About this role
Job summary
The Elms Surgery are seeking an experienced, motivated, and highly organised Registered CQC Manager to join our friendly and forward-thinking GP surgery. This is an exciting opportunity to play a key leadership role in ensuring our practice delivers safe, effective, caring, responsive, and well-led services while maintaining full compliance with Care Quality Commission (CQC) standards.
Main duties of the job
As our Registered CQC Manager, you will be the nominated Registered Manager with the CQC and will lead on quality assurance, governance, patient safety, regulatory compliance, and continuous improvement across the practice.
You will work closely with the Partners, Admin Manager, Operations Lead, and clinical and administrative teams to ensure the practice consistently meets and exceeds regulatory standards.
Your responsibilities will include:
Acting as the Registered Manager with the Care Quality Commission (CQC). Leading the practice's CQC compliance programme and maintaining inspection readiness. Developing and embedding robust governance and quality assurance systems. Managing risk management, and quality improvement initiatives. Leading investigations into incidents, significant events, and safeguarding concerns. Maintaining the practice risk register and ensuring compliance with health and safety legislation. Coordinating audits and ensuring improvements are implemented. Reviewing and updating practice policies and procedures. Monitoring mandatory regulatory compliance. Promoting a culture of continuous improvement, patient safety, and learning throughout the practice.
About us
We are an EMIS-based practice serving approximately 9,000 registered patients in Central Watford, with excellent transport links via the Underground, rail, and major motorways.
Our practice is supported by an experienced and dedicated management team, alongside a skilled administrative and reception team committed to delivering high-quality patient care.
The multidisciplinary clinical team includes 3 GPs, 4 Physician Associates, a Clinical Pharmacist, a Nursing Team, a Care Coordinator, and a Social Prescriber. Regular clinical and administrative meetings foster effective communication, collaboration, and continuous service improvement across all staff groups.
Job description Job responsibilities
Your responsibilities will include:
Acting as the Registered Manager with the Care Quality Commission (CQC). Leading the practice's CQC compliance programme and maintaining inspection readiness. Developing and embedding robust governance and quality assurance systems. Managing risk management, and quality improvement initiatives. Leading investigations into incidents, significant events, and safeguarding concerns. Maintaining the practice risk register and ensuring compliance with health and safety legislation. Coordinating audits and ensuring improvements are implemented. Reviewing and updating practice policies and procedures. Monitoring mandatory staff training regulatory compliance. Promoting a culture of continuous improvement, patient safety, and learning throughout the practice.
Person Specification
Qualifications Essential
Qualified to NVQ level 2 in Health and Social Care
Desirable
Masters degree holder in Business Administration (MBA) or Public Health (MPH) or related field
Experience Essential
- Previous experience managing CQC compliance and inspections - Excellent knowledge of the CQC Fundamental Standards and NHS Primary Care regulations. - Excellent IT skills and experience using Microsoft Office and GP clinical systems.
Desirable
Experience working within a GP practice or Primary Care setting
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Employer details Employer name The Elms Surgery
Address 38 The Avenue
Watford
Hertfordshire
WD17 4NT
United Kingdom
Employer's website https://www.theelmssurgery.co.uk (Opens in a new tab)