Quality & Governance Auditor - Healthcare

Job Title: Quality & Governance Auditor

Salary: £30,000 PA

Responsible to: Quality & Governance Manager

Accountable to: Director of Nursing

Hours of work: Full time (5 days) office based

Location: HFH Head Office, Wimbledon, SW19 4EU

We are nurse-led care specialists providing comprehensive and personalised healthcare services for adults and children with complex care needs in the comfort of their own homes in and around London, the Southeast and Southwest of the UK.

We strive to make a difference to people’s lives and allow them to reach their full potential regardless of their condition.

Here at HFH we understand that individuals with long-term healthcare needs deserve to be cared for safely and comfortably in their own homes. We specialise in a wide range of high-quality in-home complex care services tailored to meet each individual’s unique need.

Our teams are committed to delivering uncompromising high quality complex care that is personalised to each and every person because that’s what matters most.

Working in partnership with the NHS continuing healthcare teams, our enhanced level of specialist clinical support enables individual clients to remain at home even when the level of health care required is highly complex. Our services are provided through local and specialty focused multi-disciplinary teams.

Role Purpose

Reporting to the Quality & Governance Manager, the Quality & Governance Auditor will provide effective support with concerns, complaints, incidents and safeguarding concerns across the business, in line with the Care Quality Commission (CQC) and HFH Healthcare policies and procedures.

They work closely with our clients, staff, commissioners and health and social care colleagues to identify effective and sustainable resolution to issues raised.

The Quality & Governance Auditor plays a key role in conducting an effective clinical and workforce audit programme that leads to recognition of safety, good practice, opportunities for continuous improvement and staff experience, in line with the CQC, HFH policies and procedures and other regulatory standards.

They correlate, analyse and present results to service management teams to inform understanding of current services, recognition of good practice and opportunities for improvement.

Audit programme delivery

· Support the Quality & Governance Manager and Director of Nursing to ensure that audits are undertaken across the organisation in line with the annual governance quality plan.

· Provide audit results, that enable management teams to make informed decisions on good practice and areas for improvement.

· Prepare audit reports for the Governance Forum and the Board

Audit areas include:

· Client care plans, risk assessments and documentation.

· Client medication/MARs charts

· Client and Carer welfare calls

· Client quality reviews

· Staff and carer compliance requirements in line with Safer Recruitment regulations

· Staff and carer HR files and documentation in line with Safer Recruitment regulations

· Health & Safety

· Vehicles

· Internal mock audit

· Policy & procedure reviews & updates

Responsibilities

· Working with the Quality & Governance Manager with the management of all concerns, complaints, incidents, safeguarding cases and CQC notification submissions.

· Ensure that all incidents are recorded and reported in an accurate and timely manner.

· Ensure the timely submission of CQC notifications and ICB referrals ensuring accuracy and transparency for all concerns, complaints, incidents and safeguarding concerns.

· Timely and appropriate communication with all parties involved.

· Track all aspects of the concerns, complaints, incidents and safeguarding process, from acknowledgement through investigation, action planning, resolution and sharing learning.

· Ensure that an investigation officer has been appointed to each incident.

· Support investigating officers in the gathering and reviewing of case facts, documentation, evidence and completion of root cause analysis, where indicated and minute taking at meetings (when required)

· Support staff and client investigations where required, ensuring accuracy, confidentiality and sensitivity is maintained throughout the process.

· Liaise with internal and external stakeholders during the collation of evidence as required.

· Provide formal responses and outcomes from investigations to all external bodies involved as appropriate.

· Track the progress of delivery against action plans for CQC regulations.

· Support the Quality & Governance Manager with data collection for monthly Board meetings and the submission of monthly and quarterly external agency reports.

· Support the Quality & Governance Manager to implement and distribute the client, carer, commissioner and head office staff satisfaction surveys and correlate findings.

Shared Learning & Development

· Participate in training and development of staff, in the tools and techniques of audit, data interpretation and action planning.

Business & Professional Responsibilities

· Always maintain the strictest confidentiality and security of information.

· Act in accordance with the CQC and any other regulatory bodies

· Maintain continued professional development through training, experience, and reflection.

· Act as a positive role model promoting respect, professionalism and excellence to all staff, clients and stakeholders.

· Ensure that all requirements outlined in policies and procedures are followed and adhered to.

HFH Healthcare is committed to safeguarding and promoting the welfare of vulnerable adults, children and young people and we expect all employees to share this commitment by following all organisational Safeguarding policies and procedures.

HFH Healthcare is committed to providing equality of opportunity for staff and to encourage diversity in the workplace. Staff are expected to uphold the key principles of equal opportunities across their work and in accordance with business policies. Undertake such other duties, specific tasks and projects that may be delegated from time to time.

CHANGES

This is a description of the job as it is presently constituted. It is the practice of HFH Healthcare to examine job descriptions from time to time and to update them to ensure they relate to the job as then being performed, or to incorporate whatever changes are being proposed.

This will be conducted in consultation with you. This will mean changes in the responsibilities of senior managers and the successful applicant will be one who demonstrates a flexible attitude and willingness to embrace change in the interest of service.

This job description is supported by annual objectives and performance standards to provide an indication of the level of performance expected from the role. From time to time the demands of the organisation will require adjustments in the responsibilities of the post.