summary

    Join us at EastLancs Hospice, where compassionate care meets excellence. We're seeking adynamic Head of Quality and Governance to lead our commitment to exceptionalstandards and compassionate service delivery.

    Role Overview: We're lookingfor an experienced individual to spearhead our quality and governance efforts.In this pivotal role, you'll drive our governance and quality agenda, ensuringadherence to the highest standards across the organisation. From implementingrobust systems to guiding our teams, you'll play a crucial role in maintainingour exceptional reputation.

    Main duties of the job

    Key Responsibilities:

  • Act as the Safeguarding Lead, overseeing policy development, staff training, and coordination with external agencies to ensure the safety and well-being of all individuals under our care.
  • Lead the development and implementation of governance frameworks and quality assurance systems.
  • Ensure compliance with regulatory standards, including CQC requirements, through effective risk management and audits.
  • Provide guidance and support on governance, risk, and compliance matters to staff at all levels.
  • Drive continuous improvement initiatives to enhance the quality of care and service delivery.
  • Maintain an in-depth knowledge of regulatory frameworks and best practices in healthcare quality and governance.

    • Requirements

  • Background in quality and governance roles within Healthcare or Social Care Settings.
  • Proficiency in root cause analysis, GDPR, and information governance.
  • Strong understanding of risk management principles and CQC regulatory framework.
  • Integrity, trustworthiness, and a collaborative working style.

    • About us

    About us: Founded in 1984, East Lancashire Hospice is a cherished charity providing vital support to patients with life-limiting illnesses and their families across Blackburn with Darwen, Hyndburn, and the Ribble Valley. With a dedicated team of over 120 staff and 250 volunteers, we're united by a mission to deliver outstanding care and support to our community.

    What We offer:

  • Salary: £43,911 per annum ( hours per week, across 5 days flexibly to meet the needs of the hospice).
  • Generous holiday allowance: 27 days + Bank Holidays (with option to buy additional days).
  • Access to learning and development opportunities, including funded access to private health scheme.
  • Onsite parking and reduced staff prices at our onsite Café.

    • Equality and Diversity: We're committed to fostering an inclusive working environment and welcome applications from individuals of all backgrounds. Equality of opportunity is at the heart of everything we do.

    Thisrole requires frequent, direct unsupervised access to vulnerable adults and is therefore exempt from the Rehabilitation of Offenders Act 1974.

    Interested? For more details on the role, refer to the job description or email . Only shortlisted candidates will be contacted.

    Make a difference with us at East Lancs Hospice. Join our dedicated team today.

    Job description

    Job responsibilities

    Job Purpose

    As the Head of Quality and Governance, you will champion a culture of excellence and collaboration throughout the organisation, particularly with the Clinical Service Director. Your primary focus will be to spearhead the advancement of governance and quality initiatives within the Hospice, ensuring meticulous implementation and monitoring of systems and processes to uphold the highest standards. This pivotal role entails driving compliance with regulatory requirements, fostering continuous quality improvement, and safeguarding the welfare of our patients and their families.

    Key Performance Areas

    Quality

  • Develop and oversee robust systems to fulfil statutory obligations across all facets of quality and governance.
  • Maintain systems ensuring ongoing compliance with Care Quality Commission (CQC) standards, utilising effective monitoring and self-assessment methodologies.
  • Facilitate the collection of evidence for pre- and post-CQC assessments, collaborating with departmental leaders to ensure comprehensive documentation.
  • Lead, motivate, and support staff to achieve optimal quality outcomes, emphasising adherence to best practices and regulatory standards.
  • Direct the organisational audit program, providing guidance to drive sustained quality enhancement and ensuring meticulous documentation and reporting of findings.

    • Governance and Compliance

  • Act as the Safeguarding Lead, overseeing policy development, staff training, and coordination with external agencies to ensure the safety and well-being of all individuals under our care.
  • Provide integral support to governance assurances, actively contributing to the organisation's risk management framework.
  • Propel the quality improvement agenda by overseeing audit processes, thereby validating service quality and identifying avenues for enhancement.
  • Collaborate with stakeholders to integrate risk and governance practices seamlessly into Hospice operations.
  • Manage the risk assessment process, maintaining an up-to-date organisational risk register, analysing trends, and implementing mitigation strategies.
  • Champion a culture of learning and accountability, ensuring critical incidents and near misses are thoroughly investigated, with lessons learned informing continuous improvement efforts.
  • Cultivate a deep understanding of the governance framework among the leadership team, fostering compliance with regulatory standards and promoting a safety-centric environment.
  • Uphold information governance policies and procedures to ensure adherence to regulatory requirements, providing guidance and support across the organisation.
  • Actively engage in collaborative endeavours with external agencies and partners to advance shared objectives.

    • Professional Responsibilities

  • Collaborate closely with key stakeholders to ensure compliance with regulatory requirements and the delivery of high-quality services aligned with strategic objectives.
  • Serve as the Information Governance Lead, ensuring adherence to legislative and best practice standards regarding patient information management.
  • Demonstrate professionalism and uphold respectful relationships with colleagues while adhering to organisational policies and procedures.
  • Manage time effectively, maintain punctuality and attendance, and utilise hospice resources responsibly.
  • Serve as an ambassador for the East Lancashire Hospice, embodying its vision and values in all interactions.

    • Personal Development

  • Engage in mandatory training pertinent to the role and seize opportunities for personal growth through participation in the hospice appraisal system and relevant training initiatives.
  • Contribute to the education and training of others as appropriate.

    • Managing Services

  • Prioritise safety by promptly addressing hazards, conducting risk assessments, investigating incidents, and implementing risk mitigation measures.
  • Ensure efficient resource utilisation within allocated budgets.

    • Managing People

  • Participate in recruitment and induction processes in accordance with hospice policies.
  • Contribute to staff development initiatives to enhance service delivery and monitor staff engagement with the performance review process.

    • Statutory Duties

  • Maintain compliance with data protection regulations, health and safety protocols, and safeguarding policies.
  • Uphold infection control measures and promote individual rights, diversity, and equality.

    • Working Hours hours per week, across 5 days flexibly to meet the needs of the hospice.

    Notes This job description may evolve to reflect the evolving needs of the hospice and will be subject to annual review during the performance review process.

    Equality and Diversity We are committed to fostering an inclusive working environment and encourage applications from individuals of all backgrounds.

    Person Specification

    Experience

    Essential

  • E1 Substantial experience within a quality/ governance role
  • E2 Risk management
  • E3 Clinical audit
  • E4 Project Management
  • E5 Provision of credible advice and support related to role for staff across departmental boundaries
  • E6 Leading and facilitating role related change
  • E7 Complex investigations for example RCA, serious incidents
  • E8 Scoping, interpreting and applying national and local policy and regulatory requirements

    • Desirable

  • E9 Experience within a health care setting

    • Qualifications

    Essential

  • Q1 Professional Qualification in a related field
  • Q2 First degree or equivalent experience/
  • qualification
  • Q3 Risk Management Qualification / equivalent
  • Q4 Root cause analysis /serious incident
  • investigation training
  • Q5 Evidence of continued professional
  • Development
  • Q6 Professional qualifications(s) in governance,
  • quality, project management/related field
  • Q7 Masters Level qualification / experience in
  • related field

    • Desirable

  • Q4 Root cause analysis /serious incident investigation training
  • Q6 Professional qualifications(s) in governance, quality, project management/related field
  • Q7 Masters Level qualification / experience in related field

    • Knowledge

    Essential

  • K1 Patient Safety agenda
  • K2 Detailed working knowledge of national and regulatory requirements related to quality, health and safety, risk management
  • K3 CQC Regulatory framework
  • K4 Information Governance and GDPR

    • Skills

    Essential

  • S1 Ability to analyse and condense highly complex information in order to produce concise informative reports and effectively communicate to individuals and groups
  • S2 Ability to interpret and apply national and local policy
  • S3 Well developed communication, and interpersonal skills with the ability to engage, negotiate and influence for positive outcomes
  • S4 Excellent organisational skills with ability to Prioritise/reprioritise to deliver work to the required standard by agreed deadlines
  • S5 Attention to detail with ability to absorb a broad range of information quickly and make decisions/recommendations
  • S6 Well developed computer skills and ability to work with a range of IT programmes/ packages
  • S7 Car driver with access to a vehicle for work Purposes

    • Personal Attributes

    Essential

  • PA1 Demonstrates personal integrity, trust and respect for others
  • PA2 Calm and professional and can remain so in challenging situations
  • PA3 Punctual with a good attendance record
  • PA4 Collaborative working style with ability to engage and motivate others
  • PA5 Team player with ability to work alone