SAL Healthcare Services
Nominated Individual and Private Client Development Lead (Part Time)
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SAL Healthcare Needs a Permanent Nominated Individual (NI)
SAL Healthcare needs a permanent Nominated Individual (NI): one or two days a month, above the Registered Manager, free to say when he's got it wrong.
That's me, Nathan Kiflom. Registered Manager, sole director and interim NI, doing both jobs. Skills for Care says CQC doesn't see that as best practice and it leaves no critical friend. I won't dress it up.
The other half is opening doors to Dorset's private clients, on 20% of the net profit after wages on every package you bring in, for its first twelve months.
The base is £150 a governance day (8 hours, £18.75 an hour), fixed by design, statutory holiday on top.
Why this role exists
Our previous NI stepped down in July 2026. We told CQC that day, and again in our September 2026 Provider Information Return: we want a permanent NI and independent oversight back above the Registered Manager. I want the second viewpoint, not the quiet life.
Skills for Care's handbook answers the question senior people ask first. The NI has no statutory responsibilities beyond those of any other employee, and CQC has no powers to hold an NI personally to account for non-compliance, because it holds the organisation responsible. The same handbook puts commercial awareness and marketing the business inside the NI role, which is why this job has two halves.
What you'd be responsible for
Under Regulation 6 you supervise the management of the regulated activity (personal care), hold the Registered Manager to account, and you're CQC's senior point of contact. At our size that means:
- One governance day a month against a written agenda: audits, incidents, safeguarding, complaints, notifications, training compliance.
- A short written oversight note after it, a quarterly deep dive, and our first inspection with you there.
- Senior escalation point for CQC, and the independent route for any concern about the Registered Manager.
- Time with the care team, developing me as a manager, keeping us current as the regulations move, and a seat in strategic planning.
What it isn't
- No on-call, no rota, no shifts, no call-outs, no nights, no day-to-day staffing.
- You get direct access to the director (currently the same person as the Registered Manager), a written scheme of delegation, the right to escalate in writing including to CQC directly, a clean resignation route, and scope for a board appointment once the fit and proper person checks are complete.
- Governance days are in Bournemouth: in the records, with the care team, and where a family agrees, a conversation with someone we support. The rest you do from wherever you work.
Two doors, one gate
One of these two, not both. The NI duties come with either.
Door one, regulatory: current or former Registered Manager or NI, former CQC inspector, former council commissioning or brokerage lead, care quality consultant, or an NMC-registered nurse stepping back from clinical practice. Current on the CQC single assessment framework and the fundamental standards.
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Door two, connected: you already move in Dorset's private-client world (private-client solicitors, ideally Solicitors for the Elderly accredited, Court of Protection deputies, wealth managers and independent financial advisers, private GPs and consultant geriatricians, retirement developments, the clubs and congregations where these families are) and can make introductions that turn into care packages, with names you're happy for us to check.
Both doors go through one gate: senior experience of holding a manager to account on compliance somewhere regulated or safety-critical (care, health, law, education, finance, housing, charity trusteeship with a safeguarding remit), and two examples at interview. Come through door two without care experience and we'll require and fund a knowledge bridge: a regulations assessment within 30 days, passed before your name goes to CQC, Skills for Care's NI learning within 60, probation against a signed development plan.
The growth side
The buyer is usually the adult child living elsewhere. Live-in, couples live-in and complex care fit best. What you're introducing people to: published rates, live-in capability, digital records the family can watch, one named carer per client where possible, and a Registered Manager who does every assessment personally and can staff what gets introduced.
No referral fees to solicitors or anyone else. Nobody's asked to lean on a commissioner or a former employer, and if you've come from council commissioning we'll agree in writing which doors stay shut and for how long. I alone decide whether a package can be safely staffed and accepted.
The money
You get 20% of the net profit after wages on each package you personally bring in, for that package's first twelve months, whoever funds it, paid monthly through payroll on money actually collected, with a one-page statement per package.
Net profit after wages means what we collect for the package less every carer cost of delivering it (wages, employer National Insurance where paid, pension, holiday, sick cover, travel, mileage, agency cover), before business overheads. Per package, not a share of company profit. Nothing on existing clients, bad debt, or a package I've declined as unsafe to staff. A lead is yours once you've logged it with us, naming the source, before the assessment visit, and the family or referrer confirms the introduction.
Illustrations only, at published rates and typical staffing, for a package that runs a full year:
- Hourly, 14 hours a week: in the region of £2,000 to you in year one.
- Single live-in: in the region of £6,000 to £7,000.
- Couple's live-in: in the region of £9,000 to £10,000.
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The base is deliberately small and deliberately fixed: one governance day a month guaranteed at our current size, a second at the same rate when the service needs it, any extra hours we ask for at the same rate. It never moves with revenue, so your governance judgement is never priced. Business-development time is yours to shape and is paid through the commission. Any package you introduced is marked as yours on every governance agenda, so the interest is on the table whenever it's discussed. As the service grows, so do the governance days, and the base with them.
Legal reality and the on-ramp
A part-time employed senior management role with the company, because Regulation 6(2)(a) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 requires the NI to be employed as a director, manager or secretary.
After offer, for everyone: an enhanced DBS check, with the adults' barred list where the role's eligibility allows (we arrange and pay), two references, full employment history and health declaration, as CQC requires. We check ID and right to work before the paid visit, and we don't sponsor. The appointment is subject to notification to CQC. Once your DBS and references are back, we can pay your first governance day or two before that notification goes in, with me staying as the NI on CQC's record until they have your name, so you're not saying yes to a service you haven't seen. We're an equal opportunities employer: tell us what you need and we'll make reasonable adjustments.
SAL in numbers
Premium home care in Bournemouth, serving private clients across Poole, Christchurch, Wimborne, Ringwood and wider Dorset. CQC-registered on 19 August 2025 for personal care and not yet inspected, so we're working towards our first rating. Five self-funding clients, including live-in. Five care staff. Visiting care from £34 an hour, live-in from £1,750 a week, and we're the only Dorset provider publishing live-in prices. Billing up roughly tenfold since February 2026. On Dorset Council's framework since September 2025, which is approval to bid and a door for later. Clean regulatory history.
Process
A 20-minute call with me, then a paid two-hour governance visit (day rate, pro rata) to see how we actually run: audits, incident and safeguarding logs, training matrix, policies. Signed confidentiality undertaking, client-identifying detail redacted, me in the room. Then an offer. Everyone hears back within 14 days.
How to apply
Apply through LinkedIn, or email info@salhealthcare.co.uk, with your CV and a few lines on an inspection you've been through and what you changed, or your last introduction that became business. If you're the connector but not the governance person, tell us anyway. That's a different conversation from the NI seat, and we'd still like to have it.
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