Practice Manager

Job Title: Practice Manager/Compliance Manager

Location: West Byfleet, KT14

Salary: £48,000

Work Pattern: Full time (Part Time can be considered for the right person)

Job Description

Your role will see you lead the company’s CQC regulatory framework and ensure full compliance with all CQC registration requirements. This is crucial for meeting legal and regulatory standards, maintaining high quality, and achieving operational excellence. Your success will be measured by passing yearly mock inspections and CQC inspections, timely and accurate compliance reporting, effective internal audits, and continuous improvement in compliance performance across the company.

You will assume the roles of CQC Registered Manager / Nominated Individual (after your probation period) and ensure that these responsibilities are comprehensively met.

LINE MANAGER:

Report to The Board

YOUR REPORTS:

Your Compliance team reports directly to you and includes 2 administrators carrying

out compliance and HR activity. It is your responsibility to ensure that their roles align with overall

compliance, fostering a collaborative culture, providing mentorship and support to drive excellence.

Duties

• Regulatory Oversight
• Lead all aspects of CQC regulation across the company. Ensure full compliance with inspections, requests, and applications for new regulations or changes.
• Assume the roles of CQC Registered Manager / Nominated Individual (after your probation period) and ensure that these responsibilities are comprehensively met.
• Documentation and Quality Management
• Oversee the Document Control System to ensure all company documentation remains controlled, current, and compliant with regulations.
• Manage the production, review, and updates of key documents, including policies, procedures, manuals, and the Quality Manual, to reflect evolving business needs.
• Internal Audits, Risk Assessments and Performance Analysis
• Lead internal audits, Risk Assessments, analyse reports, and ensure follow-up on outcomes to maintain continuous improvement in compliance performance across all sites.
• Conduct root cause analysis for significant events and complaints, ensuring corrective actions are implemented and reported to the team.
• Maintain Business Asset List ensuring that all equipment remains calibrated (where applicable)
• Governance and Review
• Enhance inter-team relationships and processes through training on compliance and quality-related activities, fostering a culture of continual improvement.
• Maintain the Company’s Governance Framework, Management Review, Team & Clinical meetings
• Robust external consultant and specialist GP checks to meet our Practicing Privileges policy
• Human Resources meets CQC compliance
• Facilities across all locations meet CQC compliance
• Compliance Culture and Training
• Develop and implement compliance training programs to ensure all staff are aware of and adhere to regulatory requirements, data protection and information security.
• Foster a culture of compliance and ethical behaviour across the company, ensuring alignment with legal standards and best practices.
• Ensure all computer systems and data remain secure and serve as the first point of contact for individuals regarding data processing concerns.
• Ensure compliance with the Data Protection Act and GDPR, advising staff on Information Governance requirements and monitoring via internal audits.
• Provide training for staff involved in data processing, managing internal data protection activities, and acting as the Data Controller.

Please note that the duties and responsibilities outlined above are not exhaustive. You may be required to perform other tasks and duties as needed, in line with the needs of the business. This flexibility ensures we can adapt to changing circumstances and continue to meet our business goals effectively.

Requirements

· Experience of a similar role

· Experience of line management

· Strong knowledge of CQC legislation and guidance

· Ability to remain calm, and instil calm amongst the team

· Someone who has been a CQC Registered Manager or Nominated Person (Desirable)

This job role will involve working around vulnerable people therefore your employer may be required to check whether you have a criminal record via the Disclosure and Barring Service (known as a DBS check). You will also be asked questions as part of our self-disclosure section on the application form. We operate a fair recruitment process and do not discriminate. Any information you provide will be considered fairly and lawfully.

Due to the nature of our work applicants must be aged 18 or over.

We are committed to being an equal opportunities company, as are all the companies we work with. All applicants will be considered fairly and free from prejudice or discrimination.

We are very proud to say that we have signed the mental health at work commitment. We are passionate about mental health, and we are dedicated to doing everything we can to promote mental well-being, support people who are struggling and breakdown the stigmas of mental health problems. We only work with companies who share our beliefs and care for their employees’ metal health and well-being.