Facilitating Change in Health and Social Care Management

Facilitating Change in health and genial caveat guidanceSummary There makes to be a summary of the major points, conclusions, and recommendations. It necessitate to be short as it is a general overview of the report. Some commonwealth allow for read the summary and further skim the report, so make sure you allow all the germane(predicate) study. It would be best to write this last so you forget include everything, even the points that might be added at the last minute. Normally it expire with past tenseIntroduction correspond to Kotter (1999), spay focal point is a set of principles, techniques, and prescriptions embed to the human aspects of executing major form initiatives in faceal settings. It is strategic legal document position by concentre to re-direct the use of resources, crease mathematical operation, budget allocations, or other modes of operation that radically reshape a comp some(prenominal). The focus of this report is on beacon fire coast ha ndle inhabitation(BECH), a oversee home that stands support and make out for 33 throng with Dementia. An review article was broadcasted on 21th and 22th of November 2016, and on the 13 of December 2016 unannounced by the kick prime(prenominal) Commission (CQC) and the outcome of the focusing indicated that beacon light butt on tending inhabitation has non do any betterment based on the recommendations of the first inspection suffered by CQC and the home does not consent a registered coach-and-four on duty at the time of the inspection. Regulatory luggage compartment later found out that BECH does not even commit a registered passenger vehicle as stipulated under Health and fond tending trifle 2008 (Edwards, 2013).The acquit indicated that it is mandatory that registered departrs of commission have a registered psyches. A Registered mortal have legal responsibility for make foring the requirements under Health and companion commensurate C argon set 2008 and has the necessary qualifications, competence, skills and experience to supervise the focussing of the adjust activity (CQC, 2017). The looker of this report lead be the new managing director of BECH and leave be responsible for machineing veer within the organisation. The manager will desire to identify and make required adjustment overs before the next inspection by CQC jibe to Kotter (1999), to execute variety show in an organisation, the firm have to see to it their environment, their strengths and helplessnesses and identify atomic number 18as of progress that could lead to shift management. Hence, to come upon a cle atomic number 18r of pictures of the problems facing pharos leap Care root word, the researcher will make to administer a PEST psychoanalysis to identify the strength and weakness and areas of rise of BECH.The key factors that sight bring change in beacon fire adjoin Care substructure management is be by conducting identifyi ng the strength, weaknesses, areas of improvement as well as turning weaknesses to opportunities. The PEST Analysis and rig out Analysis will be deployed as factors that ordure drive change in Beacon Edge Care sign of the zodiac. A PEST analysis is an analysis of the external macro-environment that affects all firms. It helps organisation to determine how political, economic, tender and engine room can intrusion the performance and activities of an organisation in the long-term (Daft, 2011). semipolitical Factors Beacon Edge Care Home would assess the political factors touch its organisation for failing to comply with regulatory bodies like Care Quality Commission. In the report, CQC indicated that their recommendations from the first visit was not implement and BECH violated wellness and preventative Act 1974 by not having adequate electric charge jut outs and fortune estimations to welcome the individual demand of people who used their helping and medicates incli ned to usefulness substance abusers were poorly managed, hence people are placed at venture of not receiving their medicines as prescribed (Devorshak, 2012).BECH breaches disparate regulations in the BECH for not providing adequate dole out for their usefulness users. Person centred approach was not leading light during the CQC visit, there was deficiency of good governance and mental facultying, table servicers were abandoned the wrong medicine and topical anaesthetic wellness and social circumspection professionals were concerned about the conflicting of management team in the home. For the new manager to facilitate change in the organisation, all regulatory bodies and environmental issues will request to guessd and change to accomplish the ingest of the service users.Economic Factors Beacon Edge Care Home should review their employment policies and ensure that it is in compliance with wellness and neighborly upkeep requirement of employing candidate that have the right skill set needed in the establishment (Devorshak, 2012). The report indicated that service rendered by BECH to their clients was not adequate and round leave out the understanding and the requirements of the Mental capacitance Act 2005. Training and cultivation strategy will need to be deployed by the new manager to continually improve the skill of the workforce.Social Factors The manager of Beacon Edge Care Home would need to conduct critical evaluation how the organisation reckon the needs of the patients Beacon Edge Care Home. The gap in service delivery will enable the manager to understand the areas that need immediate change (Devorshak, 2012). The CQC report indicated that employees of the organisation have no idea how to execute the cultural and social needs of the patientsTechnologyThe new manager of Beacon Edge Care Home should investigate how technology can enhance the delivery of persona service to their patients. This can be conducted by expression at authentic whole step cycle of the service fork upd and factor areas that will be easier to implement with the entre of technology.SWOT AnalysisSWOT Analysis (Strengths, Weaknesses, Opportunities and Threats) is a strategic tool used by organisations to understand their strengths and weaknesses, and to identify their opportunities and threats (Rego and Nunes, 2010).Strengths and weaknesses analysis the inborn social organisation of the organisation, while opportunities and threats generally relate to external factor that the production line do have support of (Rego and Nunes, 2010).The researcher will focus on the internal structure of the Beacon Edge Care Home by looking at the strengths and weaknesses.Strengths The strength of Beacon Edge Care Home is the faculty. citizenry that were spoken during the inspection indicated that the cater were very caring, pleasant and helpful. Patients were comfortable with the mental faculty as well as they find them very friendly helpfu l. Further, visitant to the home as well indicated that the staff were excellent. The management is blessed with good staff. However, the management escape lead and do not follow the regulatory bodies criteria specially noncompliance with Health and Social Care Act 2008.WeaknessesBeacon Edge Care Home lack leadership. CQC report on the inspection of BECH indicated that the care and service provided by the organisation is not fit for purpose. Confidential cultivation is not kept secured and did not meet the requirements of the Data Protection Act 1998. There are catalogues of regulation breaches and there is was no registered person on the premises during the time of the inspection that can help the organisation to meet the requirement of polar regulatory bodies. The two major weaknesses are lack of leadership and skilled workers that understand the requirement of Data protection, Act, Health and synthetic rubber Act 1974 and the Mental cogency Act 2005.The new managers will need to esteem the weaknesses of the organisations such noncompliance with regulations bodies, lack of leadership and lack of discipline for the employees in lodge to implement changes in the organisation. The home has good and employ staff, Beacon Edge Care Home can tap into by providing leadership, firstly getting a registered person on board and providing culture and development for existing staff as well as employing staff with key skills to fill the gaps identified.Opportunities The new managers can help to turn things al just about in the organisation. There is opportunity to recruit and train existing staff on polar requirements associated with health and social care The report by CQC on BECH highlighted most of issues the partnership need to resolve and this presents the opportunity for BECH to implement these changes in order to improve their rating health and social care rating, customers satisfaction, staff satisfaction and other stakeholders1.2 The challenges t hat key factors of change bring to health and social care servicesBusiness organisations are face up with different challenges. The health and social care organisations are not immune from these challenges as well. The critical evaluation of the Care Quality Commission report on Beacon Edge Care Home clearly shows that the organisation is approach with dissimilar challenges such as overleap of management supportfiscal resources Equipment Lack of leadership,Training and development for employeeShortage of staff with key skills,Maintaining personaEffective use of resourcesNoncompliance with different regulatory bodies.Lack of communion and coordinationTo implement change, Beacon Edge Care Home must organise these issues.1.2.1 Lack of leadershipThe CQS report on the home shows that the organisation lack leadership. Daft (2011) describe leadership as individual that have the index to inspire, mobilise and encourage people to achieve the goals of an organisation. A leader has to b e organised, have the ability to delegate task and ensure that all the mail of the business is consistent with all the goals of the organisation. Beacon Edge Care Home lack leadership that is organised, coherent and the ability to inspire staff to meet the objectives of the home (Edwards, 2013). For instance, there was no registered manager on duty during the inspection and no senior management oversight to help ensure utile timber monitoring and improvements were carried out. The management of Beacon Edge Care Home would need to employ a registered manager according to the Health and Social Care Act 2008. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.1.2.2 Lack of management support Change is hard to implement without the support of the management. shoring up (2012) suggested that management should be in the forefront of supporting desirable change because such change will increase the profitability of the company. It is obvious from the showcase study that the management of BECH is in shambles and the management do not have an idea of what is needed to improve the delivery of their services to their patients. This is star of the main challenges facing the organisation. The managers must employ a democratic leadership that will enable all employees to cultivate a culture of quality assurance in order for BECH to meet the regulatory bodies requirement and to in effect meet the needs of their service user.1.2.3 fiscal Resources The crop of implementing change in an organisation can be affected with lack of financial resources. Financial resources whitethornbe recruiting top notch manager, training employee to meet the expectation of customers or fund to acquire new equipment. In the case of BECH, the business is faced with different problems and financial constraints maybe one of them. It could be the reason why the company did not e mploy competent and skilled workforce for potent management of their operations and services.1.2.4 Lack of dialogue and coordinationCommunication at Beacon Edge Care Home was ineffective, wrong drugs are given to patients, staff are not clear on their roles and management Care plans were not focused on upon individual preferences, choices, needs and abilities, in addition, patients received inconsistent care because staff focused on tasks rather than supporting people with their individual needs and preferences. The roles of individual staff need to be define and the quality of their work would need to be monitor by their supervisor. supervisory program should schedule meetings with staff on a regular basis to go on what need to be achieved and the approaches staff need to deployed to achieve those goals.2.1 In resemblance to the CQC report on Beacon Edge Care Home, the strategy and criteria for metre recent changes in health and social care have to be effective and efficient . Hence, it is ingrained to set up a system that will allow the organisation to know the changes made will work, how to know changes that resulted in improvement and which changes is most vital and have resulted in the most hearty improvement. Thus, by collection info before, during, and after the change have been implemented, Beacon Edge Care Home can measure, evaluate, and compare their home arm with respect to the goals set out. The process of measuring changes should be simple to implement and have immediate impact. Based on these facts, the researcher decided to deploy the use of questionnaires and deals, interview with service users and employees and discussion with other stakeholders to measure improvement in the services provided by Beacon Edge Care Home.According to Davis (2010), criteria is a standard set by organisation as crisscross that is decided upon. Setting criteria will enable Beacon Edge Care Home to identify areas that needed improvement and base line for measurement. The Home will need to consider the new and previous recommendations made by CQC which that services provided by the Home have to be effective, responsive, safe, well-led and caring in order to meet the expectations of their service users. A strategy is the direction and grasp of an organisation over the long-term which achieves advantage for the organisation through its bod of resources within a challenging environment, to meet the needs of markets and to fulfil stakeholder expectations. The plan for strategic and measurement will need to address the factors identified by the CQO in the report and to meet the criteria of the Health and Safety Act 2008.Questionnaire is a qualitative method that can be used to measure gain ground information from service user about enduringness of the service provided. According to Creswell (2014), questionnaire is a research pawn with a written set of questions given to people to collect facts or opinions about a study. It a compara tively cheaper and efficient way of collecting large amounts of information a exemplification of people. In the case, the questionnaire will be design to rate the effectiveness of the service provided, if the staff are responsive and caring, also if the Home conduct encounter assessment on their patients and their environment. This will provide a compressive idea of the changes that have been implemented is effective and improve the level of service to the stakeholders. Questionnaire is an effective instrument because it will provide management fast result and it can be easily quantified. It can be used to measure customer or staff satisfaction.Interview is a qualitative approach of gathering information from participants. Interviewing involves asking questions and getting answers from participants in a study. Interviewing has a variety of forms including individual, face to face interviews and face-to-face group interviewing. The asking and answering of questions can be liaise by the telephone or other electronic devices (e.g. computer (Wiley, 2014). Interviews can be structured, semi-structure or unstructured. The use of interview techniques at Beacon Edge Care Home to collate data from patients and other stakeholders will provide an insight into the quality of service rendered by the organisation. This can be a semi structured interview by asking patients about particular question about the quality of service and the organisation is meeting their needs in terms of caring, responsive and effective. These approaches and strategies will enable the management of Beacon Edge Care Home to measure the effectiveness of the changes made to meet the criteria of the CQO. CQC drives improvement in the quality of health and social care services. It regulates against the adaption requirements set out in regulations to the 2008 Act. These are the requisite standards of quality and safety that providers are legally required to meet. These standards therefore represe nt the minimum quality bar which all providers of regulated activities must meet and should not drop-off below.2.2 Measuring the impact of recent changes on health and social care services against set criteria Creswell (2014) defined data collection as the process of gathering and measuring information on variables of interest, in an established self-opinionated fashion that enables one to answer stated research questions, test hypotheses, and evaluate outcomes. In the case of Beacon Edge Care Home, compliance and inclination report, employee engagement and participation, Issue, compliance and error logs, ceremony of behaviour change, employee feedbacks and employee readiness assessment results were used to measure the recent changes against the set criteria. Observation of employee engagement with service users, issue, compliance and error logs as well as the employee feedbacks provided significant information about the changes made at Beacon Edge Care Home against the recomme ndations made by the CQO.The changes ade by the manager of BECH has enhanced the communication betwixt care workers and service user, improved the pro fancy of person centred care, the management if medicine which was a major problem before and effective care home engagement to ensure that patients are not exposed to any hazard or risk that may cause them harm.2.3 The overall impact of recent changes in health and social care The recent changes made by the manager and management has improved the quality of service provided by by Beacon Edge Care Home. The appointment of a registered person that understand the criterias and codes of conduct of health and social care, enabled the organisation to comply with various regulations and legislations. For instance, a competent and qualified person was assigned by the manager to monitor and measure health and safety agencys in the organisation. This include conducting risk assessment, reports of incident, communicating changes in operationa l model to management etc. The registered person on the other hand ensured that training and development are provided for employees, observation conducted to ensure staff are effective and responsive on delivering their duties and survey on patients to measure their level of satisfaction. In most organisation, changing the slipway of doing things can either lead to positive or negative outcome. However, the most essential is to have management that is open to change and not horrified to implement new approaches. Hence, Beacon Edge Care Home need to continuously monitor and measure the changes that have just been implemented and also look for areas of improvement to in order to meet the ever-changing needs of their service users (Shore, 2012).2.4 Propose appropriate service chemical reactions to recent changes in health and social care servicesThere many approaches and techniques BECH can deployed to response to recent changes in health and social care services The Care Act 2014 underpin the way people receive care and provide a vehicle to communicate changes health and social care services. Regarding BECH, the management can response to recent changes in health and social care services through the followingTraining The case study highlighted BECH lack skilled employees that understand the regulatory requirement of working in health and social care organisation. This will need to be addressed either by employing skilled workers or providing training for old workforce to gain the competency of needed to be a care worker.Compliance with different regulatory bodies requirements There were different breaches of regulations during the inspection by CQO. For instance, confidential data were not kept secured (Data Act violation), Health and Safety of service user and staff did not comply with the requirement of Mental Capacity Act 2005. The new registered person or manager has to ensure that the cultivate a culture of quality management and effective communication of different policies, procedure and regulations of health and social care to the workforceContinuous quality improvement of services rendered by the organisation BECH should continue toi improve the level of their service delivery through the quality management tools like Kaizen quality control or quality cycle of Deming. According to Coy and Adams (2012) quality Management tools help organisation collect and analyse data for employees to easily understand and interpret information. Quality Management models require extensive cookery and collecting relevant information about end-users. Customer feedbacks and expectations need to be cautiously monitored and evaluated to deliver superior quality products. By embracing this approach, BECH, management will be able to meet and exceed the expectations of their service users.Embrace current best practice to treating people and supporting the specialist needs of people living with dementiaBECH provides care and home for people with demen tia. It is essential the company lassie with other service providers, professional sand specialist in the field of providing care for people with dementia in order to provide appropriate and adequate service to their clients.monitor and managing medicines administered in the way that meet the requirement of the regulatory body To meet the requirement of Mental Capacity Act 2005, the manager BECH have to monitor and manage the way drugs are administered to their patients. This was one of the findings in the inspection by CQO, patients were given the wrong drugs which can make their situation worse.3.1 The key principles of change managementIn the todays business environment, change is inevitable and understanding the principles of change is equally vital. There different principles of change that Beacon Edge Care Home can deploy to meet the expectations of their service users and the objectives of the organisation. John M Fisher and John Kotter are change management theories that hav e made significant contribution to the subject. Others are Kurt Lewins change management model, Burke-Lewins causal change model action research gap analysis and Kbler Ross transition cycle. The researcher will focus on John Kotters Change Model that consist of eight stages.3.1.1Establish a sense of urgency Beacon Edge Care Home need to implement change immediately to meet the criteria and recommendations of the CQO3.1.2 Form a efficacious guiding coalition The organisation need to employ a registered manager that will help coordinate the process to meet the recommendations set on the report about the Home.3.1.3Create a clear vision The manager and management have to set a clear vision on what they need to achieve and the changes that need to be made for the survival of the business.3.1.4 Communicate the vision The objectives will need to be communicated to the employees and other stakeholders.3.1.5 Empower others to act on the vision Training and development for employees, recruit ment of skilled specialist is crucial to meet the vison set for change.3.1.6 Plan and create short-term wins The plan to me measurable in short term and long term to know if the changes implemented is working.3.1.7 Consolidate improvements and produce still more change Need to conduct survey, questionnaires and interview to measure improvement and benchmark the process in order to continuously improve the quality of the service delivery.3.7.1 Institutionalise new approaches after measurement of the impact of change and improvement, areas with positive outcomes and improve should be institutionalised.3.2 How changes in health and social care are plannedThere are different approaches and techniques that can be deployed in health and social care setting to manage and plan change. However, it is essential to identify areas that needs change and improvement. Regarding Beacon Edge Care Home, the areas that need change and effective readying are the management ardour, Staff development needs, communication channel and reconditioning. In addition, changes in health and social care have to consider the local authority, CCG, community needs, quality of care and finance available to BECH before planning can commerce.3.2.1 Management style is the principles that underline the methods, abilities and techniques managers use in manipulation situations and expressing leadership within an organisation (Moss and Moss, 2012). The report on the services rendered by Beacon Edge Care Home by CQO was classified as been ineffective, unresponsive, unsafe and not well managed. The management style deploy by the organisation is not meet the needs of the service users and the goals of the Home. The report indicated that employees do not have an understanding of their roles and duties, hence, the management are communicating with staff about what is expected of them. By embracing a paternalistic style of working the manager decide what is best for the employees as well as the organiz ation. The policies are devised to benefit the employees and the organization. In addition, employee play a part in the decision making and roles and duties of individual staff are communicated to them. By deploying management style, employees would feel attached and loyal to the organisation.3.2.2 Staff development needs is essential to meet the needs of the service users, in the report, CQO indicated that staff lack the essential training to be a mental nurse. And there were breaches of regulation in relation to person centred care, safe care and treatment, safeguarding service users from abuse and indelicate treatment, meeting nutritional and hydration needs, good governance and staffing. Lack of staff development through training has led to the health care provider providing pathetic care. There was also lack of effective communication channel between the management and employees which made it difficult for staff to understand their roles and duties in the establishment. By in vesting in training and development, staff will be able to acquire the necessarily skills to conduct their duties appropriately and effectively.3.2.3 Reconditioning refers to an organisation restructuring their goals and objectives to meet the criteria and regulations of arena they operate (Moosavi, 2009). Beacon Edge Care Home clearly deviated from the codes of conduct of health and social care and the criteria of the CQO. Reconditioning will enable the organisation to evaluate the regulations and legislation they have to adhere to meet the criteria of CQO in order to meet the expectations of their service users.3.3 Monitoring recent changes in health and social care servicesEffective monitoring of change in the health and social care involves the systematic and analyse of information collected to measure change and meet objectives and help management to make informed decisions (Haluza and Jungwirth, 2016). The monitoring process comprises of internal and external analysis to meas ure changes. Internal analysis will usually involve supervisors, managers, clinical audit team, team leaders or a registered person. While, external monitoring comprises of CQC, CCGs, Monitor, Audit Commission and Health inspectors. Monitoring is essential in an organisation because it helps to track implementation and outputs systematically, and measure the effectiveness of programmes. It helps determine exactly when a programme is on track and when changes may be needed (Haluza and Jungwirth, 2016). There are various approaches Beacon Edge Care Home can embed to monitor the impact of change in the organisation, some of the techniques are reviewing the service delivery, supervision, shadowing, observation, audits, feedbacks, interviews and questionnaires.ReferencesCreswell, J. (2014). Research design. world-class ed. Los Angeles clear-sighted Publications.Daft, R. (2011). Leadership. inaugural ed. S.l. South Western Cengage learning.Devorshak, C. (2012). Plant pest risk analysis . 1st ed. Cambridge, MA Cabi.Edwards, N. (2013). Implementation of the Health and Social Care Act. BMJ, 346(apr03 1), pp.f2090-f2090.Green, G. (2002). Training and development. 1st ed. Oxford, U.K. Capstone Pub.Haluza, D. and Jungwirth, D. (2016). ICT and the future of healthcare Aspects of pervasive health monitoring. Informatics for Health and Social Care, pp.1-11.Kotter, J. (1999). 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