Evaluating Change Management in Health and Social Care Services

This report examines facilitating change within health and social care services, focusing on a case scenario involving the transition of individuals with learning disabilities from residential care to supported living. It identifies key factors driving change, such as demographic shifts, government legislation, internal organizational factors, economic considerations, and technological advancements. The report assesses the challenges associated with these changes, including potential issues with government support, staff training, economic investments, and technological integration. Strategies for measuring recent changes, like quality improvement initiatives, structured services, feedback mechanisms, and patient-centered care, are discussed. The impact of these changes is evaluated through customer satisfaction metrics, performance analysis, facility assessments, and quality control measures. Furthermore, the report considers the effects of these changes on organizations, staff, service users, and governmental ratings. It concludes by outlining key principles of change management and proposing appropriate service responses to ensure effective implementation and monitoring of changes within the health and social care sector. Desklib provides a platform to explore similar solved assignments and past papers.

Facilitating Change

Table of Contents
INTRODUCTION...........................................................................................................................1
TASK 1............................................................................................................................................1
1.1 Key factors driving change in health and social care services as applied to the...................1
case scenario...............................................................................................................................1
1.2 Assessing the challenges that key factors of change bring to health and social care services
.....................................................................................................................................................2
TASK 2............................................................................................................................................3
2.1 Strategy and criteria for measuring recent changes in health and social care.......................3
2.2 Measuring the impact of recent changes on health and social care services.........................5
2.3 Evaluating the impact of recent changes in health and social care.......................................6
2.4 Proposing appropriate service responses to recent changes in health and social care .........7
TASK 3............................................................................................................................................8
3.1 The key principles of change management...........................................................................8
3.2 Changes planned in health and social care............................................................................9
3.3 Monitoring the recent changes in health and social care....................................................10
CONCLUSION..............................................................................................................................10
REFERENCES..............................................................................................................................11

INTRODUCTION
Facilitating change has the huge impact on the service providers as well as service users.
Facilitating changes helps to get achieved the goals of the organization. Changes should be in
favour of the organization. Present report is on the bases of the scenario of facilitating changes in
health and social care. The report will cover the key factor that changes the social care services,
challenges to bring the change, measurement in the change, strategies for the change,evaluation
of the over all impact , principles of change management and the recent change in health and
social care services.
TASK 1
1.1 Key factors driving change in health and social care services as applied to the
case scenario
According to case scenario Denise wants to shift the people with learning disabilities from
residential care to supported living. The idea in the case will promote independent living among
the disables. These services assist disabled people to participate in society and community life.
It will mend the gap between the normal people and disabled people. The factors drive change
in health and social care ate explained as follows-
Demographic factors:
People with different age
groups, culture, lifestyle, sex
lives in the same supported
home (Larance and et.al.,
2016). Therefore, people
with different age groups
need to have separate
nursing and supporting ward
since, old people requires
extra care. Also, males and
females need to have
different wards according to
their convenience. Special
Government legislation and
policies: It is the major
driving factor to bring change
in the health and social care
for people with learning
disabilities (Dalle and et.al.,
2013). The laws being formed
and the rules being
established by the government
affects the viability of the
organization.
Internal factors: it include the
competent staff, system and
shared values of the organization.
The staff should be trained
enough to handle the people with
learning disabilities. Also, special
attention to the people after a
certain age is required. To
overcome this problem, a team of
nurses can be appointed
especially for them.
1

care need to be given
according to intensity of the
problem the people have.
Public awareness plays an
important role in the case of
people with learning
disabilities. Special sessions
and media interactions can
be organized to mend the
gap and create awareness
among the general public.
Economic factors: The state
of economy drives the
financial well being of the
health care department. For
instance, If a country is
performing economically
good, the investment in the
healthcare sector will
accordingly flourish.
Investment portfolio depends
on the economic condition of
the country. The cost of the
trainers and financial
resources tend to impact the
quality of services in the
organization.
Technological factors: Updated
technology in the organization
helps in maintaining the quality
as well as making the things
easier to the people living there. It
also helps in reducing the burden
from the training staff. Also
technological update will benefit
the people living in supported
care since, only assistance of
work will be provided to them
and not the whole residential
home like services will provided
to them. It will help them to lead
an independent and more normal
life
1.2 Assessing the challenges that key factors of change bring to health and social care services
Following are the challenges that key factors of change can bring to health and social care
services:
2

Demographic issues:
The children and aged
people with learning
disabilities can have
problem with only
supported care assistance
as they are in habit of
living in the residential
houses. Also, people are
not much aware about the
learning disabilities.
Making them aware about
the concept is the major
problem. People may not
be comfortable in the
supported houses because
of the habit they have
developed while living in
the residential homes.
Government legislation and
Policies: Proper support from
the side of government is
required to carry out smooth
functioning of these houses.
New legal requirements
continuously arise in social
and health care sector which
require new laws need to be
formed in the continuous
intervals. Also, to update the
training staff with the new
rules and laws being formed
by the government is another
job need to be done by the
organization
Economic factors:
Investment can be the major
challenge. Appropriate
facilities cannot be provided
to the people unless and until
the organization have proper
flow of finance from a certain
source. Further, supported
care will require new facilities
to be added to make them
independent which will
require outflow of finance
from the organization.
Internal factors: The wrong mix of
people in the same residential care
can create problem in the residential
homes (Zahraie and et.al., 2016).
Also, efficient training staff in
required, otherwise, it can be
inconvenient to the people living in
the supported care units. Lack of
sufficient or appropriate training and
supporting staff can create problem
to the people. In order to make them
independent, special training will be
required to be given to the people in
the care unit.
Technological issues: Supported
care will require major technological
changes in the care unit, since,
majority of the work will be done by
themselves to promote independent
living among them. Technological
up gradation of the machines and the
supporting care instrument will be
required with will add to the
financial value of the organization
(Cardellino and et.al., 2014). Also,
maintenance of record in the new
supported care unit will become a
hassle.
3

TASK 2
2.1 Strategy and criteria for measuring recent changes in health and social care
Strategies have been always available that has been adopted by the management or the
manager in health and social care for the measurement of the recent change took place. The
strategies that can be used for the measurement of the changes in different sectors are:
Quality improvement: To provide the quality service to the service users the planning to
improve quality plays an important role. High quality of service facility provided to the users by
the organization will be more communication with the users (Stavrianopoulos and et.al., 2014).
On the other hand another strategy provides the quality services at the right time by the right
service provider
Structured services: Structure service refers to all the chain of health and care centre are
connected to each other which helps to provide the efficient quality services to the users or
patience. Denise has shifted all the patience together in the community that helps to provide the
facility quickly at the required time.
Feedback: After the treatment gets over the patience must give the feedback to let know Denise
about the positive and the negative about the accommodation in the community hall. It will help
to improve or to make the required changes.
Suggestion box: The form of question can be given to the user to get the suggestion and the
point of view of the service uses and that will make came to know about what all is required by
the user (Loughran and Smith, 2015).
Patient centred care: Well organized care to the patients for the recovery of the health issue by
providing effective services to increase the satisfactory level of the patiences. To improve the
patience experience he should be treated with dignity. For the proper care he should be care by
the professionals.
Above all are the strategies which can be used by Denise to set the proper health and care centre
in the community hall after twelve month since the residential homes were close down. From this
she will get to know about the loop holes of the services provided by her. That loop holes can be
evaluated and the changes can be made required accordingly to provide the quality services to
the service users or patiences.
4

2.2 Measuring the impact of recent changes on health and social care services
There are many ways to measure the impact of the recent changes on the health and
social care services:
Customer satisfaction: Evaluation will help the to know about the satisfaction level and the
loyalty towards the centre (Miller, 2014). It can be measured by the evaluation of the patience
visited there and the recommendation from them to others. Positive and negative suggestions and
feedback will help in the improvement of services.
Performance: International and the national standards will help to analyse the performance or
the staff members. It can be measured with the standard set with the actual standards of the staff
providing the services to the patiences. Survey is the another method to know about the
performance which can be conducted from the relatives of the patiences. Performance between
previous year and the present year can be measured.
Facility provided: Facilities with the effectiveness is the best to be considered. Reviews, ratings,
feedbacks will help to know about the facility provided to the patiences are effective to them or
not. Facility is the important factor of every service provider organization. It plays an important
role in the satisfaction of the service user.
Quality: Quality can be maintained by certain polices and the norms that has to be followed by
the centre. It will help to match the actual quality of the service provided to the patience and the
kind of quality they want to deliver. It can be measured from the patience recovery status and the
review of the experience of the patience.
This are the four tools from which the changes on the health and social care service can be
measure to evaluate or to analyse the current situation of the centre. To takes the certain decision
regarding changes that has to be made it will help the management to make the decision for the
betterment of the health and social care home.
2.3 Evaluating the impact of recent changes in health and social care
Evaluation of recent changes impact in health and social care are as follows:
Organization and staff members: Changes that has been integrated in the organization
particularly in the services that they provide , what result it brings to the organization has to be
evaluated to know whether it was in the favour of the organization or not (Erlam and et.al.,
2013). Change in the organization and the impact can be seen in the result. There should not be
5

any overlapping or the task assigned to the staff members. Changes in the services required the
training to the staff members to perform well on the job. Changes that has been made are implied
by the staff members on the service users.
Service users: The impact on the service users can be evaluated by the measure of the
satisfactory level of the patience. Organization must look after the treatment they are providing
to the patience is effective for him or not. This evaluation will help to know about the changes
that has been made are effective or not. It has to be analyse how much the changes impact in the
satisfaction of the patience. Service users or the patience are the only important on which the
impact has to been seen. The changes are made to improve the impact or the services.
Government: The change impact the government by improving in the ratings of the health and
social care homes (Mertler, 2016). It helps the government to reduce the insufficiency in the
treatment facilities. Changes has reduces the complaints against the services by the service users.
The impact can be evaluated by the Denise of the health and social care home by the staff
members performance and by the outcome of the result to know whether the change has impact
the care home or not. The change can impact in positive or it can be negative . The evaluation
and the analyses of the impact will help to know about the actual impact on the care home.
2.4 Proposing appropriate service responses to recent changes in health and social care
People living in supported accommodation requires special setup of the house. Following
are the appropriate services that are available in their special homes:
 Equipment: The supported care are properly equipped. All facilities are provided to
them in order to motivate them towards performing their tasks on their own and
enhancing their independence (Skendall and et.al., 2017). For instance, for the people
suffering from dementia ( causes confusion and wandering), their rooms are equipped
with monitor which can track their location in the house.
 Helping hands: people are appointed to help them with toilet, washing, preparing food,
cleaning and laundry, make them involve in daily and social activities.
 Community Support: People are given with social services in order to help them with
what they want to do such as participating in a cultural event, festivals etc.
 Information, advisory and advocacy services: Some people have problem in
understanding their rights. In order to make them understand and advise what is available
6

for them and what they can do, these kind of services are provided. Such services include,
financial advisory, advocacy etc.
The supported accommodations follow a particular admission criteria before taking any
admission in their accommodations. It is required to fill a certain admission form also the
candidate need to fulfil all the requirements of being in need to be kept in supported
accommodation. Discharge to the candidate is given only in cases like, family is not able to pay
the fees, the person has recovered and family wants to keep him/ her with them. The suggestion
given by the people, their family members are considered on a serious note. In order to make
best things available for the people, feedback are taken from the visitors. Organization conduct
various discussions and debate sessions to make use of best available resources.
TASK 3
3.1 The key principles of change management
FACT SHEET
Change is the thing which has to be adopt to run with the current time. Change is the step
towards the development. It is very important to adopt new technologies and the ways of the
work to move along with the development. The eight step change model by John kotter”s is the
best model of change. The changes can be small or big but it has to be managed through good
communication of the new change. The eight step change procedure of John kotter's is as
follows:
Create urgency: Change helps to motivate the staff members to do the things by new ways and
have to make understand the need of change (Campbell, 2013). Change will came to know
about the poor performance which will help to staff members to accept the change. Talking s
about the change in the whole care home will automatically implies the change in the staff.
Identification of threats and opportunities is important. The appropriate reason should be given
to accept the change.
Forming a powerful coalition: Employees can be convinced through the good and effective
management. They can make understand the employees the requirement and the need of
change. Management has to maintain the good relationship with the staff to make them work for
7

the organization.
Creating a vision for change: The vision of the change should be clear to all the staff members
to that they can understand what is expected from them. The change will only be effective if the
implementation is done properly.
Communicating the vision: The vision should be known by the each staff members it can be
only possible through communication between the management and the staff. Communication
will help to know the required of training is there or not.
Removing obstacles: The barriers on the way of the vision should be eliminated. Staff
members should be motivated towards the vision so that they overcome from the barriers.
Barriers will definitely come in the path when the change is adopted but the mangers have to
overcome with staff from that to continuous work.
Creating short term wins: The result should be measured on the short period of time and
should be shown to the employees. It will motivate them towards the change and the step for
change was the right decision.
Building on the change: Build the changes in the care home. Make the short term goals to
achieve. Monitor the continues success and the sector in which the improvement is required.
Short term goals will help to make the changes in between the running to achieve the main goal
of the home care.
Anchoring the changes in corporate culture: Change should be the part of the home care
planning. It is important to make part of planning. The changes made should highlight in the
impact or the outcomes of change. Change can be done or implement through planning only
else it will not be successful.
3.2 Changes planned in health and social care
The ways through which the changes are planned in the health and social care are as
follows :
 Changes that has to made in the care home should be made by the top management of the
care home. This is because if any problem arises during the operation of the change than
they are the only one who can take the further action.
8

 Changes should be communicate to the employees so that they came to know about the
their role which they have to perform to meet the expectations of the management.
Informed employees will bring the fast change as compare to the uninformed.
 Change should be communicate to employees so that if any problem arises they can
contact to the top management or report so that the immediate action can be taken to
prevent from the problem.
 Management should have the ways to over come from the anxieties and should make
them understand that the change will be helpful for the individual as well as care home.
The change is only possible if the employees will change. One alone can not bring the
change all has to get themselves ready for the change.
 Training and development programmes should be conducted for the better understand of
change. It will help to built up the confidence level in the employees. Training will help
them to work according to the required changes.
 To get more open and immediate feedback from employees the informal communication
will be helpful. Communication with the staff member will be the best way to make them
understand about the changes.
This are the ways how the changes has been planed in the health and social care which helps to
bring the changes and to implement the changes. The changes are the part of planning. And it has
to be managed by the leader to bring the outcome from the change.
3.3 Monitoring the recent changes in health and social care
Monitoring should be done on the continuous basis so that the measurement of the
change can be done at the short period of time interval (Fünfgeld, 2015). Change which has been
made according to the vision, are meeting them or not. Monitoring has been done by the
management or the managers who has planned the changes. The ways to monitor the changes in
health and social care are as follows:
 Evaluation of growth of the home care can be conducted by the research or the survey
method. Questionnaire can be used to do the research. The research can be conducted
among the patiences relatives, staff members and with the patience to know the proper
performance level and the satisfaction they are providing through there services.
9

 Feedback is the another method which can be conducted. Patience can give the feedback
about the staff or the team who has been treating him. It will help to know about the
behaviour of the staff towards the patiences.
 Cost benefit is the main factor during the change. It has to be measured, it can be
increasing or decreasing. To adopt the change the cost will occur but that cost has to be
covered in the results then only we can say that the change is successful.
CONCLUSION
From the above report, we can conclude that change is necessary and it has to be adapt to
move along with the generation and the development. Change has improve the working styles of
all the health and social care homes. The study provides how to analyse the changes required and
and the impact of the change. Change can be monitor and measure the difference between the
previous performance or outcome to the current performance. The various principles has been
provides how to apply the successful change in the health and social care. The change brings the
challenges, and how to overcome from it has been discuses in the above report.
REFERENCES
Books and Journals
Larance and et.al., 2016. Facilitating change: A process of renewal for women who have used
force in their intimate heterosexual relationships. Violence against women22(7) pp.876-
891.
Dalle and et.al., 2013. Major factors for facilitating change in behavioral strategies to reduce
obesity. Psychol Res Behav Manag 6 pp.101-10.
Cardellino and et.al., 2014. Facilitating change in primary education: the role of existing school
facilities in ICT initiatives. Facilities 32(13/14) pp.845-855.
10

Zahraie and et.al., 2016. Environmental entrepreneurs facilitating change toward sustainability: a
case study of the wine industry in New Zealand. Small Enterprise Research 23(1) pp.39-
57.
Stavrianopoulos and et.al., 2014. Emotionally focused family therapy: Facilitating change within
a family system. Journal of Couple & Relationship Therapy 13(1) pp.25-43.
Loughran, J. and Smith, K., 2015. Facilitating change in science teachers’ perceptions about
learning and teaching. In The Future in Learning Science: What’s in it for the
Learner? (pp. 279-294). Springer International Publishing.
Miller, B., 2014. Facilitating Change in the Housing Industry Toward Universal Design.
Erlam and et.al., 2013. Facilitating change in the language classroom. In Australian Federation
of Modern Language Teachers Association Conference, Australian National University.
Mertler, C. A., 2016. Leading and facilitating educational change through action research
learning communities. Journal of Ethical Educational Leadership, 3(3), pp.1-11.
Skendall and et.al., 2017. The Social Change Model: Facilitating Leadership Development. John
Wiley & Sons.
Campbell, G., 2013. Mining Your Client's Metaphors: A How-To Workbook on Clean Language
and Symbolic Modeling, Basics Part II: Facilitating Change. Balboa Press.
Fünfgeld, H., 2015. Facilitating local climate change adaptation through transnational municipal
networks. Current Opinion in Environmental Sustainability 12 pp.67-73.
11