Purpose of the Role
The Clinical Excellence Lead is the senior on-site clinical leader, responsible for ensuring
safe, evidence-based, person-centred and wellbeing-focused clinical care across the home.
They provide visible clinical leadership, deliver hands-on practice, oversee governance and
risk management, and ensure exceptional clinical communication every day.
They directly line manage Registered Nurses, lead the clinical handover structure, drive the
#FindYourEvelyn ACB programme, reduce avoidable hospital admissions, embed medication
safety, uphold documentation standards in Nourish, and ensure all residents—regardless of
whether they are nursing or residential—receive timely, appropriate and well-
communicated clinical oversight.
This role is a cornerstone of CHG’s clinical governance model and operates as the clinical
anchor for the home.
About The Role
Key Responsibilities
1. Clinical Leadership & Daily Standards
• Deliver visible, proactive clinical leadership every day.
• Lead safe, high-quality clinical practice aligned with CHG standards and external
professional frameworks.
• Provide structured, accurate daily nursing handovers to ensure clarity, risk
awareness and prioritisation.
• Role-model professionalism, clinical judgement, empathy and accountability.
2. Direct Clinical Practice (“In the Numbers”)
• Work directly alongside nurses and care partners delivering clinical and personal
care.
• Complete wound care, clinical reviews, monitoring, interventions and long-term
condition management.
• Ensure clinical care is consistent, dignified and aligned with personalised goals and
wellbeing outcomes.
3. Line Management of Registered Nurses
• Provide direct line management, supervision, capability oversight and pastoral
support.
• Ensure clinical competence, safe administration practices and consistent
professional standards.
• Complete “Our Suite” HR processes for all direct reports, including support,
progression and accountability.
4. Embedding #FindYourEvelyn (ACB Programme)
• Lead the #FindYourEvelyn Anticholinergic Burden (ACB) pathway, ensuring:
o completion of ACB assessments
o identification of moderate/high ACB scores
o timely follow-up reviews
o GP and pharmacy involvement
o evidence-based reduction planning
o clear documentation of all decisions, rationale and outcomes in Nourish
o involvement of families where appropriate
• Ensure ACB data feeds into the Governance Workbook and drives improvement.
• Use ACB findings to actively reduce clinical risk and avoid preventable hospital
admissions.
5. Specialist Clinical Pathway Oversight
• Provide oversight of core clinical pathways including:
o diabetes
o MUST assessments and nutrition
o hydration and fluid balance
o wound care and pressure injury prevention
o continence and catheter care
o respiratory conditions and oxygen
o pain management and PRN reviews
o behaviour support and ABC monitoring
• Ensure pathways are evidence-based, clearly documented and reviewed routinely.
6. Clinical Governance, Risk Management & Safety
• Lead clinical governance and ensure all risks are identified, escalated, documented
and tracked.
• Ensure compliance with MCA, DoLS and Court of Protection frameworks, embedding
best-interest processes.
• Maintain accurate oversight of clinical risks within the Governance Workbook.
• Lead or support internal governance meetings as required.
7. Deterioration Management & Escalation
• Ensure effective use of NEWS2, RESTORE2 or equivalent tools.
• Lead sepsis escalation approaches and ensure staff recognise triggers.
• Ensure escalation plans are understood by the full MDT.
• Maintain low avoidable hospital admissions through timely intervention and
monitoring.
8. Safeguarding & Root Cause Analysis
• Identify safeguarding concerns and escalate without delay.
• Undertake Root Cause Analysis (RCA) for clinical incidents and embed actions.
• Support safeguarding investigations as directed by senior leadership or external
agencies.
• Disseminate learning to improve practice across teams.
9. Behaviour, Mental Capacity & DoLS Compliance
• Oversee behaviour plans and ensure consistent monitoring of distressed
presentations.
• Ensure mental capacity assessments are completed, reviewed and appropriate.
• Lead best-interest decision making with full rationale documented.
• Ensure DoLS conditions are actioned, monitored and communicated daily.
10. Medication Safety, Homely Remedies & Covert Administration
• Lead impeccable medication governance including:
o ordering
o stock control
o storage
o reconciliation
o controlled drugs
o destruction
• Ensure Homely Remedies documentation, authorisation and recording is complete
and compliant.
• Ensure Covert Medication applications are fully completed with:
o best-interest decisions
o GP/pharmacy authorisation
o risk assessments
o care plans and supporting documentation
• Complete daily MAR chart sampling for accuracy and safe practice.
• Ensure self-administering residents are competency assessed and monitored.
• Ensure thickening agents are stored safely yet accessible as required.
11. Infection Prevention & Antibiotic Stewardship
• Sustain low infection rates through strong IPC practice and oversight.
• Complete IPC audits, walkarounds and escalation actions.
• Track antibiotic usage and promote antimicrobial stewardship.
• Ensure infection control updates and safety notices are actioned.
12. Documentation & Nourish Excellence
• Ensure care plans and risk assessments are robust, personalised and clinically
accurate.
• Ensure all clinical documentation is updated in real time and inspection-ready.
• Audit documentation routinely and provide targeted feedback.
13. Reporting, KPI Monitoring & Governance
• Prepare clinical reports as requested by the Head of Clinical Excellence.
• Track and act on all clinical KPIs including:
o falls
o wounds
o hydration
o nutrition
o behaviours
o infections
o medication errors
o hospital admissions
• Ensure all KPI actions and data feed into the Governance Workbook with evidence of
improvement.
14. Digital Clinical Intelligence
• Monitor digital alerts, weight trends, hydration prompts, bowel monitoring and
other clinical indicators within Nourish.
• Identify emerging patterns early and escalate proactively.
• Use digital dashboards to influence care planning and risk management.
15. Education, Coaching & Capability Building
• Provide clinical coaching, education sessions and reflective learning.
• Identify training needs and escalate for formal training where required.
• Build confidence and capability across the nursing and care workforce.
16. External Liaison (for ALL Residents)
• Engage with GPs, district nurses, mental health teams, therapists, discharge teams,
tissue viability and external specialists.
• Ensure every resident benefits from timely clinical review and appropriate referrals.
17. End-of-Life Care Leadership
• Deliver exceptional, compassionate end-of-life care.
• Ensure anticipatory medications, comfort plans and symptom management.
• Provide emotional support to families during decline and at critical moments.
18. Dining Experience & Clinical Alignment
• Ensure safe, consistent IDDSI levels, swallow guidance, fluid consistency and
nutritional risk management.
• Liaise with the Resident Experience Manager to ensure mealtime safety and dignity.
19. Emergency Preparedness & Response
• Oversee emergency equipment and emergency planning.
• Lead clinical responses during urgent incidents and embed learning.
20. Medicines Governance Reviews
• Lead quarterly medication governance reviews with pharmacy partners.
• Ensure findings and action plans feed into the Governance Workbook.
21. Admission & Discharge Clinical Safety
• Ensure new residents receive complete clinical onboarding including baseline
observations, risk assessments and ACB scoring.
• Ensure safe clinical discharge processes, including medication reconciliation and
transfer summaries.
22. Clinical Representation in Complaints & Investigations
• Provide accurate clinical information for complaints, safeguarding enquiries, coronial
investigations and CQC feedback.
• Ensure all findings are documented with clarity, evidence and professionalism.
23. Outcome-Focused Clinical Reviews (OCRs)
• Complete structured clinical outcome reviews for complex cases, repeated incidents
or deterioration concerns.
• Ensure learning informs care planning and team practice.
24. Workforce Planning Input
• Provide clinical insight for workforce planning, skill mix reviews and development
needs.
• Work collaboratively with the Culture & Engagement Manager to ensure clinical and
cultural priorities align.
25. Transformation, Innovation & Best Practice
• Act as an ambassador for CHG’s clinical strategy and transformation agenda.
• Support group-wide improvement programmes led by the Head of Clinical
Excellence.
• Share best practice and clinical learning across CHG.
Required Criteria
* Experience completing ACB assessments (#FindYourEvelyn) with reductions evidenced
* Impeccable medication safety standards
* Strong, confident and accountable
* Experience creating safe, personalised care plans and risk assessments
* Experience with end-of-life care
Skills Needed
About The Company
At Constantia Healthcare Group, we believe great care starts with great people. We are a values-driven organisation supporting individuals with age-related needs and complex care requirements, ensuring the people we care for remain at the centre of everything we do. Our teams are supported, respected and encouraged to grow, because we know that when our colleagues thrive, the quality of care we deliver thrives too. We are proud to be an organisation that invests in its services, develops its people and continually strives for excellence. Joining Constantia means becoming part of a team that genuinely cares about making a difference.
Company Culture
Constantia Healthcare Group is a growing care organisation dedicated to providing high-quality support for people with age-related needs and complex care requirements. Our approach is simple: put people first and build teams that feel supported, valued and proud of the work they do. We believe in strong leadership, clear values and a culture where colleagues are empowered to deliver the very best care. We are committed to continuously improving our homes, investing in our teams and raising standards across everything we do. If you want to work somewhere where your contribution truly matters, Constantia Healthcare Group is a place where you can thrive.
Company Benefits
At Constantia Healthcare Group we believe that when our colleagues feel supported, valued and recognised, they are able to deliver the very best care. That is why we offer a comprehensive benefits package designed to support both professional development and personal wellbeing. Our colleagues benefit from ongoing training and career development opportunities, annual salary reviews and a workplace pension scheme to support long-term financial security. Alongside this, we offer wellbeing support including confidential counselling and mental health resources, a paid day off on your birthday, a paid volunteering day, employee recognition awards, high street discounts and access to wellbeing initiatives. Additional benefits include referral bonuses, discounted gym membership, an electric vehicle salary sacrifice scheme and a strong network of colleagues across the organisation who support one another every day.
Vacation, Paid time off, Performance bonuses, Retirement plan and/or pension, Office perks, Employee development programs, Employee discounts, A diversity program, Free parking, Free work laptop, Referral bonus, Company retreats, Competitive salary, Long service recognition, Employee Assistance Scheme, Wellbeing Scheme, Blue Light Card, Shopping Cashback, Work With Charities, Employee Recognition Scheme, Culture of recognition, On the job learning, Progression opportunities, Access to Health & Wellbeing app, Staff celebration events, Company employee App
Salary
£37,500.00 - £40,000.00 per year