Facilitating Changes: Health and Social Care Services Report Analysis

This report delves into the critical aspects of facilitating change within health and social care services, using the case of 'Local Actions for the Disabled' as a focal point. It explores key factors such as political, legal, and technological influences that drive change, along with the associated challenges, like maintaining a healthy environment for residents and adapting to policy shifts. The report outlines strategies for measuring the impact of these changes, including the use of normative re-educative strategies to assess attitudes and beliefs. It also analyzes the effects of changes on resident and staff satisfaction, emphasizing the importance of effective service delivery. Furthermore, the report discusses change management principles, including Kotter's eight steps, and provides insights into planning and monitoring changes to ensure smooth transitions, such as converting a care home into supported living. The report concludes by synthesizing these elements to offer a comprehensive view of change management in the health and social care sector.

FACILITAING
CHANGES

Table of Contents
INTRODUCTION...........................................................................................................................3
TASK 1............................................................................................................................................3
P1.1Key factors that drive change in health and social care services.........................................3
P1.2 The challenges that key factors of change bring to health and social care services...........4
D 2 Activities,projects or investigations that are planned when explaining key factors............5
TASK 2............................................................................................................................................5
2.1. A strategy and criteria for measuring recent changes in health and social care...................5
M 1 Effective judgement when measuring recent changes........................................................6
2.2 impact of recent changes on health and social care services.................................................6
2.3 The overall impact of recent changes in health and social care............................................7
D 1 Synthesis of idea when measuring the impact changes on health and social care services
.....................................................................................................................................................7
2.4 Appropriate service responses to recent changes in health and social care services ...........8
M 2 Complex information synthesised related to service response............................................8
TASK 3............................................................................................................................................8
3.1 The key principles of change management using either Kotter’s eights steps to
.....................................................................................................................................................8
successful change .......................................................................................................................8
M 3 Coherent logical development of principles.......................................................................9
3.2 How changes in health and social care are planned ...........................................................10
3.3 Monitoring the recent changes in health and social care services......................................10
D 3 Monitor method of recent changes and its impact ...........................................................11
CONCLUSION..............................................................................................................................11
REFERENCES..............................................................................................................................12

INTRODUCTION
Today there are many number of the disabled person in the society of united kingdom.
The disabled persons are not able to do work as efficient as normal people. So to take care of
them, there are many health and social care home so that there can be positive atmosphere for
the learning disabled (Balcazar,Lee and Hernandez,2011). The health and social care home can
implement the changes in them policies and procedures in which some important factor play a
vital role in delivering services of the care home. In the following report the changes in the
health and care home as mentioned in the case of local actions for the disabled will be discuss
and how to mange them for smooth
working of the care home when it will be shifted from the care home into supported living .There
are some challenges which can arise by implementing changes in the health ans social care home
and to deal with these challenges there are some crucial strategies that can be adapted by the
manger of the local action for the disabled.
TASK 1
P1.1Key factors that drive change in health and social care services
The health and social care services play a vital role in the betterment of the society. Local
action of the disabled is a crucial helper of the disable people related to learning,.It is a
residential care home and other services for the people of the society in united kingdom. As a
manager of the care home, Denise has to consider some important factors which can affect the
change in the he,lath and social care services,.These factors are political factors, political factors
and legal factors. Followings are the explanations of these factors.
1. Political factors For any health and care home like local action of the disabled, political
scenario is the main factor which drives the change skin the services of the health and
social care home. The government of the county can change completely the services of
the health and social care home as it make policies and procedures (Battilana,2011).

These government policies and procedures are to be followed by every single care home.
As thinking about converting the care home into supported living the government policies
must be considered.
2. Legal factors The law and is a an essential part of the health and social care home like
local action of the disabled. The regulations and rules implied by the legal authorities
have to be followed by the health and social care home. If the legal rules are strictly
focus on the quality of the services to the residents then the care home must maintain
and improve the quality of the services (Bessell,2011) .On the other hand, kif the legal
regulation has the main purpose of hygiene for the patients then the care home must look
for cleaning gin the care home rather than the healthy and positive environment for the
residents.
3. Technological factors In the modern time the technology plays an important role in the
delivery of the health and social care services. If there are modern technical machines
and equipments for the treatment of the critical disabled then it Wil ease the services
delivery to the residents. On the other hand , if the health and social care home like local
action of the disabled uses the old and traditional technology to treat the residents then
there will be difficulty in recovering of the critically disabled persons. Thus there are
many factors which affect the services of the health ans social care homer in a negative
way as well as positive way.
P1.2 The challenges that key factors of change bring to health and social care services
The health and social care home like local action for the disabled might have some
challenges due to the change in the health ans social car service. These challenges can create
difficulty in accessing the process of treatment of the residents. The challenges can also include
the health issue of the residents, implementing the changed policies and handling the negative
effect of the changes procedure in the care home (Chreim,Williams and
Dastmalchian,2010).After considering the key factor of the change in health and social care
services, there might some challenges in from of the care home which can hinder the smooth
process of the working the local actions for the disabled.
The main challenges might be of the health environment for the residents as they need
more healthy environment to improve their health. If the technological factor is not in favour

for creating healthy environment for the residents then there will be risk of the health of the
disabled residents.
As the case of local action for disabled, Denise the manager has to deal with the negative
changes by the factors in the health and social care services. In the care home there is problem
with the management due to policies and procedures which are implied by the government
authorities. There might be challenge of skill development of the worker of the care home which
affect the performance of them related to.
D 2 Activities,projects or investigations that are planned when explaining key factors
As an manger of the local action for the disabled , Denise plans,mange and organises the
activities and projects for delivering the health and social care services. To convert the care
home into supported living she should consider the factors like ageing population and minority
ethnic community needs (Druss and Mauer,2010). The health ans social care home requires
investigation of the factors of change in the care home so that there can be management of
changes in the policies and procedures related to the treatment of the residents.
The social factors include the attitude of the society toward disabled and care home for
them. If the attitude of the society is positive towards the disabled then there can be more
improvement in the process of the treatment of residents. The age of the people also must be
considered when implementing the changes in the policies and procedure in the health and social
care home like local actions for the disabled.
TASK 2
2.1. A strategy and criteria for measuring recent changes in health and social care
The changes in the health and social care like local action for the disabled can improve or
decrease the service delivery in the care home to the residents. As a manger of the local action
for the disabled, Denise should use the effective strategy to measure changes in health and social
care. One of the most important strategy for measuring recent changes in the health ans social
care home is normative re educative strategy (Fotaki,2011). In this strategy the attitude, norms,
beliefs and culture of the health and social care home can be more productive by more efficient
action of the people of the care home.
As the case of local action for the disabled, this strategy can help in measuring the level
of the changes by analysing some aspects related to the residents in the care home culture. There

can be many kind of changes in the health and social care home like attitude of the residents and
the workers of the care home. The attitude includes that the people say what they want in real.
Another aspect of the resident which is included in the measuring the recent changes in the local
action for the disabled is belief of the residents. The belief includes what people think about.
The behaviour of the residents and demographic character of the residents are also
analysed in the measuring the changes in the health and social care home as a strategic step
(Lawrence,Moniz and Murray,2012). The preferences or choices of the people of the health and
social care home are also measured. These aspects are analysed through survey, questionnaire or
any other data collection method as a part of strategy to measure the recent change sin the local
actions for the disabled.
Conclusion-
From the above answer it can be concluded that the measurement of recent changes is
done by analysing the attitude of residents and patients of the health and care centre. For
measuring the changes norms, believes and culture of care homer for disabled.
M 1 Effective judgement when measuring recent changes
The changes in the health and social care home can be measured in many ways which
can help the the manager Denise of the ,local action for the disabled to deal with the any negative
consequences of the changes in the structure and the environment
of the care home. An effective judgement helps in the more positive changes in the policies and
procedures of the health and social care home so that there can be more improvement in the
quality of the service delivery to the residents.
2.2 Impact of recent changes on health and social care services
To shift the care home into a supported living The health and social care home as
mentioned in case of local action for disabled has many changes in the policies and procedures in
the care home which have a drastic impact on different aspects of the care home. The impact of
the changes on health ans social services can be categorised in mainly two part like residents
satisfaction and staff satisfaction of the care home.
1. Residents satisfaction In every health and social care home, the structure of the
organisation and term of service delivery play a vital role in affecting the residents
satisfaction by implementing changes in the care home like local action for the disabled.

As the all residents of the care centre are the main root of the existence of the care home,
there is major impact on them by the changes in the policies and procedures of the health
ans social care centre. The health of the resident by treatment is the most important thing
which decides the satisfaction level of them (Or,Severtson and Brennan,2011). So if the
changes in the care home are beneficial for the health of the residents then they will be
satisfied, otherwise there will be dissatisfaction on the part of the residents.
2. Staff satisfaction In the health and social care home like local action for the disabled the
staff is key asset of the organisation as the deliver the services to the residents. If the staff
is satisfied with the changes in the policies and procedure then there will be positive and
complete satisfaction on the part of the staff of the care home (Parekh,Goodman and
Koh,2011). On the other hand if the changes make the service delivery difficult for the
staff or worker then there can be decrease in then satisfaction level of the staff of the
local action for disabled. This dissatisfaction can lead to the low quality in the services
for the resident and harm the care home in converting into supported living.
Conclusion
From the above answer it can be concluded that recent changes have some major
influence which can be positive and negative. Impact should be satisfactory for the residents and
patients as well.
2.3 The overall impact of recent changes in health and social care
Any changes in the health ans social care home like local action for disabled can be seen
in term of efficiency of the workers of the health ans social care home,cost effectiveness,referral
rates,response and waiting. Mostly after the changes in the care home , there is positive and
improved impact on the staff and residents which leads to the effective decisions to shift the care
home into supported living according to the case .First and the most important impact of the
changes in health and social care home is efficiency of the staff.
In this impact the maximum utilisation of the resources to deliver efficient services to the
residents by making changes in the structure of the care home. If the changes are adverse for the
staff then there can be decrease in the performance of the employees who work at local action
for the disabled. Another impact of the changes in the care home is the cost effectiveness. In this
impact if there is less cost as compared to the previous policies and procedures then it will
benefit the care home as well as the residents economically.

Most of the changes have positive impact on the services by making them cost effective
for the disabled residents to pay. Third impact of the changes is waiting and response time which
includes the treatment time duration (Rasanathan,Montesinos and Evans,2010).Improved quality
can be achieved by effective changes in health ans social care services and consequently benefit
the residents, staff and the whole care home in the long term.
Conclusion
From the above answer it can be concluded that the overall impact of changes in policies
of health and social care centre is that it boost utilisation of resources. The changes make the
services cost effective for patients like disabled.
D 1 Synthesis of idea when measuring the impact changes on health and social care services
As there are many changes to improve and make better structure of the care home, they
have many impact on the policies and procedures. These impacts can be measured in ma y ways
to evaluate the level of positive and negative change in the care home. For example local action
for disabled has changed its policies and procedures with the intention to shift it into supported
living for the better atmosphere ans services for the residents. Thus the impact of the changes in
the health and social care services can be measured to achieve its goal for better quality of the
services and the environment for disabled residents.
2.4 Appropriate service responses to recent changes in health and social care services
The recent changes in health ans social care services in local action for disabled can be
analysed by recording the responses from the residents as well as the staff (Gregory,2015).
There are many method for the service responses like interviews, suggestion boxes, feedback,
debate, waiting times, admissions, discharge referrals. These responses can help the care home to
evaluate the success rate of the changes which have been implemented in recent time. One of the
most important service response method is interview in which there is personal survey and the
residents and the staff members are asked some questions related to the changes in the health and
social care services of local action for disabled. In suggestion box, all people of the care home
can give their advice related to the changed health ans social care services. In all other method of
service response, different types of suggestion of improvement are received.
For example in feedback and discharge referrals,there are some questions asked to the
residents and their family members so that if there is any need of improvement or if the service

quality is good. Thus the local action for disabled can use many different and useful method of
service response related to recent changes in the health and social care services.
Conclusion
From the above answer it cam be concluded that appropriate service response about
changes in policies and procedures will lead to better performance of care taker towards patients.
There are many methods to get feedback or response about changes in services at health and
care centre.
M 2 Complex information synthesised related to service response
The recent changes in the health and social care serves of local action for disabled are
analysed by the methods of service response like feedback in which the questions to the services
provided to the residents are asked (Munn and Winter,2013). Another method of the service
responses about changes in health and social care home is questionnaire. In this method, a fixed
pattern of questions are asked to residents and staff members. Thus by these service response
methods, Denise as a manger of care home can be able to shift the home care into the supported
living.
TASK 3
3.1 The key principles of change management using either Kotter’s eights steps to successful
change
Fact sheet
The successful change management model of kotter is very useful for the change management
in the health ans social care home like local action for disabled. There are following eight steps
in kotter model.
1. At first the sense of urgency is created.
2. After that the powerful enough guiding coalition is established.
3. Formation of strategic vision and initiatives.
4. A volunteer army is enlisted (Aveyard,2014).
5. Barriers are removed by effective actions.

6. The short term wins are generated.
7. An acceleration is sustained.
8. Finally, the change is anchored in organisation culture.
Followings are the facts from above model.
 A sense of urgency of changes can be created so that major opportunities can be
identified in local action for disabled according to the case.
 There can be help in developing strategies for achieving vision of the care home
to shift into supported living.
 Guiding coalition for expected good and positive behaviour of the employees.
 This model can help in taking risk of change.
 In then care home, planning for improvement in services can be done through
this model.
 There can be recognised people whop help in implementing changes.
 Development can be done through the change management in care home.
 By this model the care home can progress in the quality of the serv9ocrs.
 The service delivery can be provided in time with improvement.
 More satisfaction is achieved on the part of the residents and staff members.
 This model is useful to create healthy environment ion the care home.
 Establishing comfort between new changes and people of the care home
according to the case.
M 3 Coherent logical development of principles
According to the case of local action for disabled, the principles of changes in health and
social care services play a vital role in making comfortable atmosphere for the new policies and
procedures in the care home (Reeves,Lewin and Zwarenstein,2011). So that there can be
improvement and ease in the service delivery to the residents. In kotter change management
model there are eight step for managing changes positive in the health and social acre home.
Thus to keep a positive and beneficial change management related to the services in health and
social care home so that the residents can get the best service quality .

3.2 How changes in health and social care are planned
The health and social care home like local action for disabled makes changes in their
services. These changes are planned so that there will be improvement in the service delivery as
well as in the residents satisfaction (Aveyard and Sharp,2013). There are many different useful
ways for planning the changes in health and social care like consultation,
communication, top – down or bottom – up, management style, managing anxiety, staff
development needs. In all issues, communication is the most important way for planning
especially for the changes in health and social care services like local action for the disabled. Top
down and bottom up management is also an important method for planning the changes in health
and social care services. In this planning method, the whole hierarchy in the health organisation
like local action for disabled discuss all the pros and cons about change implementation.
Thus there are many effective and efficient ways of planning the changes in health and
social care services in which managing anxiety is also included. The residents and the staff
member of the care home can hesitate about change in the policies and procedures. In this
condition, the kotter change management model helps in reducing the anxiety about change.
3.3 Monitoring the recent changes in health and social care services
The recent changes in the health and social care services of local action for disabled are
monitored and measured in many different ways so that the impact of the positivity as well as the
negativity is estimated. Some of the monitoring method of changes in health and social services
are evaluative research surveys,
residents or staff satisfaction, measures of efficiency(cost – benefit,referral rates, and case
completion, waiting and response times. In evaluative research surveys, there are a number of
questions are asked so that the current situation or effect of the changes in heath and social care
services can be analysed.
Another method of monitoring the changes in health and social care services is residents
and staff satisfaction as they are the crucial part of the health ans social care home like local
action for disabled person. The cost benefit method is also an effective monitoring method in the
health and social care services. Waiting and response time helps in measuring the result of the
changes in term of attitude of the residents about waiting time and response time provided by
workers of the care home.

D 3 Monitor method of recent changes and its impact
There are many monitoring methods for changes in health and social care which help in
measuring the effect on all aspects of the organisational structure of the care home. The research
survey helps in evaluating the exact scenario of the changes in the policies and procedures of the
health care. Efficiency in the performance of the staff as well as the services are also analysed
which contribute in achieving goal of the care home like local action for disabled. Thus if the
monitoring methods are effective then there can be achieved maximum satisfaction on the part
of the residents and workers of the health and social care home.
CONCLUSION
From the above report it can be concluded that different changes in health and social care
services have major impact on the residents as well as the employees of the care home. There are
many factor which play a vital role in implementing the changes in the services of care home like
political factors, legal and technological factors. There are many crucial principle and strategies
which contribute in creating positive impact of the changes in health ans social care services.
The changes are monitored and measured in many different ways to make sure that there is no
decrease in the quality of the services in care home to residents. These strategies are useful to
implement the beneficial changes in the policies , procedures and the structure of the health and
social care home.