Quality and Compliance Manager

Reports to:

Directors

The Quality & Compliance Manager will provide independent oversight of governance, regulatory compliance, and quality assurance across all BSL Care services.

The role exists to ensure:

• All services are inspection-ready at any time
• Managers are held accountable to clear standards
• Directors have full visibility of compliance risk
• Continuous improvement is embedded across the organisation

This is a structured, systems-driven role focused on prevention, early intervention, and measurable improvement.

1. Independent Quality Assurance & Auditing

• Conduct full-service audits across residential and supported living services (quarterly minimum)
• Undertake announced and unannounced spot checks, including evenings and weekends where required
• Audit care plans, risk assessments, MAR charts, daily notes, incident reports and safeguarding documentation
• Produce detailed, evidence-based audit reports with clear action plans and deadlines
• Track completion of actions and elevate repeat non‑compliance to Directors

2. Governance & Systems Development

• Design and maintain live compliance trackers, including:
• DoLS tracker
• Training compliance tracker
• Supervision and appraisal tracker
• Incident and safeguarding log
• Audit action tracker
• Develop structured quality dashboards for Director oversight
• Standardise documentation and audit tools across all services
• Ensure policies and procedures remain aligned with CQC regulations

3. Safeguarding Oversight

• Review safeguarding concerns and reporting timelines
• Monitor thresholds and ensure timely notifications to external bodies
• Identify patterns or repeat risks and implement corrective action
• Escalate serious concerns directly to Directors

4. Inspection Readiness

• Lead mock inspections aligned to CQC Key Lines of Enquiry
• Prepare services for CQC inspections
• Ensure documentation and evidence folders are inspection‑ready at all times
• Support services to achieve and maintain Good or Outstanding ratings

5. Manager Accountability & Support

• Meet monthly with Registered Managers to review compliance performance
• Monitor repeat audit failures and drive improvement
• Provide structured feedback and coaching where required
• Support Managers in embedding sustainable quality systems

Within six months the post holder will:

• Implement a live compliance dashboard across all services
• Ensure 100% of DoLS are accurately tracked and within legal time frames
• Complete oversight of incidents and safeguarding compliance
• Achieve 95%+ training compliance across services
• Reduce medication errors through competency monitoring
• Ensure audit actions are closed within agreed deadlines
• Establish clear inspection readiness standards across the organisation
• Minimum 3 years' experience in a quality, governance or compliance role within health and social care
• Strong working knowledge of CQC regulations and the Health and Social Care Act 2008
• Experience auditing residential and/or supported living services
• Proven ability to challenge non-compliance confidently and professionally
• Strong report writing and analytical skills
• Experience working across multiple sites
• Full UK driving licence and access to own vehicle
• NVQ Level 5 in Leadership for Health & Social Care
• Experience preparing services for CQC inspections
• Experience implementing compliance dashboards or quality systems

• Calm, firm and evidence-led
• High integrity and professional standards
• Structured and detail-oriented

Solutions-focused with a continuous improvement

• Company events
• Employee mentoring programme
• Free parking
• On-site parking

• Thurncourt LE5 6EA
  : reliably commute or plan to relocate before starting work (preferred)