Compliance Coordinator- Band 6

Job overview

Supports the Group retain oversight of external agency visits, including those from regulators, and works to ensure the organisation can provide evidence to demonstrate compliance. Supports the of Compliance Manager to provide the Group with a clear view of its compliance with expected standards of care and support proactive work to identify risks and bridge any gaps associated with non-compliance. The post holder will specifically work with the Compliance Manager in delivering unconditional registration with the Care Quality Commission. Support a programme of work designed to test compliance through visits and testing of assurance data. Provide line management oversight to the Compliance Administrator and oversees the wider directorate administrative resource to ensure a seamless support function.

Main duties of the job

Contributing to Care Quality Commission (CQC) readiness across the Group

Working with the Compliance Manager, ensure that external agency visits (including CQC) that require support from the central Compliance team have a comprehensive plan in place and take an active lead role in seeking out necessary evidence from within the organisation of compliance.

Support in the effective communication of key messages, that are sometimes contentious, to result in a positive and constructive outcome

Support with all elements of inspection activities including in preparation and planning, support with logistical arrangements for the visit including support to collating requests for evidence, obtaining the evidence

Identifying key compliance related risks facing the Group and ensure these are recorded and, supporting the Compliance Manager, identify mitigations.

Detailed job description and main responsibilities

Develop and implement quality assurance systems derived from monitoring processes of Group activity and performance against local and national guidelines and policies of the Group, by means of local inspections, visits, scrutiny of assurance data where information already exists or the development of surveys and audits to obtain data for this purpose. Participate in these programmes designed to test compliance. Assist in the scrutiny of compliance at divisional level. Contributing to Care Quality Commission (CQC) readiness across the Group by supporting the Compliance Manager analyse, triangulate and report on outcomes from quality assurance systems and identify evidence of compliance and seek assurance that this is becoming embedded into routine practice. Working with the Compliance Manager, ensure that external agency visits (including CQC) that require support from the central Compliance team have a comprehensive plan in place and take an active lead role in seeking out necessary evidence from within the organisation of compliance, building strong networks with a wide range of stakeholders, and submitting this in line with tight deadlines, and in line with appropriate data security principles. Maintain comprehensive records to register evidence provided. Ensure systems are in place to assess the quality of data and evidence, checking for accuracy of data entered and ensuring completeness prior to submission. Working diligently and with close attention to detail support the process to check external agency visit reports (including CQC) for factual accuracy and lead on the process to collate this to enable the Group to respond within timescales. Assist in the accurate sourcing and collation of both qualitative and quantitative data and information, triangulating multiple data sources and work streams to produce clear reporting that provides assurance to the Group and external agencies (including CQC). Support in the effective communication of key messages, that are sometimes contentious, to result in a positive and constructive outcome (i.e. whistleblower concerns, CQC concerns and CQC inspection outcomes). Support with all elements of inspection activities including in preparation and planning, support with logistical arrangements for the visit including support to collating requests for evidence, obtaining the evidence, sense checking this along with effective organisation skills to ensure interviews and focus groups are arranged and prepared for. Provide expert guidance and support to the Group in the development of local services aspiring to ‘good’ and ‘outstanding’ characteristic ratings within CQC domains of care and CQC self-assessment toolkits (Key Lines of Enquiry (KLOE) and quality statements). Assist in the review of documents utilised as compliance evidence and seek to ensure these are regularly reviewed and assessed to improve and meet regulatory standards. Develop strong and effective working relationships with key stakeholders, including within Divisions and develop and maintain systems to ensure action plans are agreed, implemented and monitored by the relevant services/clinical teams and support with preparation of regular reports on the progress of projects. Support sharing areas of good practice and support with constructive challenge of proposed actions. Advising the Compliance Manager on progress and any potential gaps or issues that may put compliance at risk. Identifying key compliance related risks facing the Group and ensure these are recorded and, supporting the Compliance Manager, identify mitigations. Oversee, populate, update and report from the external agency visits register on an ongoing basis to ensure that external agency visits, including those from high-profile celebrities and VIPs are visible and any risks highlighted. To be responsible for providing line management for the Compliance Administrator, effectively delivering a managerial function to include appraisal and development plans, annual leave management, conduct and performance and grievance management. Ensure the Compliance Administrator delivers on their respective objectives and priorities in support of the Team’s objectives and priorities. Provide oversight arrangements and guidance to the Directorate’s administrative resource to ensure that they support Directorate teams through proactive forward planning, scheduling of internal papers being required, issuing of timely reminders and cross cover arrangements to support with administration of meeting duties (i.e. taking minutes, action notes and support with agenda calls for papers as necessary. Managing and implementing multiple projects at any one time and prioritising own time and workload effectively and flexibly to meet deadlines and other needs arising. Maintaining and developing own knowledge by attending further training, briefings, conferences as required, and mandatory training. Maintaining an awareness of local and national developments that will have impact across the Group. Advising, supporting and training colleagues within the team and across the Group, in large and small groups and individually, on relevant areas as required. Develop effective working relationships with the Group’s Communications Team and support with the sharing and communication of key proactive and reactive messages to prepare and equip the staff. Contributing to the development of a culture of continuous improvement, challenging orthodoxy and the established way of doing things, promoting evidence based approach, where positive change is more welcomed than resisted.