Fulcrum Care Limited
Interim Manager
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Interim Manager - Step In. Make a Difference
Some management roles are about keeping things ticking over. This isn’t one of them.
At Fulcrum Care, we are building a network of experienced Interim Managers who can walk into a care service, understand what is really happening, bring people with them and start making a difference quickly.
Sometimes you might be covering a management gap. Sometimes a service needs stabilising. Sometimes the regulator is watching closely. And sometimes a good service simply needs an experienced pair of hands to help it through a period of change.
First things first – What is Fulcrum Care?
We work across the UK health and social care sector with providers, investors, lenders and other stakeholders.
Our teams are brought in when organisations need experienced people who can help with everything from operational leadership and regulatory improvement to turnaround, quality assurance and strategic support.
We are not looking for someone who wants to stand at the side with a clipboard. We are looking for people who are comfortable getting involved.
You could be joining a service where:
- The Registered Manager has left unexpectedly
- The team needs stronger leadership and direction
- Quality or compliance concerns need addressing quickly
- An inspection is approaching
- Staffing, agency use or culture has become difficult
- Governance exists on paper but isn't quite working in practice
- Senior leaders need someone experienced on the ground who can tell them what is really happening
- A service is going through significant operational change
- Things simply need steadying before a permanent leader takes over
Our assignments can cover residential and nursing care, dementia, learning disabilities, autism, supported living, mental health, complex care and domiciliary services.
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So, what will you actually be doing?
1) Getting a grip on the service
You will:
- Quickly assess performance, risks and operational priorities
- Provide calm, visible and credible leadership
- Bring structure where things may have become unclear
- Take ownership of improvement and action plans
- Create accountability without creating unnecessary bureaucracy
- Keep the service safe and stable while improvements are being made
2) Making quality real
You may need to:
- Strengthen governance and quality assurance
- Address gaps in safeguarding, care planning, medication, incidents and risk management
- Make sure actions from audits and inspections are actually completed and evidenced
- Prepare services for regulatory inspection
- Support improvement following regulatory concerns
- Turn improvement plans into measurable action rather than another document sitting in a folder
3) Bringing the team with you
That could mean:
- Coaching managers and staff
- Re-establishing expectations and accountability
- Tackling recruitment, retention, absence or excessive agency dependency
- Improving supervision and performance management
- Strengthening communication across the service
- Rebuilding confidence after a difficult period
- Having the difficult conversations when they are needed – professionally and constructively
4) Keeping one eye on the numbers
Depending on the assignment, you may oversee:
- Staffing levels and workforce costs
- Agency usage
- Occupancy
- Budgets
- Operational KPIs
- Quality indicators
- Service performance
5) Being the person people can rely on
We expect our Interim Managers to be able to explain:
- Here's where we are
- Here's the risk
- Here's what we're doing about it
- Here's what happens next
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No drama. No smoke and mirrors. Just good leadership
You might be our kind of Interim Manager if...
You've been around care services long enough to know that the answer is rarely found entirely in a spreadsheet.
You are likely to have significant recent experience as a:
- Registered Manager
- Home Manager
- Service Manager
- Regional Manager
- Operational Manager
More importantly, you know how to run a service, not simply review one.
You will need:
- Strong knowledge of UK health and social care regulation
- Demonstrable experience managing quality, governance and operational performance
- Strong safeguarding and risk management knowledge
- Experience leading and developing care teams
- The ability to identify priorities quickly and turn them into practical action
- Confidence working independently and making decisions
- The credibility to work with frontline teams and senior executives alike
- Confidence engaging with commissioners, regulators and external stakeholders
- The flexibility to travel to assignments across the UK
- Appropriate Enhanced DBS clearance
- The right to work in the UK
Even better if you have...
We are particularly interested in hearing from people who have experience of:
- Turnaround and service recovery
- Regulatory improvement
- Supporting Inadequate or Requires Improvement services
- CQC, CIW, Care Inspectorate or other relevant regulatory bodies
- Managing occupancy, budgets, workforce costs and agency reduction
- Working across multiple care specialisms
- Previous interim, consultancy or project-based assignments
If that sounds like you, we'd be pleased to have a conversation.
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