Quality, Compliance & Governance Manager

Location: Multi-site, with regular travel across all Serencroft homes

Hours
: 40 hours per week

Salary: £50,000 to £60,000 depending on experience

Role Overview

To own quality, regulatory compliance, and governance across all Serencroft homes: acting as the named lead for CQC and other regulatory relationships, including registration of new acquisitions; leading clinical governance and quality improvement across the group; leading the response to serious safeguarding, complaints, and regulatory escalation matters; keeping policy current against regulatory change; running a full annual KLOE-aligned compliance inspection at each home;

and providing the Board with assurance through governance reporting, a group risk and quality register, and cross-site trend analysis. Line manages the Compliance Officer and Business & Compliance Support Officer, who retain their current duties and hours. Provides senior clinical leadership across the group's nursing workforce, setting and assuring clinical standards and competency frameworks for all Registered Nurses; and leads monthly one-to-one performance and KPI review meetings with each Home Manager.

To step in the Home Manager role where the Home Manager is absent, with relocation as per the business needs.

Monday to Friday, full-time — hours to be confirmed, with flexibility for site travel and occasional out-of-hours regulatory or safeguarding response.

• Act as the named lead for CQC correspondence, and inspection responses across the group.
• Maintain current working knowledge of CQC regulations, guidance, and enforcement approach; brief the Head of Operations on regulatory changes affecting the group.
• Represent Serencroft in formal regulatory engagement, supporting the Nominated Individual as required.
• Lead CQC registration applications for new acquisitions and newly registered locations, including Statement of Purpose, registered manager applications, and liaison with CQC through to registration confirmation.

• Lead the response to serious safeguarding concerns across all homes, coordinating multi-agency and social worker involvement through to closure.
• Represent the provider at Safeguarding Adult Reviews and Serious Case Reviews.
• Oversee the safeguarding/DoLS referral tracking maintained by the Compliance Officer, ensuring timely escalation of serious cases.
• Act as deputy safeguarding lead for the organisation, providing cover and additional capacity for serious or concurrent concerns.

• Lead oversight of clinical governance across all homes, including falls, medication safety, pressure ulcer prevention, infection prevention and control, end-of-life care, and clinical risk management.
• Analyse group-wide clinical quality indicators and identify emerging themes, risks, and learning opportunities.
• Lead investigations and thematic reviews arising from serious incidents, safeguarding concerns, complaints, and regulatory feedback.
• Ensure lessons learned are embedded into practice across all services through action plans, training, and governance forums.
• Set and assure clinical competency standards for Registered Nurses across the group, including skills assessment and clinical supervision frameworks.
• Provide expert clinical guidance to Home Managers and nursing teams on complex clinical decision-making, including end-of-life care, tissue viability, and deteriorating resident escalation.

• Act as the senior clinical authority for nursing practice across the group, setting and monitoring clinical standards for all Registered Nurses.
• Lead a group-wide clinical competency and CPD framework for nursing staff, incorporating skills assessment, clinical supervision, and development planning.
• Ensure Registered Nurses maintain NMC registration and Code compliance; oversee revalidation support and manage fitness-to-practise referrals where required.
• Oversee medicines management and controlled drug governance across the group, including resolution of controlled drug discrepancies and escalation of urgent medication safety concerns.
• Lead clinical incident review and root-cause analysis for serious adverse clinical events, ensuring learning is embedded into nursing practice.
• Chair a group Clinical Governance Forum bringing together Home Managers and senior nursing staff.
• Provide clinical sign-off on care planning documentation and clinical policy…