Performance Improvement and Management in Health & Social Care

This report discusses the advantages and disadvantages of strategic planning models, Du pont analysis, and non-monetary methods of performance management in the context of health and social care. It includes an analysis of Arden Mountain Nursing Home's financial performance and provides recommendations for improvement.

Performance
Improvement and
Management in Health
& Social Care

Table of Contents
INTRODUCTION ..........................................................................................................................3
Question 1........................................................................................................................................3
Critically Evaluating the advantages and disadvantage of strategic planning models:...............3
Question 2........................................................................................................................................6
A. Discussing the importance of Du pont analysis to investors with explanation on purpose of
each formula discussed below:....................................................................................................6
B. Comparing industry average with the help of calculation and interpretation of the ratios: . .8
Question 3......................................................................................................................................10
Examine the use of multi-faceted models and non-monetary methods of performance
management..............................................................................................................................10
CONCLUSION .............................................................................................................................13
REFERENCES..............................................................................................................................15

INTRODUCTION
According to the below report, Social and health care performance improvement and
management are described. The following report determine “Arden Mountain Nursing Home”
which is an American based, registered care home situated in England that trying to note down
the number of people in England are ageing and how much demand of private nursing care are
increased (Allison and et.al., 2019).Their main aim is “a commitment to excellence in long run
care for adults globally”and desire to give best facilities to the United Kingdom Adults. The
nursing home take place several tasks to developing the area of care for patient like home. The
undertaking report cover internal memorandum for the nursing care home directors and
advantages and disadvantage of strategic planning models in reference to care sector in England,
Ratio Analysis and interpretation of Arden Mountain nursing home from a given financial
system and determined the use of non – financial multidimensional models of performance
management.
Question 1
Critically Evaluating the advantages and disadvantage of strategic planning models:
Performance Improvement and Management: It's play an important role at the time of
preparing the strategic plan for better performance and management. Performance management
is the type of activity which done in between the employer and employee of the company where
manager play a role of employer of the company. This type of process cycle include pre-
determine goals, finding deviations, planning objective and critical review results. Every
manager of an organization tries to use this process for expansion, growth and achieving goal of
the company. It build the relationship between employee and manager of the company which
helps them to do the work in a effective or efficient manner. It also helpful in clearing the
problem which occur during achieving target.
 Strategic Planning: It is the planning which run by the top management of the company.
In this process, the manager of the company guide and motivate the employees to
determine the target and objectives. Generally they prepare a framework of all those
activities which need to be done in specific manner (Anderson and et.al., 2019). The
“Arden Mountain Nursing home” also uses various integrating department for achieving

the target. There are three steps that helps in strategic planning; Strategy formulation,
Implementation and evaluation. There are several types of strategic plan are as follows:
 Tactical Planning: It is the type of plan which prepare for short run. This plan is all
based on present position of the company operation. It is framed by the manager of the
company for achieving the aim and profits in less than financial year. It is run after
analysing the company performance and problem of all departments. This techniques is
helpful for Arden Mountain Nursing home to achieve the target before completing one
year.
 Operational Planning: Activity which are relate the strategic goals and objectives of the
company with tactical goals (Boamah, 2019). It include milestones and useful in
determining the useful portion of strategic plan that helps in achieving objectives. Arden
Mountain nursing home manager enables to make a judgement regarding plan of action.
To control mission and vision
Mission: The main duty and mission of Arden Mountain nursing home is to provide
proper care to adults and implement and expand five facilities in United Kingdom.
Vision: The Arden Mountain Nursing home is trying to create an environment which
helps the people to fell the area of care like home.
This is all done and implement according to the design of strategic plan prepared by the top
management. Both the term mission and vision are directly depend on the plan. It is the duty of
manager to create the plan after analysing the benefits and limitations of the organization. If the
manager is fail to perform the activity in an appropriate way then, the organization have to be
suffer and it also effected the set mission and vision (Donovan and et.al., 2018). To regulate the
work in most effective and efficient manner, the manager have to be take some actions like to
communicate with its subordinates and check the work which implemented in the organization
are according to the strategic plan or not. If the result is favourable than no action is required to
taken or if the result is unfavourable then the manager need to take some strict action that will
improve the whole performance of the organization. Arden Mountain Nursing Home regulate
this function or planning strategies for attaining the specific objectives. This is owned and
control by the manager of nursing home by determining its employee practices.
Following tools or techniques of Arden Care Home :

Balanced Scorecards: It is the techniques of management system which gives estimation on
internal process of business and external outcome both to continuously boosting plan of action
performance and results. Balance scorecard is a tool that help to measure the usefulness of an
activity opposed to strategic plan of an organization.
Advantages of balance scorecards
 It useful in preparing the framework of the company. Generally, all organization works in
a different environment and also they have a different way to analyse their activity.
Balance scorecard is a most easy and common way to analyse all different company
position and strategy of business structure (Foo and et.al., 2021).
 The nature of balance scorecard helps to develop the organization an environment
friendly manner because its provide an advantage to all the individual employee of the
company to communicate easily with their co-workers and top management. Arden
Mountain Nursing Home is also helpful to perform the strategic functions which is
favourable for the organization.
 It help the company member to place their targets on different level.
Disadvantage of balance scorecards
 This function is unfavourable sometimes because every business plan are different and
perform different activity. These type of problem consume more time and energy to
prepare a better plan for an organization.
 It is difficult to understand because every organization need proper research before taking
any action. This arises the problem for the business.
 It is the approach which contain more data to run the business. It is hard to collect the
huge data.
SWOT analysis
SWOT is stands for strength weakness opportunities and threat of the company. It is the tool
which helps the business to improve and analyse the business performance (Gupta and et.al.,
2021). The strength refers to capability of the company to cover the future risk, weakness stands
for loss of company assets and performance, opportunities is a chance to develop the business
position and threats means risk.
Advantages of SWOT analysis

 It is the type of techniques that helpful is determine the business objective and both the
internal and external factors. SWOT analysis are works equally in every type of business
organization whether it support strategic planning or the opportunity analysis.
 SWOT is a multi - level analysis factor because it provide all the strength related to the
department of the organization that helps the top management of company to take a
specific decision for growth and expansion (Gupta and Arora, 2020).
 It is easy to manage and regulate by any of the employee of the company because it does
not take any specific knowledge and skills for performing task.
Disadvantage SWOT analysis
 It does not place mechanism in a significant manner of one factor to another that why it is
hard to analyse the impact of a particular factor.
 It is works in a path of SWOT analysis so, it doesn't collect or provide any specific issue
of the department.
 Sometimes, it is biased or time consuming for analysing the business because all the
information are collected by an individual people.
 SWOT gives more plan for decision making but does not give a specific plan for
implementation.
 It provide lot of knowledge and information but these information are not helpful in
running the business.
Recommendation:
From the above analysis of strategic planning, it is recommended that the balanced scored is
more useful in improving performance of the “Arden Mountain Nursing Home”. It is helpful for
the manager to regulate the work in effective and efficient manner and achieving the goals of the
business. This also give an idea of performing the task in a path of mission and vision. It also
increase the employee productivity and efficiency to do the work in a good way.
Question 2
A. Discussing the importance of Du pont analysis to investors with explanation on purpose of
each formula discussed below:
Du pont analysis is a useful tool which is helpful in measuring fundamental performance
of the business entity. It is a very useful technique used to separate the multiple drivers on return

on equity (Harris and White, 2018). Du pont analysis is used by investor to compare the
operational efficiency of two related firms. This technique is also used to identify strength and
weaknesses of the fundamental operations. The calculative formula of Du pont analysis is Net
income / Total Revenue. Du pont analysis helps investors and stakeholders to measure which
financial activities are lend the most to the changes in Return on equity. There are mainly three
financial elements that drive return on equity which are net profit margin, assets turnover ratio
and financial leverage.
Comparing industry average with the help of calculation and interpretation:
Total Margin: This ratio help in comparing company's profits with its sale to measure
financial stability of the firm (Hoge, 2020). It is expressed in terms of percentage. It shows how
well a company handling its financial operations overall. It consider total revenue from all the
sources which make it different from gross profit and operating profit ratio.
= (Excess revenue over expenses / Total revenue) * 100
= (£3269404 – 3180356 / 3269404) * 100
= (89048 / 3269404) * 100
= 2.72 %
Industry’s total margin has been 3.50 %
Interpretation: The total margin of Arden mountain nursing home is compared with the
industry's total margin which shows organization needs improvement. Organization are
underperforming in terms of achieving the pre-determined revenue and firm is not able to
manage their expenses.
Total assets turnover ratio: Assets turnover ratio is calculated to measure revenue from
assets. The main purpose to calculate this ratio is to measure efficiency and effectiveness of the
firm to generate revenue from the assets. The calculation is mentioned under:
= (Net Sales / Average total Assets) * 100
= (£3269404 / 2502992) * 100
= 1.31 times
Industry asset turnover ratio is 1.50 times
Interpretation: the Assets turnover ratio of Arden mountain nursing home is low as compare to
the industry ratio. This indicate inefficient utilisation of the assets in the organization. The firm
needs improvement to manage their assets in efficient manner.

Equity Multiplier: The purpose of equity multiplier is to measure the portion of a
company's assets which is owned by equity shareholders rather than by debts (Khan and et.al.,
2019). The formula of calculating equity multiplier is total assets decided by shareholders
equity. High equity multiplier indicates that firm using more debts to finance assets where low
equity multiplier shows less dependency on debts.
= (Total Assets / Shareholders equity)
= (2502992 / 357842)
= 6.99 times
The industry equity multiplier has been 2.50 times
Interpretation: According to the above calculation Arden mountain nursing home is more
depended on the equity fund as compare to debts. The equity multiplier ratio of nursing home is
6.99 whereas industry equity multiplier ratio is 2.50 which states that long term risk of nursing
home is less then the industry (Leckel, Veilleux and Dana, 2020).
Return on Equity: return on equity help in measuring a company's profitability after
distribution of dividend among its shareholders. Shareholders can be equity shareholder or
debenture holders. The formula of calculating return on equity is net income divided by the
Shareholders equity.
= (Net income / Shareholders equity)
= (57881 / 357842)
= 16.18 %
The industry’s return on equity has been 13.10%
Interpretation: the Arden mountain nursing home performing 3.08% better than indusrty.
This ratio shows that they are effectively and efficiently utilising their assets without wasting
their resources. It is also beneficial for the organisation to improve their performance in the
competitive market.
B. Comparing industry average with the help of calculation and interpretation of the ratios:
Return on assets: This ratio help in measuring return on the investment. This ratio
represent the efficiency of utilization of the assets to generate more income (Macke and Genari,
2019).
= (Net income / Average total assets * 100)
= (£57881 / 2502992 * 100)

= 2.31%
Industry ratio has been 5.20%
Interpretation: according to above calculation it states that both the organizations are not
able to utilise their assets in good manner and they need improvement for future growth. Nursing
home ratio is more than twice from industry ratio.
Current Ratio: Current ratio refers to the short term liquidity of the firm. It shows that
how many time a firm is able to meet their short term debts by their current assets. It shows
difference between current assets and current liability.
= (Current Assets / Current Liability)
= (608992 / 445150)
= 1.37 times
Industry ratio has been 2.0 times
Interpretation: The current ratio of Arden mountain nursing home is 0.63 times less than
the industry's ratio which shows that firm is not have enough current assets to repay its current
liabilities.
Cash in hand days: This ratio refers to time in which firm can meet their operational
expenses from the cash in hand. This ratio helps to measure liquidity position of the firm.
= (Daily cost of operation exc. depreciation / Cash and cash equivalent)
= 3180356 / 105737
= 30 Days
Industry days cash on hand has been 22 Days
Interpretation: The industry average is 6 days less than the nursing homes average which shows
company is efficient in meeting out their operational cost (Oh and Lee, 2020).
Average collection period: This ratio refers to the time taken by the firm to collect their
amount from their debtors. It shows firms efficiency to collect their sum form their sundry
debtors.
= (Receivables / Total Sales * 365 days)
= 215600 / 3269404 * 365
= 24 Days
Industry average collection period 19 Days

Interpretation: Ac coring to above calculation funds of industry is blocked more time as
compare to inrushing home which will effect the liquidity position of the company.
Debt ratio: This ratio help in measuring the risk in the capital of the company. The formula to
calculate debt ratio is debt divided by equity.
= Debt / Equity
= 1700000 / 357842
= 4.75 times
Interpretation: the debt equity ratio of nursing home is higher than the industry ratio
which shows there is a high risk percentage in the capital structure of nursing home.
Fixed asset turnover ratio: this ratio tells that how a firm can generate revenue from its
existing fixed assets. The formula is calculating fixed asset turnover ratio is net sales devided by
total assets.
= (Net sales / Total Assets)
= (3269404 / 2502992)
= 1.31 times
Interpretation: the ratio of both the organization is almost same which shows that they are
efficiently utilising their fix assets to generating revenue in the business.
Question 3
Examine the use of multi-faceted models and non-monetary methods of performance
management.
The Performance management can be understood as the leaders' execution, which is an
important field of business that is frequently overlooked in the well-thought-out plan of the
board. This is rapidly changing as organisations realise that streamlining the effectiveness of
their workforce is a critical part of ensuring their continued progress monitoring. Every company
with genuine goals to win in their target market and continuously high employable efficiency
needs a compelling vision accompanied by clear missions that guide how it approaches activities
and strategies (Qiu and et.al., 2021). A firm can modify the working and points of view of their
workplace with the use of board models in order to reach the broad association vision and
missions, which builds their show and helps instil a healthy work culture in the organisation. The
board's execution contains two broad views that direct the important frameworks to be spread out

under it, close by the various purposes that are primarily performed under it and are recorded
along these lines (Rose, Nam and Chen, 2018).
Apart from focusing solely on the financial aspects of an industry, the board of directors is
also responsible for anticipating essential components in the broad field of human resource
management. The leaders finish by supporting the general course of delegate responsibility. The
board of directors is closely associated with non-financial aspects of the company because it
helps measure factors that are typically overlooked when making financial forecasts, such as the
level of buyer trust that the company can provide in the target market, the level of brand invasion
and new leads that are figuring out how to convert into deals, and the continuous brand
awareness that it enjoys among the general public (Sampaio and et.al., 2018).
Non-monetary models of board execution are critical for its survival, since the external
environment has become dynamically perilous in the high-level company scene, and merely
focusing on arrangements and pay age is no longer a feasible game plan. Some non-financial
models are commonly used and play complex roles because they not only aid in execution
assessment but also in strong human resource practises, with a couple of models being modified
scorecard and execution pyramid.
A balance score card is a basic organisation execution estimation that is used to identify and
also promote a couple of internal critical techniques and their resulting outward results. Changed
scorecards are extremely common among UK associations because they are used to measure and
analyse affiliation. Businesses can conduct client research using their internal interpretation of
changing scorecards. Including updated scorecards has a number of advantages, including
allowing the relationship to pool data and information into a single report rather than dealing
with many devices (Vimal and et.al., 2020). Changed scorecards have a variety of benefits and
weights, which are listed below:
 Assign the individual worker to the organization's aims and points: Subject matter experts
can use balanced scorecards to "keep their eyes on the prize" in terms of targets. When
workers with canning see a more visible reason for the item contends and goals they are
seeking to hit, it may help individual delegate's own display.
 Carry out construction-related approaches and techniques in the organisation: Distinct
divisions within an affiliation may have different strategies for evaluating shows and
what they consider to be fundamental in terms of estimations. As a result, distinct

departments and trailblazers can individualise their show evaluations with the reasonable
scorecards, but it deceives in set coordinated that can be observed across the work area. It
provides a common location for everyone in the workplace to evaluate their performance.
 Revealing and estimating skills have improved: It is sense to make the display more
straightforward in order to check represent the worth of altered scorecards. Changed
scorecards can be used to request specific corporate goals and key indicators. It also aids
relationships in the preparation of more effective reports and varied forecasts. Concerns
can be easily resolved thanks to its strong core objectives.
When there are advantages to implementing a changed scorecards system at work, there are also
certain possible weight and boundaries for changed scorecards, which are listed below:
 It can become confusing: Balanced scorecards are perceived as requiring time and effort
to comprehend. There are a plethora of related studies and resources to investigate, and it
is particularly simple to be thwarted using this method in a couple of distinct ways.
 Request a lot of information: In most cases, balanced scorecards need associates and
through to report the data, implying data logging. Various relationships could do without
it because it was extremely repetitive, and it may get in the way of doing regular job to
fulfil targets (Waljee, Chopra, and Saint, 2020).
 Should be adapted to the organisation: Balanced scorecards are accepted as a model from
which to work, but they must be adjusted for any organisation that uses that framework.
It is possible to anticipate more significant ventures while remembering that the models
are important and, as a result, they cannot be reproduced conclusively due to the unique
requirements of any businesses.
 The occupation of execution pyramid cannot be articulated in terms of non-money related
and complex models of execution the board, as this model's reason depends on the way
that an association's financial limits can't help in the assessment and possible progression
of its business errands in the target market.
This model battle that to structure a relations principal market goals and focuses, there must
at first be the presence of a solid corporate vision which helps guide what the future holds
exercises of the firm in a thorough manner. Arden Mountain nursing home's corporate vision
which has a put on this model is the one where it tries to be in five extra regions across UK while
setting out to give splendid in long stretch adult consideration on an overall level. This vision

according to the pyramid will not happen and can't be true to form assessed by the standards of
execution the leaders with the exception of assuming it is met by twofold focus on both money
related and non-financial limits which are recorded just under the corporate vision.
The outside interest of a firm drives critical elements such as benevolence, which clearly
influences the way things are perceived by both clients and the media in the business, as well as
brand strength and acumen, which can happen when a business bases its working structures on
non-monetary factors. Non-monetary elements include how the firm's work and results satisfy
the target market, the business's ability to adjust in response to unforeseen circumstances, and
general proficiency, as indicated in the pyramid.
With the support of departmental aspects on which their flourishing depends, the
functional structures mentioned in this display appear to be fine. The notion of clinical benefits
that Arden Mountain will accommodate the more seasoned and weakened will directly influence
the buyer's reliability, as will the time necessary to express the thought and the potential waste
activities and system. Arden Mountain should focus on this approach to appreciate the areas of
non-money related undertakings on which it needs to focus in order to make its vision come true.
CONCLUSION
The above report went into detail regarding important processes of human resource
management and business administration such as strategic management tools, use of financial
analysis and ratios along with various non-financial models of performance management to
evaluate the productivity, viability and current financial robustness of healthcare companies.
These companies were analyzed using strategic tools such as SWOT analysis and balanced
scorecards and their financial performance was duly analyzed using financial ratios along with
their interpretation such as Debt-to-equity ratio. The report was concluded with an overview on
the non-financial and multidimensional models of performance management with main focus on
balanced scorecards and performance pyramid.

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