
Lavinia Postolache
Clinical Governance | Quality | Operational Leadership | Service Improvement
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About
Registered General Nurse with over fourteen years of experience across NHS and independent healthcare, combining clinical leadership, governance, quality assurance and operational management within elderly care, Continuing Healthcare, complex care and specialist neurological rehabilitation. Experienced in strengthening governance frameworks, improving quality standards, leading multidisciplinary teams and supporting regulatory compliance through clinical audit, governance reviews, risk management and evidence-based service improvement. A collaborative and analytical healthcare leader who builds strong professional relationships while maintaining objectivity, professional integrity and a continuous improvement mindset.
Experience
Deputy Clinical Lead – Specialist Neurorehabilitation at Active Care Group (2026-03 – 2026-09)
Supporting clinical governance, quality assurance and operational leadership within a specialist neurological rehabilitation service providing care for adults with acquired brain injury (ABI), traumatic brain injury (TBI), stroke, progressive neurological conditions and complex physical disabilities.
- Supported the delivery of clinical governance through governance reviews, medication audits, documentation audits and quality monitoring activities.
- Reviewed clinical records, care plans and risk assessments, identifying governance gaps, emerging risks and opportunities to strengthen regulatory compliance and patient safety.
- Analysed incidents, safeguarding concerns, complaints and Datix reports, contributing to Root Cause Analysis (RCA), organisational learning and evidence-based action planning.
- Contributed to the development, implementation and monitoring of Service Improvement Plans (SIPs), evaluating progress and supporting sustainable quality improvement.
- Supported Service Oversight Process (SOP) reporting by reviewing governance information, monitoring progress against agreed actions and escalating risks where appropriate.
- Produced governance summaries, audit outcomes and quality reports to support senior management discussions and service improvement priorities.
- Developed governance trackers, audit tools and monitoring systems to improve oversight, accountability and compliance across clinical services.
- Introduced structured governance meetings, pre-MDT reviews and multidisciplinary handovers, strengthening communication, clinical oversight and decision-making.
- Supported inspection readiness through governance reviews, action tracking and continuous monitoring of compliance against organisational standards.
- Led and supported competency assessments, structured induction, clinical supervision and workforce development, promoting safe practice and consistent standards of care.
- Worked collaboratively with multidisciplinary teams and senior leaders to embed a culture of continuous quality improvement, accountability and shared learning.
Unit Manager at Exemplar Health Care (2025-01 – 2026-03)
Provided clinical and operational leadership within a specialist complex care service, supporting governance, workforce development and regulatory compliance while ensuring safe, effective and person-centred care.
- Supported governance frameworks through regular clinical audits, documentation reviews and quality assurance activities.
- Monitored compliance with organisational policies, CQC standards and internal quality frameworks.
- Reviewed quality indicators, incidents and audit findings, identifying trends and supporting evidence-based service improvements.
- Oversaw safeguarding processes, clinical risk management, care planning and documentation standards.
- Led multidisciplinary teams, promoting accountability, reflective practice and high standards of professional conduct.
- Supported recruitment, structured induction, supervision, appraisal and competency assessment for nursing and care staff.
- Worked collaboratively with the Home Manager to implement governance actions, monitor progress and strengthen operational performance.
- Coordinated multidisciplinary communication to ensure safe clinical decision-making and continuity of care.
- Deputised for the Home Manager, maintaining operational oversight, governance and service delivery during periods of absence.
Clinical Lead Nurse at Berkeley Care Group (2023-03 – 2025-01)
Provided clinical leadership within a premium elderly care service, supporting governance, quality assurance and the delivery of safe, person-centred care for older adults with complex nursing, dementia and palliative care needs.
- Supported clinical governance through medication, documentation and quality audits, identifying opportunities to strengthen compliance and improve consistency of care.
- Reviewed care plans, risk assessments and clinical documentation to ensure safe practice and regulatory compliance.
- Monitored medication governance, investigated medication-related incidents and implemented actions to reduce clinical risk.
- Supported safeguarding investigations, clinical incident reviews and quality improvement initiatives.
- Analysed audit findings and governance information, identifying recurring themes and opportunities for service improvement.
- Led clinical supervision, competency assessments and mentoring programmes, supporting professional development across multidisciplinary teams.
- Worked collaboratively with the Home Manager to implement governance actions and monitor quality outcomes.
Continuing Healthcare Assessor at NHS Arden & GEM CSU (2022-01 – 2023-08)
Completed independent Continuing Healthcare assessments for adults with complex physical, neurological and cognitive needs, applying objective clinical analysis to support evidence-based funding decisions in accordance with the National Framework for NHS Continuing Healthcare.
- Conducted Decision Support Tool (DST), Fast Track and eligibility assessments for highly complex cases.
- Reviewed and analysed comprehensive clinical evidence from multiple healthcare professionals and organisations.
- Produced detailed, evidence-based assessment reports presenting balanced clinical analysis and professional recommendations.
- Maintained professional independence, analytical judgement and objective decision-making throughout the assessment process.
- Participated in multidisciplinary case reviews, presenting evidence to support complex funding decisions.
- Supported Personal Health Budget reviews and ongoing evaluation of complex care packages.
Senior Nurse – Neurorehabilitation at Castel Froma (2018-11 – 2023-03)
Delivered specialist neurological rehabilitation nursing for adults with acquired brain injury and complex disabilities, supporting rehabilitation programmes, multidisciplinary care planning, clinical governance and risk management within a specialist rehabilitation environment.
- Monitored medication governance, investigated medication-related incidents and implemented actions to reduce clinical risk.
- Supported safeguarding investigations, clinical incident reviews and quality improvement initiatives.
- Analysed audit findings and governance information, identifying recurring themes and opportunities for service improvement.
- Led clinical supervision, competency assessments and mentoring programmes, supporting professional development across multidisciplinary teams.
- Worked collaboratively with the Home Manager to implement governance actions and monitor quality outcomes.
Registered Nurse at Avery Healthcare (2017-01 – 2018-11)
Delivered nursing care across orthopaedic rehabilitation, dementia and elderly care services, maintaining high standards of clinical practice, documentation and person-centred care.
Registered Nurse at University Hospitals Coventry & Warwickshire NHS Trust (2017-06 – 2017-10)
Provided acute oncology and haematology nursing care within a multidisciplinary hospital environment, ensuring safe practice, accurate clinical documentation and effective communication.
Registered Nurse at Hatchmoor Nursing Home (2015-06 – 2017-06)
Provided nursing, dementia and end-of-life care for older adults with complex healthcare needs, maintaining safe practice and supporting regulatory standards.
Nursing Lecturer at Nursing & Pedagogy College (2012-01 – 2015-05)
Delivered theoretical and practical nursing education, mentoring future healthcare professionals and promoting evidence-based practice, clinical competence and professional accountability.
School Nurse Coordinator at Local Council of Bacău County (2012-01 – 2015-05)
Coordinated school health services, vaccination programmes and public health initiatives, working collaboratively across healthcare and education sectors to improve health outcomes for children and young people.
Registered Nurse at Intensiv Pflege Dienst (2011-09 – 2012-01)
Delivered complex home nursing care for adults requiring tracheostomy management, PEG feeding, long-term ventilation and palliative care within community settings.
Education
MSc in Psychology
BSc (Hons) in Business Management & Leadership – University of Roehampton
Level 6 in Mentorship Qualification – Birmingham City University
Professional Qualification in Registered General Nurse (Adult Nursing)
Qualification in Nursing Lecturer Qualification
