Registered Manager Job description
Specialist Mental Health Service
Location: Broomfield, Essex
Provider: Enrich Home Care Ltd
Reporting to: Nominated Individual / Responsible Director
Hours: Full-time
Salary: Competitive, dependent on experience
Contract: Permanent
CQC Registration: The successful candidate will be expected to apply for and obtain CQC registration as Registered Manager for the Broomfield service and applicable regulated activities.
About the Role
Enrich Home Care Ltd is seeking an experienced and highly capable Registered Manager with a strong mental health background to lead the development, mobilisation and ongoing management of our proposed specialist mental healthcare service in Broomfield, Essex.
This is a senior leadership appointment and an opportunity to play a central role in establishing a new service from mobilisation through CQC registration, opening and ongoing operation.
We are particularly interested in candidates with experience of acute mental health, crisis services, inpatient mental health services and/or Health-Based Places of Safety (HBPoS).
Knowledge and practical understanding of the Mental Health Act 1983, particularly Sections 135 and 136, would be highly desirable.
The successful candidate will provide day-to-day leadership and accountability for the regulated service and work closely with Enrich’s Nominated Individual, senior clinical leaders, commissioners and external partners to establish a safe, effective, person-centred and well-governed mental health service.
Key ResponsibilitiesCQC & Regulatory Leadership
· Act as the CQC Registered Manager for the Broomfield service, subject to successful CQC registration.
· Lead and support the preparation of the Registered Manager application and CQC readiness process.
· Ensure the service operates in accordance with the Health and Social Care Act 2008, associated regulations, CQC Fundamental Standards and applicable CQC guidance.
· Maintain continuous readiness for CQC assessment and inspection.
· Ensure the service’s Statement of Purpose, policies, procedures and operational practices accurately reflect the approved service model and regulated activities.
· Maintain robust systems for quality assurance, governance, auditing, risk management and regulatory compliance.
· Ensure statutory notifications are submitted appropriately and within required timescales.
· Work closely with the Nominated Individual and senior leadership team, providing transparent reporting on quality, safety, incidents, staffing and regulatory risks.
Mental Health Act Leadership
· Demonstrate strong working knowledge of the Mental Health Act 1983, Mental Health Act Code of Practice and associated legal and professional responsibilities.
· Ensure robust systems are in place for recording and monitoring patients’ legal status, rights and applicable Mental Health Act requirements.
· Support safe and lawful management of people who may be detained or assessed under the Mental Health Act, within the scope of the service’s approved registration.
· Work effectively with Approved Mental Health Professionals (AMHPs), Section 12 approved doctors, Responsible Clinicians, police, ambulance services and other mental health professionals.
· Ensure staff understand the distinction between Mental Health Act detention, consent to treatment, Mental Capacity Act authority and other relevant legal frameworks.
· Ensure patients are informed of their rights and have appropriate access to advocacy.
Sections 135 & 136 / Health-Based Place of Safety
Experience or strong working knowledge of Sections 135 and 136 of the Mental Health Act is highly desirable.
The Registered Manager should be able to demonstrate understanding of:
· The purpose and legal framework of Sections 135 and 136.
· The role and responsibilities of police, AMHPs, doctors and healthcare providers.
· Health-Based Place of Safety pathways.
· Safe acceptance, assessment, transfer and discharge processes.
· Monitoring the commencement, duration and expiry of detention powers.
· Escalation where assessments cannot be completed within statutory timescales.
· Patients’ rights, dignity, privacy and access to advocacy.
· Mental and physical health assessment during crisis presentations.
· Safe management of high-risk presentations, including self-harm, suicide risk, violence, aggression, intoxication and acute deterioration.
· Effective multi-agency working with police, ambulance, emergency departments, crisis teams, AMHP services and local mental health services.
The Registered Manager will contribute to developing and testing Broomfield’s local Mental Health Act and crisis pathways before the service becomes operational.
Clinical & Operational Leadership
· Provide visible, accountable leadership across the service.
· Lead the safe mobilisation and opening of the Broomfield service.
· Establish a strong culture of person-centred, trauma-informed and recovery-focused mental healthcare.
· Ensure appropriate admission, assessment, care planning, review, transfer and discharge processes.
· Ensure the service operates within clearly defined admission and exclusion criteria.
· Oversee the management of clinical and operational risks.
· Ensure appropriate systems are in place for physical health assessment, deterioration and emergency transfer.
· Ensure safe medicines management and appropriate pharmacy governance.
· Ensure appropriate observation, engagement and risk-management practices.
· Promote the reduction of restrictive practices and ensure any restrictive interventions are lawful, proportionate, necessary and appropriately reviewed.
· Ensure robust arrangements for safeguarding adults and responding to allegations, concerns and incidents.
· Maintain appropriate emergency and business-continuity arrangements.
Quality, Governance & Patient Safety
· Establish and maintain an effective clinical and operational governance framework.
· Maintain and regularly review the service risk register.
· Lead or oversee audits, quality monitoring and service improvement plans.
· Ensure incidents, safeguarding concerns, complaints and near misses are appropriately reported, investigated and learned from.
· Promote a strong culture of openness, learning and Duty of Candour.
· Monitor quality indicators and identify emerging themes and risks.
· Ensure appropriate governance of restrictive practice, medicines, physical health, safeguarding and Mental Health Act compliance.
· Produce quality and performance reports for Enrich’s senior leadership and commissioners.
· Ensure learning from incidents, complaints, audits and patient feedback results in measurable improvement.
Workforce Leadership
· Participate in establishing the appropriate 24/7 staffing model and skill mix for the final commissioned service.
· Recruit, develop and retain a competent multidisciplinary workforce.
· Ensure safer recruitment requirements are consistently followed.
· Ensure staff receive appropriate induction, mandatory training and specialist mental health training.
· Maintain oversight of staff competencies, supervision and appraisal.
· Ensure appropriate management and clinical leadership arrangements are available at all times.
· Develop a strong deputy and senior management structure to ensure operational resilience.
· Monitor staffing levels, vacancies, agency usage, sickness and workforce risks.
· Promote a positive culture where staff feel able to raise concerns and contribute to service improvement.
Multi-Agency & Commissioner Relationships
Develop effective working relationships with relevant partners, potentially including:
· NHS commissioners and Integrated Care Board representatives
· Local NHS mental health services
· Approved Mental Health Professional services
· Police
· Ambulance services
· Emergency departments
· Consultant psychiatrists and Section 12 approved doctors
· Responsible Clinicians
· GPs and physical healthcare services
· Pharmacy services
· Advocacy services
· Local authorities
· Safeguarding teams
· Families and carers, where appropriate
The Registered Manager will represent Enrich professionally at operational, safeguarding, quality and commissioner meetings.
Essential Experience & Qualifications
Candidates should be able to demonstrate:
· Substantial experience working within mental health services.
· Significant management or senior leadership experience within a regulated health or mental health environment.
· Recent experience of managing or leading services supporting people with complex or acute mental health needs.
· Strong practical knowledge of the Mental Health Act 1983 and Mental Health Act Code of Practice.
· Good working knowledge of the Mental Capacity Act 2005 and consent/best-interest frameworks.
· Strong understanding of safeguarding adults.
· Knowledge of CQC requirements and experience working within a CQC-regulated service.
· Experience of clinical/operational governance, audit, incident management and quality improvement.
· Experience managing multidisciplinary teams and/or 24-hour services.
· Experience managing staffing, recruitment, supervision, performance and workforce development.
· Ability to demonstrate effective risk management and decision-making in complex situations.
· Excellent written and verbal communication skills.
· Ability to work confidently with commissioners, healthcare professionals and external agencies.
· Ability to demonstrate the competence, skills, experience and personal integrity expected of a CQC Registered Manager.
Highly Desirable
We would particularly welcome applicants with:
· Current or previous professional registration as a Registered Mental Health Nurse (RMN) or another relevant healthcare professional.
· Previous experience as a CQC Registered Manager within a mental health service.
· Leadership experience within an acute inpatient mental health service, crisis service and/or Health-Based Place of Safety.
· Direct operational experience involving people detained under the Mental Health Act.
· Practical experience or detailed knowledge of Sections 135 and 136 of the Mental Health Act.
· Experience working with police, AMHPs, Section 12 approved doctors and ambulance services within crisis pathways.
· Experience managing high-acuity mental health presentations.
· Knowledge of restrictive-practice reduction, restraint governance and the Mental Health Units (Use of Force) Act 2018.
· Experience of suicide and self-harm prevention, violence and aggression management and enhanced observations.
· Experience of medicines governance and physical-health monitoring within mental health settings.
· Experience opening, mobilising or significantly transforming a regulated mental health service.
· Experience preparing a service for CQC registration, assessment or inspection.
· Experience working with NHS commissioners or within NHS-commissioned services.
Personal Attributes
We are looking for someone who is:
· Calm and credible in high-risk and high-pressure environments.
· Confident making difficult operational decisions.
· Strong on professional boundaries and accountability.
· Highly organised and evidence-focused.
· Comfortable challenging unsafe practice.
· Visible and accessible to staff and patients.
· Committed to dignity, human rights and least-restrictive practice.
· Able to combine compassionate leadership with strong governance.
· Transparent when things go wrong and focused on learning and improvement.
· Comfortable working within a developing service where systems must be built, tested and continuously improved.
Mobilisation Responsibilities
This appointment is intended to be made during the development of the Broomfield service.
The successful candidate will therefore be expected to contribute actively to mobilisation, including:
· CQC Registered Manager application and interview preparation.
· Development of the location-specific Statement of Purpose.
· Review and development of mental health policies and procedures.
· Development of Mental Health Act governance arrangements.
· Sections 135/136 and Health-Based Place of Safety pathways where applicable to the final service model.
· Workforce modelling and recruitment.
· Training and competency frameworks.
· Clinical and operational risk assessments.
· Environmental and ligature-risk assurance.
· Medicines governance.
· Safeguarding arrangements.
· Incident management systems.
· Emergency and physical-health escalation pathways.
· Local multi-agency agreements.
· Quality assurance and audit systems.
· Pre-opening simulations and readiness exercises.
The Registered Manager will be expected to provide professional assurance to the Nominated Individual and senior leadership team regarding whether the service is operationally ready to open safely.
Important Regulatory Position
The Broomfield service is currently in development and its final service specification, patient cohort, capacity, regulated activities and Mental Health Act functions remain subject to confirmation and the necessary regulatory and commissioning approvals.
Appointment to this role does not mean that Enrich is currently authorised to provide the proposed specialist mental health regulated activities at Broomfield.
The successful candidate will play a key role in developing the final operating model and supporting Enrich through the required CQC registration and mobilisation process before the service accepts patients.
Application
Applicants should provide a CV demonstrating their relevant mental health leadership experience.
Applications should clearly highlight experience in the following areas where applicable:
Mental Health Act | Sections 135 & 136 | Health-Based Place of Safety | Acute Mental Health | Inpatient Mental Health | Crisis Services | CQC Registered Management | Safeguarding | Restrictive Practice | Clinical Governance | Service Mobilisation
Pay: £40,000.00-£80,000.00 per year
Application question(s):
- Have you got the level 5 diploma in leadership and management for adult care?
Experience:
- Registered Manager: 5 years (preferred)
- Mental health registered manager : 5 years (preferred)
Work Location: In person