About this role
Job summary
This is a key role within the Hospice, supporting the delivery of high-quality, person-centred care and ensuring that quality, compliance, and governance remain at the heart of everything we do. Working closely with colleagues across the organisation and reporting to senior leadership, you will:
Manage, develop, and maintain the Hospice's quality and compliance systems Support the organisation's compliance with CQC regulations and standards Monitor, analyse, and report on quality assurance and governance information Investigate incidents, identify trends, and make recommendations to improve practice Monitor and interpret changes in legislation, regulation, and national guidance Support the CEO and senior leaders in preparing evidence and documentation for CQC inspections and stakeholder engagement activities Contribute to maintaining a strong risk management framework across the organisation
Main duties of the job
This is a key role within the Hospice, supporting the delivery of high-quality, person-centred care and ensuring that quality, compliance, and governance remain at the heart of everything we do. Working closely with colleagues across the organisation and reporting to senior leadership, you will:
Manage, develop, and maintain the Hospice's quality and compliance systems Support the organisation's compliance with CQC regulations and standards Monitor, analyse, and report on quality assurance and governance information Investigate incidents, identify trends, and make recommendations to improve practice Monitor and interpret changes in legislation, regulation, and national guidance Support the CEO and senior leaders in preparing evidence and documentation for CQC inspections and stakeholder engagement activities Contribute to maintaining a strong risk management framework across the organisation The Quality Lead role is vital to supporting our ambitious plans for the future. As part of our current three year strategy, including growth following the development of our new In-Patient Unit, we are committed to continuing to serve our local community with excellence. To achieve our goals, we are looking for an individual who is:
Detail-oriented and highly organised Committed to continuous improvement Passionate about quality and compliance Self-motivated and proactive Aligned with our values of compassion, respect, inclusion, and excellence
About us
Dr Kershaw's Hospice is an independent charity providing specialist palliative and end-of-life care to the people of Oldham and surrounding communities. Since 1989, our mission has been to add quality to the lives of those living with a life-limiting illness. We are an inclusive organisation that promotes equality, values diversity, and invests in the development of our people. We treat all staff, volunteers, patients, and visitors with dignity, respect, and compassion. If our values resonate with you, we would love to hear from you.
Job description Job responsibilities
Role Summary
To work within the policy framework of the hospice in its provision of Specialist Palliative Care and be responsible for the development, maintenance and communication of quality initiatives, supporting and promoting services to enable people to have equal access to good quality, person centred health care.
To support incident management and investigations, quality improvement and learning.
Assist in the maintenance and development of the hospices compliance with CQC regulations in regard to legislation and best practice
Key Responsibilities
The post holder will:
1.Provide the Care Quality Commission (CQC) with quality monitoring information required to keep the hospices risk profile rated as low risk.
2.Produce regular reports which demonstrate service quality, clinical outcome measures and statutory compliance in support of the Quality and Governance processes and external stakeholders.
3.To analyse incident reporting, using root cause analysis, identifying any trends and making recommendations for improving practice, ensuring lessons learned are shared with the organisation to reduce the likelihood of repetition.
4.Keep updated regarding the Quality Improvement agenda in health care, making recommendations for the hospice to adopt.
5.Monitor and follow up outstanding actions with those responsible to ensure closure against matters arising or the forward planner as appropriate.
6.Monitor and interpret changes to legislation and national statutory guidance.
7.Support the Senior Management Team in coordinating, producing and compiling the required evidence and reports for a range of regulatory bodies (i.e. Integrated Care Board , Care Quality Commission).
8.Support the CEO in preparation of evidence and documentation for CQC inspections and engagement meetings.
9.Work closely with the SIRO and Data Protection Officer (DPO) to ensure data protection compliance.
10.Support the CEO with the compilation of regular reports including the Annual Quality Accounts and other statutory reports.
11.Work with the CEO to develop a rolling programme of service outcome measures which captures the effectiveness of Hospice services and which supports the requirements of the CQC and other Statutory Bodies.
12.Work closely with the Director of Clinical Services to implement, monitor and report on patient safety incidents and improvements
13.Coordinate Hospice Audit Calendars and associated processes of auditing Hospice departments.
14.Organise and manage own workload, ensuring it reflects on the core components of your role in a manner that ensures quality and reduces risk.
15.Participate in relevant sub-committee meetings and associated work.
16.Develop Hospice policies
Although this is a comprehensive job description, you may be required to undertake other duties assigned by your Line Manager.
EDUCATION AND TRAINING
The post holder will:
1.Participate in the Hospice Appraisal system.
2. Maintain high professional standards and to continue own personal and professional development.
3.Assist in teaching and supervision of other members of staff and volunteers.
4.Participate in the orientation of new staff.
5.Attend all mandatory training/update sessions.
VOLUNTEERS
Dr Kershaws Hospice is generously supported through its active volunteers who work alongside employees of the Hospice, across all departments, helping fulfil the needs of the services.
As part of all roles at the Hospice, it is expected that all post holders commit to assisting and supporting volunteers to perform their roles to the best of their ability. In addition, it may be required of the post holder to act as a volunteer lead if identified with the Volunteer Co-ordinator, as appropriate.
GENERAL
1.Confidentiality - It is a condition of employment that staff will not disclose any information obtained in the course of their duties other than to those entitled to receive it. The post holder must ensure that the confidentiality of personal data remains secure and the terms of the Data Protection Act and relevant Hospice policies are met in respect of information held on the Hospice computer systems.
2.Equal Opportunities The Hospice is committed to equality of opportunity. All staff are required to comply with current legislation and Hospice policies.
3.Health and Safety Staff must ensure they are familiar with the requirements of the Health and Safety Work Act (1974) and the Hospice Health and Safety policies and regulations applicable to their post.
4.Safeguarding Dr Kershaws Hospice is committed to safeguarding adults and children and expects all staff to share in this commitment. Staff have a responsibility to ensure that they are aware of specific duties relating to their role and should familiarise themselves with the Hospice safeguarding policy. Regular safeguarding training updates will be held and are mandatory for all staff.
The above indicates the main duties that maybe reviewed in the light of experience and developments within the service. Any review will be undertaken in conjunction with the post holder.
Person Specification
Qualifications Essential
Typing/word processing or equivalent GCSE grade A-C English or equivalent RSA level III or equivalent
Desirable
NVQ Level 3 in administration or equivalent
Experience Essential
Experience of working in an office and healthcare environment or relevant experience Excellent organisational skills, including the ability to manage time and prioritise workload effectively Excellent interpersonal and relationship-building skills with the ability to communicate effectively at all levels Ability to make decisions and implement changes. Excellent IT skills across a broad range of platforms An ability to provide, receive convey and present information in a clear way Able to work on a number of projects simultaneously Strong teamwork ethic Prioritise workloads and meet deadlines In-depth experience of Microsoft packages: especially Word and Excel Spreadsheets and databases Working to demanding and changing deadlines Good verbal and written communication skills. Good interpersonal, organisational and time management skills. Ability to work independently and as a member of a team. Ability to develop, operate and maintain filing systems both manual and electronic. Ability to develop effective interpersonal relationships with colleagues in the health care setting. Ability to communicate effectively in a variety of settings. Able to deal with sensitive issues with tact and diplomacy. Able to present factual information and refer questions to others where appropriate. Ability to prioritise own workload and work to defined timescales. Ability to deal with challenging behaviours in line with hospice policy Ability to analyse data, look for and rectify errors
Desirable
Working with volunteers Proven track record as motivational leader, with the ability to negotiate and provide empathy reassurance and support Project management skills with an ability to think analytically, anticipate obstacles and think ahead using analytical techniques to identify several solutions Practical experience of quality and governance principles, systems and processes Knowledge of risk management and governance and its impact on the organisation
Aptitudes Essential
Shows a high level of motivation and pays high attention to detail Approachable/friendly Willingness to be flexible and adaptable in approach and attitude to work Work in accordance with the hospice vision and values Maintain confidentiality in all hospice related business Commitment to service development. Flexible approach to working. Willingness to undertake training appropriate to the post. Access to a vehicle as some cross-site working may be necessary.
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 Dr Kershaw’s Hospice
Address Dr Kershaws Hospice
Turf Lane
Royton
Oldham
OL2 6EU
United Kingdom
Employer's website https://drkershawshospice.org.uk/ (Opens in a new tab)