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Health Care Management Assignment

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Added on  2020-06-06

Health Care Management Assignment

   Added on 2020-06-06

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EFFECTIVENESS OF CARE MANAGERS IN SUPPORTING SOCIAL CARE WORKERSTO ENABLE THEM TO IMPROVE THE QUALITY OF CARE IN RESIDENTIAL CAREHOMES FOR DEMENTIA PATIENTS IN ENGLAND
Health Care Management Assignment_1
TABLE OF CONTENTSChapter 1 : Introduction...................................................................................................................11.1ContextofresidentialcareservicesinEngland...............................................................1Aim........................................................................................................................................31.2Theobjectivesofthedissertation....................................................................................31.3Overviewofthestructureofthisreport..........................................................................3CHAPTER2 : LITERATUREREVIEW.......................................................................................62.1ConceptofManagement..................................................................................................62.2Theconceptofmanagementinrelationtoqualitycare...................................................72.3 ImpactofManagementfunctionsonthequalityofcareprovidedtothedementiapatients................................................................................................................................................92.3.1Planning........................................................................................................................92.3.2Organizing...................................................................................................................102.3.3Leading........................................................................................................................112.3.4Controlling...................................................................................................................112.4 Leadership models and theories.....................................................................................122.4.1 Transformation theory ................................................................................................122.4.2 Change management theory........................................................................................132.4.3 Eight factors of receptivity..........................................................................................152.5 Management styles.........................................................................................................162.5.1 Theory Y versus Theory X..........................................................................................162.5.2 Total quality management (TQM) theory...................................................................172.5.3 Management by objective:..........................................................................................182.6 Performance management overview..............................................................................192.7 Summary of literature review ........................................................................................20REFERENCES..............................................................................................................................21
Health Care Management Assignment_2
Chapter 1 : Introduction1.1ContextofresidentialcareservicesinEnglandResidentialcareservicesareconsideredas those care services that are meanttoprovidelongtermcareandsupporttothepeoplelivinginresidentialcarehomes.Thereareenormousnumberofresidentialhomesavailableforpeoplewhoneedsalongtermcare.Itmayinvolvechildren,adultsetc.,whobecauseofsomereasonsdonotliveintheirhomeandsotheyliveinresidentialcarehomes.Someverywellknownexamplesofthisincludesthepeoplewhoareadealingwithsomemajordiseasesorillness.ThereportfocusesonunderstandinghowcaremanagersprovidesupporttothesocialcareworkerssothattheycanbeabletomakeimprovementsinthequalityofcareandtreatmentthattheyprovidetothepeopledealingwithDementiaintheresidentialcarehomes.TheCareStandardsAct2000definesacarehomeas“anyhomewhichprovidesanaccommodationandpersonalcareforthemembersofthecommunitywhoisorhasbeenill(includingmentaldisorder),isdisabledorwhohasapastorpresentdependenceonfactors such asdrugsorAlcohol”.Acarehomeprovidessupporttopatientswithaviewtoenablethepatientstoliveanindependentlifeoftheirchoice.Hence,aresidentialcarehomeemployssocialcareworkerswhosupportpatientstomeettheirdailylivingactivitiesthatincludepersonalhygiene,medicationmanagement,mobilisingsafelywithintheirownenvironment,managingincontinenceneeds,accesstolocalcommunities,managingnutritionandhydrationneeds.SomeresidentialcarehomeshavebeenregisteredinEnglandand their forte istomeetaspecificcareneedsuchasdementia.Residentialcarehomessupportingpeoplewithdementiasymptomshavebeenarecentkeyfocusonpolicydevelopment,promptinggovernmenttosetoutavisionforreforminthequalityofcarewiththeaimofprovidingpersoncentredcarethatpromotesandensuresindividualneedsforwellbeing,independenceanddignity.AspertheCareAct2014,itfocusesonthewaysofmakingsomesuitableandrelevantmodificationsinthesocialcarelaw.Itmeansinvestigatingabouttheoneswhoareintheneedofcareandsupport.Also,itmakesasuitableassessmentthatcanhelpinresolvingsomeofthefactorsandafterthatitcantesttheimpactofthesenewaccessedfactorsonthepersonwhetheritishavingapositiveimpactornot.1
Health Care Management Assignment_3
ThecurrentfundingforresidentialcareinEnglandiscomplex,hasvariationinwhatpeopleareentitledtoandseemfinanciallyunsustainabletocopewiththedemandsoftheelderlypeopleespeciallythosepresentingwithdementiasymptoms.TherearevariousmeansoffundingthatisprovidedforthedementiapatientsinUK.AspertheNHSfundingcarefornursing,allthepatientswhoaredealingwithdementiaandareresidingintheresidentialhomesaresupposedtogetsomeamountfortheirtreatmentprocedure.ItisconsideredasaveryvaluableinitiativebythegovernmentofUKbecauseitisobviousthatthesepeopleliveatresidentialcarehomes,sotheydonothaveafixedsetofincome.So,itisobviousthattheyarenotcapableenoughofprovidingthemanefficientrangeofcareandtreatment.Thispromptedthegovernment’swhitepaperwhichwaspublishedinMarch2010withtheaimofbuildingtheNationalCareServiceplantoreformtheexistingresidentialcaresystemfortheelderlypeople.Thisplanensuresafairfundingsystem,freeatthepointofuse,ensuresindividualchoice,andsupportsfamily,socialcareworkersandthewidercommunity.TheframeworkforresidentialcareinEnglandprovidesanimportantbackgroundforsocialcarebutisunderfinancialpressureduetorisingexpectationsfromthewidercommunity,increaseinthenumberoftheageingpopulation,newregulatoryapproachestablishedbytheCareQualityCommission(CQC),limitedfundingsupportandanincreaseinmediacoverageaboutpoorperformanceandqualityofcare.FollowingasurveyconductedbyRoyalCollegeofNursinginJanuary2017,asnapshotoftheprevailingsituationaboutqualityofcareinEngland’sresidentialcarehomesectorspecificallyfocusingonstaffingandworkplaceissueswaspublished(BritishMedicalAssociation,2017).Anumberofconcernswereemergedfromthissurveyanditwasrecordedthatanumberpatientswerebeingadmittedinresidentialcarewithhigherlevelofdependencyandcomplexsocialcareneeds.Thiswasaseriouschallengetocaremanagerswhowererequiredtosupportsocialcareworkerstoimprovequalityofcareamidstlimitedfundingandsupportfromrespectivelocalauthoritiesamidstrecruitingcompetentstaff.Theaveragestaffingratioinresidentialcarehomeswasonestaffto4patientsemployedtoprovidecareandsupporttochallengingpatientsdiagnosedwithdementiasymptoms.Thereisneedforurgentreformandthisresearchaimsatidentifyingway2
Health Care Management Assignment_4
sinwhichcaremanagerscaneffectivelysupportsocialcareworkerstoimprovethequalityofcareinresidentialcarehomesamidsttheprevailingcircumstances.AccordingtothereportfromthedepartmentofHealth(2017),thesocialcarebudgetsurveyindicatesthattheproposednationallivingwage(NLW)whichcameintoeffectinApril2016ishavingasignificantimpactonthecostofresidentialcareprovidedtotheelderlypeopleincarehomes.MuchofthesocialcareworkforceislowpaidandwillbenefitfromtheNationalLivingWage(NLW)whichissetat£7.20anhourthisyearandisboundtoriseto£9anhourby2020.Itisestimatedthatitwillcostlocalauthoritiesapproximately£151millionplusatleast£227.5millioninimplementationandassociatedcostsin2017/18.Thiswillaffectbothdirectcouncilcostsandincreasedproviderfees.Thenationallivingwagewouldbeabletohelpmorethan7millionlowpaidworkersbutthiswouldincreasethecostsofoperatingresidentialcarehomesinEngland.AimToanalysetheeffectivenessofcaremanagersinprovidingsupporttothesocialcareworkersinordertoimprovethequalityofcaretheyprovideinresidentialcarehomestothepeopledealingwithdementia.1.2TheobjectivesofthedissertationTo identify the challenges faced by staff in residential care homes caring for people withdementia especially those with very high needs.To identify the support required by social care workers to enable them improve their job. To identify how Care home managers can address the needs of staff, improving the performance of the home and individuals.To critically review the policies of NHS England with respect to staff development andtraining of social care workers in residential care homes dealing with dementia patients. 1.3Overviewofthestructureofthisreport3
Health Care Management Assignment_5
ChapteronegivesageneralintroductionaboutthecontextofresidentialcareinEngland.Itindicatesthegrowingfinancialpressuresexperiencedbyresidentialcarehomesamidstanincreaseinthenumberofolderpersonswhohavecomplexsocialcareneedsandrequiresocialcarefunding.ItoutlinesthecurrentchallengesfacedbyCaremanagerstoensurecontinueddeliveryofqualitycareinresidentialcarehomeswithlimitedfundingfromrespectivelocalauthorities.Thischapterprovidesthewholeanalysisofwhatisbeingdoneandimplementedinthewholereport.Itinvolvesthefactorsthatthecareworkersleadstoprovidesomesortofsupporttothesocialcareworkerssothattheycanbeabletoprovideabetterqualityandstandardtreatmenttothepatientsdealingwithdementiaandareresidingintheresidentialcarehomes.ChapterTwoconsiderstheliteratureandexaminestheconcepts,keyelements,perspectivesandsupportingtheories.Onthebasisofthebasicaimthatistobeachievedintheresearch,variousobjectiveswillbemadeandafurtherdiscussiononthesamewilltakeplaceinordertoachievetheminanefficientandappropriatemanner.ChapterThreedescribesthedifferentresearchmethodologiesandexplainshowIwentaboutresearchingthetopic.Differentaspectsoftheresearchmethodologyhavebeenachievedaswellsuchastheresearchapproach,designetc.Also,primaryresearchhasbeenusedinthefollowingresearchbecauseitcanhelpinanalysingtheeffectivenessofcareworkersbetteronprovidingsupporttothesocialcareworkersinordertomakeimprovementsinthequalityofcaretheyprovidetothepatientsofdementiawhoareresidingintheresidentialcarehomes.ChapterFourconsidersthevariousfindings.Theseareeachbroughtintocontextwiththeliteraturereview,theoriesandpreviousreadings.Italsoexpandsontheresearchobjectives.ChapterFiveprovidestheconclusionofthewholereport.Itincludesdifferentwaysthatcanbeimplementedbythesocialworkerstoprovideanefficientandqualitytreatmenttothedementiapatientswhoareresidinginresidentialcarehomes.Also,itinvolvestheimpactofdifferentlegislation'sthatthrowsapositiveimpactonthedementiapatientsintheresidentialcarehomes.Achievementofallthefactorandoperationofeverysinglesectionwillbeincludedinthesame.4
Health Care Management Assignment_6

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