Job Description

To provide support, leadership and development within the Compliance team to ensure the efficient and effective development and management of the team's regulatory activity. To ensure services are prepared for CQC visits, Mental Health Act Monitoring Visits and supported to respond to findings through a total quality management process. To work collaboratively with the wider senior nurse and management group within the care groups of the Trust and across both the compliance and quality standards team.



The Deputy Head of compliance will work across the Trust ensuring teams deliver recovery focused nursing care to patients in line with specific standards regulated by the Care Quality Commission (CQC).



Lead and support the Trusts approach to CQC regulatory activity and preparedness. Undertake Quality Standards reviews of services across Trust sites offering support, oversight and guidance to the staff team through supervision and leadership skills.



The post holder impacts Trust wide activities and with clinical and non-clinical staff across a wide range of disciplines and specialties to ensure they comply with regulated standards.



To work in close collaboration with all grades of staff and executives. Effective national networking is also required.



Please note applicants will be required to pay for their DBS check. Costs are deducted from salary following appointment. The cost of the DBS application is 26.40 (standard) or 54.40 (enhanced), this cost will be deducted from your salary over the first 2 months of employment.



You are encouraged to enrol for the DBS Update Service. An annual fee of 16 per year applies.

Leadership and management responsibilities:

To manage 1-2x Band 7 direct reports and Band 4 administrator roles and supporting the wider team to ensure the working practices of staff apply fundamental standards which are regulated by the CQC.



Effectively advise and direct the appropriate use of all service resources and environments



Involvement in the recruitment, selection and retention of staff and support the identification of in-house training and development of staff.



The post holder will deputise for the Head of Compliance in his/her absence, taking responsibility for departmental functions.



Work in close liaison with senior leaders and clinical teams within the Trust to ensure that Trust Care Groups and Units are aware of what is required by the CQC within all service lines.



Provide advice on compliance standards ensuring these reflect current best practice. Develop and lead an effective peer review framework across the Trust to enable individuals and teams to understand their compliance against fundamental standards of care.



Develop and co-ordinate a robust monitoring and reporting system and ensure the AMaT data management system is updated with evidence of compliance against the CQC fundamental standards of care.



Maintain and archive all evidential documents in line with required standards such as CQC self-assessment tools and all communication between the Trust and the CQC.



#TeamNottsHC comprises over 11,000 dedicated colleagues who #MakeADifference every day. We deliver intellectual disability, mental health, community health, forensic, and offender healthcare services across Nottinghamshire, Leicestershire, Lincolnshire, and South Yorkshire. Our care is provided from over 200 sites, spanning community locations, acute settings, and secure environments, including prisons.



We are one of the largest mental health and community Trusts in the East Midlands and one of Nottinghamshire's biggest employers. We also host national and regional services, such as the National High Secure Deaf Service and the Nottingham Centre for Transgender Health.



We offer a variety of employee-led staff networks, including Equality, Diversity, and Inclusion (EDI) groups, the Green Champions network, the Freedom to Speak Up network, the Health and Wellbeing Champions network, and the Menopause Champions network. These networks play a vital role in supporting our diverse workforce and promoting a culture of inclusivity.



The health and wellbeing of colleagues is a top priority. We invest significantly in this through our in-house occupational health and staff counselling services, supported by a dedicated Health and Wellbeing team.



The Trust is committed to reducing its carbon emissions, with a specialised Energy and Environmental team working to ensure compliance with environmental legislation, enhance our environmental performance, and achieve our net-zero commitment.



The post holder will work closely with the Head of Compliance to meet statutory obligations and standards for healthcare governance including with regard to the:



o Health and Social Care Act 2008



o Care Quality Commission (Registration) Regulations 2009



o Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.



o Mental Health Act 1983



o Mental Capacity Act 2005



To develop and deliver appropriate core/advanced training, development and educational packages to identified groups of staff including issues around compliance with regulated standards



Ensure all interventions are evidence based.



Evaluate the effectiveness of systems of work utilising audit to ensure quality assurance



Ensure compliance of accurate, timely and relevant records linked to compliance with regulated standards.



Implement and enforce the principles on infection prevention and control and comply with policy, procedure and guidance within a designated area.



Act as the expert and advise on the application of relevant, up-to-date legislation and national directives including the Mental health Act, Mental Capacity Act and Deprivation of Liberty Safeguards across the Trust.



Demonstrate excellent practice around the application of safeguarding responsibilities for children and vulnerable adults in line with policy, procedure and guidance, including making timely child and adult safeguarding referrals as required.



Facilitate patient and carer engagement and involvement as experts by experience and peer reviewers to participate in quality standards reviews.