Registered Manager

Job Purpose

The Registered Manager is responsible for the day-to-day management, leadership and regulatory compliance of the domiciliary care service.

The postholder will ensure that people using the service receive safe, effective, compassionate, responsive and person-centred care that promotes dignity, independence, choice and wellbeing.

The Registered Manager will maintain effective systems of governance and quality assurance, lead and support the workforce, ensure compliance with CQC requirements and relevant legislation, and drive continuous improvement across the service.

Key ResponsibilitiesLeadership and Management

• Provide effective leadership and day-to-day management of the domiciliary care service.
• Promote a positive, open and person-centred culture.
• Ensure staff understand the organisation's values, policies and expected standards of care.
• Maintain clear management structures, responsibilities and accountability.
• Lead regular team meetings and management meetings.
• Ensure actions identified through audits, complaints, incidents and feedback are completed and monitored.
• Provide regular reports to the Director/Nominated Individual regarding quality, safety, staffing and performance.
• Maintain appropriate management cover and ensure effective arrangements are in place during periods of absence.
• Lead continuous service improvement and ensure improvements are embedded and sustained.

CQC and Regulatory Compliance

• Maintain compliance with CQC Fundamental Standards and conditions of registration.
• Ensure the service remains ready for CQC assessment and inspection.
• Maintain appropriate evidence demonstrating compliance with regulatory requirements.
• Ensure required statutory notifications are submitted to CQC within appropriate timescales.
• Ensure policies, procedures and working practices reflect current legislation and regulatory expectations.
• Respond appropriately to CQC requests for information, assessments, inspections and regulatory actions.
• Develop and monitor improvement plans following audits, inspections or identified shortfalls.
• Ensure governance arrangements effectively identify risks, poor practice and areas requiring improvement.

Person-Centred Care

• Ensure each person has an accurate, current and person-centred care plan.
• Ensure people and, where appropriate, their representatives are involved in planning and reviewing their care.
• Ensure care plans clearly describe people's:
• needs;
• preferences;
• routines;
• communication needs;
• cultural and religious needs;
• health conditions;
• risks;
• independence;
• desired outcomes; and
• future wishes.
• Ensure changes in people's needs are promptly assessed and incorporated into their care plans and risk assessments.
• Promote people's independence, choice, control, dignity and privacy.
• Ensure care is delivered in accordance with agreed care plans and commissioned support.

Risk Management

• Ensure appropriate risk assessments are completed, reviewed and updated.
• Ensure identified risks are supported by clear guidance for care staff.
• Ensure risk assessments, care plans, daily tasks and other care records are consistent and accurately reflect people's current needs.
• Ensure significant changes in people's health or circumstances are escalated appropriately.
• Ensure environmental, moving and handling, falls, nutrition, skin integrity and other relevant risks are properly assessed and managed.
• Monitor accidents, incidents and near misses and ensure appropriate learning and preventative action is taken.

Safeguarding

• Act as a safeguarding lead for the service where appropriate.
• Ensure all safeguarding concerns are identified, recorded, reported and acted upon promptly.
• Make referrals to the Local Authority Safeguarding Team and other agencies where required.
• Ensure safeguarding concerns are reported to CQC where notification requirements apply.
• Ensure staff understand safeguarding, whistleblowing and their responsibilities to report concerns.
• Monitor safeguarding incidents for themes, trends and lessons learned.
• Work effectively with local authorities, social workers, healthcare professionals and other safeguarding partners.

Mental Capacity and Consent

• Ensure the service operates in accordance with the Mental Capacity Act 2005.
• Ensure people's consent to care and treatment is appropriately recorded.
• Ensure decision-specific mental capacity assessments are completed where there is reason to doubt a person's capacity.
• Ensure best-interest decision-making processes are followed and recorded where required.
• Ensure care plans do not contain contradictory information about a person's capacity or abilities.
• Ensure staff receive appropriate Mental Capacity Act training and understand their responsibilities.

Medicines Management

• Ensure medicines are managed safely and in accordance with organisational policies and relevant guidance.
• Ensure Medication Administration Records are accurate and appropriately completed.
• Ensure medication care plans contain current information, including allergies, support requirements and relevant risks.
• Ensure PRN protocols are in place where required.
• Ensure medicines errors, omissions and recording concerns are investigated promptly.
• Ensure staff administering medicines are appropriately trained and competency assessed.
• Implement and monitor regular medicines audits.

Staffing and Workforce Management

• Ensure sufficient numbers of suitably skilled and competent staff are available to meet people's needs.
• Lead recruitment and ensure safer recruitment requirements are followed.
• Ensure appropriate DBS, right-to-work, reference and employment checks are completed.
• Ensure new staff complete induction and competency assessments.
• Ensure staff receive:
• mandatory training;
• regular supervision;
• annual appraisal;
• competency checks;
• spot checks; and
• ongoing professional development.
• Address poor performance, conduct or capability concerns appropriately.
• Promote staff wellbeing and a positive working culture.
• Ensure staff feel able to raise concerns and whistle-blow without fear of disadvantage.

Call Monitoring and Service Delivery

• Ensure scheduled care visits are appropriately planned and staffed.
• Monitor late, missed and shortened calls.
• Ensure visits requiring two care workers are appropriately staffed.
• Investigate missed or incomplete calls and take immediate action where people's safety may be affected.
• Ensure people are informed where possible of significant delays or changes to their care workers.
• Promote continuity of care and appropriate matching of staff to people's needs.

Infection Prevention and Control

• Ensure infection prevention and control policies are implemented effectively.
• Ensure staff receive appropriate IPC training.
• Monitor staff practice through observations and spot checks.
• Ensure staff follow requirements relating to:
• hand hygiene;
• PPE;
• waste disposal;
• infection control; and
• cleanliness.
• Take prompt corrective action where poor practice is identified.

Quality Assurance and Governance

• Develop and maintain an effective quality assurance system.
• Complete or oversee regular audits covering areas including:
• care plans;
• risk assessments;
• medicines;
• staff files;
• training;
• supervision;
• call monitoring;
• safeguarding;
• accidents and incidents;
• complaints;
• infection control; and
• service-user experience.
• Ensure audits assess the quality and accuracy of practice, rather than simply whether documents are present.
• Maintain an action plan for identified areas of improvement.
• Ensure actions have clear owners, deadlines and evidence of completion.
• Check whether completed actions have actually improved practice.
• Analyse themes and trends and use findings to improve the service.

Complaints and Feedback

• Ensure people and relatives understand how to raise concerns or make complaints.
• Ensure complaints are acknowledged, investigated and responded to appropriately.
• Maintain an accurate central complaints log.
• Monitor complaints for themes, trends and repeated concerns.
• Ensure feedback is used to improve the service.
• Encourage regular feedback from people, relatives, staff and professionals.
• Communicate improvements through mechanisms such as “You said, we did.”

Partnership Working

• Maintain effective working relationships with:
• local authorities;
• social workers;
• GPs;
• District Nurses;
• pharmacies;
• community healthcare professionals;
• safeguarding teams;
• commissioners; and
• other relevant agencies.
• Ensure professional advice and changes in people's health needs are reflected promptly within care records.
• Promote joined-up working and continuity of care.

Person Specification

Essential

• Previous management or senior leadership experience within domiciliary care, homecare or adult social care.
• Good knowledge of CQC Fundamental Standards and regulatory requirements.
• Good understanding of safeguarding adults.
• Good knowledge of the Mental Capacity Act 2005.
• Experience of care planning, risk assessment and person-centred care.
• Experience of staff supervision, performance management and workforce development.
• Experience of quality assurance, auditing and service improvement.
• Good understanding of medicines management within domiciliary care.
• Strong leadership and organisational skills.
• Good written and verbal communication skills.
• Ability to manage competing priorities and respond appropriately to risk.
• Ability to work collaboratively with people, relatives, staff, commissioners and healthcare professionals.
• Strong IT and record-management skills.

Desirable

• Level 5 Diploma in Leadership and Management for Adult Care, or equivalent.
• Previous experience as a CQC Registered Manager.
• Experience managing a large or complex domiciliary care service.
• Experience managing CQC inspections or assessments.
• Experience developing and implementing regulatory improvement plans.

Key Performance Expectations

The Registered Manager will be expected to demonstrate:

• safe and person-centred care;
• accurate and current care records;
• effective risk management;
• safe medicines practice;
• robust safeguarding arrangements;
• good staff recruitment, training and supervision;
• effective monitoring of care visits;
• responsive complaints management;
• effective governance and auditing;
• positive service-user and staff feedback;
• effective partnership working; and
• evidence of continuous and sustained improvement.

Accountability

The Registered Manager is accountable for ensuring the service is effectively managed and operates in accordance with its registration requirements, organisational policies and relevant health and social care legislation.

The Registered Manager must immediately escalate significant risks, safeguarding concerns, regulatory breaches or serious service-delivery concerns to the Director/Nominated Individual and relevant external agencies where required.

This job description is not exhaustive. The Registered Manager may be required to undertake other duties reasonably associated with the role and the effective management of the domiciliary care service.

Pay: £31,000.00-£58,000.00 per year

Benefits:

• Casual dress
• Free parking
• On-site parking

Work Location: In person