Healthcare Environment Report: Silverwood Care Home Manager's Role

This report provides a comprehensive analysis of the healthcare environment within Silverwood Care Home. It begins by identifying the organizational structure as a line structure, where the manager, Jacob, makes decisions and communicates them to the team leader, influencing the care home's culture. The report details how this structure impacts the culture, highlighting both positive aspects like clear roles and efficient communication, and potential negative impacts such as limited staff involvement in decision-making. Furthermore, the report thoroughly discusses Jacob's roles and responsibilities as the healthcare manager, including staff allocation, oversight, training needs assessment, training sessions, hiring, and issue resolution. This analysis underscores the importance of effective management in ensuring quality healthcare services and maintaining a positive environment for both residents and staff.

RUNNING HEAD: Healthcare Environment
Healthcare Environment

Healthcare Environment 1
Table of Contents
Introduction................................................................................................................................2
Describe the type of organisational structure in Silverwood.....................................................3
Explain how the organisational structure in Silverwood could impact on its culture................4
Discuss the role and responsibilities of Jacob as the Healthcare Manager of Silverwood........6
Conclusion..................................................................................................................................8
References..................................................................................................................................9

Healthcare Environment 2
Introduction
The healthcare environment is crucial as this environment directly affects the quality of life
of users of the services of health and social care setting. Every health and social care setting
focused on enhancing the quality provided by the setting. Silverwood Care Home is a
healthcare setting which is engaged in providing healthcare services to the users with a
motive to enhance their health. Jacob is working as a manager in the Silverwood Care Home.
In the team of Jacob, there are 2 registered nurses, 1 team leader, 5 care assistants and 2
domiciliary workers. Majority of the decisions in the Silverwood Care Home are taken by the
manager Jacob. Jacob communicates the decisions to the team leader so as to ensure the
effective implementation of the decisions taken by the manager of Silverwood Care Home.
There are total 15 residents who stay in Silverwood Care Home and these residents are aged
between 72 to 98 years. Two residents staying in the Silverwood Care Home are being
diagnosed with dementia.
This report discusses the type of organisational structure which is being followed by
Silverwood Care Home. It will also discuss the manner in which organisational structure
followed in Silverwood Care Home affects the culture of Silverwood Care Home. It will also
cover the roles and responsibilities of Jacob as a manager of the Silverwood Care Home.

Healthcare Environment 3
Describe the type of organisational structure in Silverwood
Line organisational structure has been followed in Silverwood Care Home as the manager is
responsible for decision making and implementing the decisions by communicating the
decisions to the team leaders. Line organisational structure can be defined as the structure of
the organisation where authority flows from top to bottom and accountability flows from
bottom to top (Zhuang, et. al., 2011). In Silverwood Care Home, there is a direct and vertical
relationship between the different levels of the care home. In Silverwood Care Home, the
authority is travelling downwards from the top to bottom and accountability is flowing from
bottom to top as Jacob is responsible for the actions of the staff of Silverwood Care Home.
Jacob as a manager is having control over the affairs and employees of Silverwood Care
Home. As a manager of Silverwood Care Home, Jacob is managing and controlling the
operations of Silverwood Care Home. Jacob is making decisions regarding the operations of
the care home and communicated those decisions to the team leader (HR Hanover Research,
2010).
Line organisational structure has been chosen as Silverwood Care Home is operating at a
small level and for the proper management of the operations of the care home, decisions need
to be made at single level. Jacob is the manager of the Silverwood Care Home who is
responsible for taking decisions and implementing them by communicating the decisions
with other staff. There is a downward flow of authority in the Silverwood Care Home as
Jacob takes decisions which are communicated to the team leader and team leader
communicates to the staff members of Silverwood Care Home. Jacob is carrying out the line
of command in the downward direction. This organisational structure has been selected for
Silverwood Care Home as this structure ensures that communication is done in a proper
manner without any gap and lack of coordination (Chong, et. al., 2011).

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Line organisational structure does not include specialisation and supportive services in the
organisation. Jacob keeps a control on the operations of the care home and keeps a check on
the activities of the staff. This organisational structure has promoted efficiency in the
communication process of Silverwood Care Home and brought stability. This organisational
structure has brought unity in the commands and decision-making power is centralised. This
structure has enhanced the simplicity and clarity in the operations of Silverwood Care Home
(Steiger, et. al., 2014). Responsibility and roles are clearly defined by Jacob which are being
followed by the other staff of Silverwood Care Home. Discipline is maintained in Silverwood
Care Home as the control of the decision making power is in a single hand. This structure has
enhanced the decision-making process of Silverwood Care Home and promoted flexibility in
the care home. This has increased the burden on Jacob as all the decisions are taken by him
and he is responsible for the other staff of Silverwood Care Home (Wasdell, 2011).

Healthcare Environment 5
Explain how the organisational structure in Silverwood could impact on its culture
The organisational structure followed or adopted by an organisation affects the culture of the
organisation in different ways. These impacts can be positive as well as negative for the
organisation. The individuals are placed within the organisational structure adopted by the
organisation which forms a part of the culture of the organisation. Silverwood Care Home has
adopted line organisational structure for the execution of the operations in an effective
manner. Jacob has control on the decision making the power of the care home where
decisions are made by Jacob and enforced by the team leader and other staff. Residents in the
Silverwood Care Home need to be provided proper care so as to maintain their health and
ensuring their safety at the care home (Kuo & Kuo, 2010).
There are various positive impacts of the organisational structure of the culture of the
Silverwood Care Home. These positive impacts include unity in command, flexibility,
effective communication, reduction in chances of overlapping and duplication of tasks,
reduction in run-around at the culture of the Silverwood Care Home, clarity in roles and
responsibilities, increase in satisfaction level of the staff, proper check guides the efforts of
staff in right direction, better and clear growth opportunities and promoting control on the
activities of the staff (Stare, 2011).
Unity in command is an important aspect of the line organisational structure as this structure
focuses on the implementation of the decisions made by the manager of Silverwood Care
Home. This promotes better coordination among the staff of the Silverwood Care Home as
they are helping and communicating with each other for performing the roles assigned.
Flexibility is another benefit associated with the use of line organisational structure. Jacob
has promoted flexibility as the authority is flowing from top to bottom (Axelsson, et. al.,
2014). This helps in sharing the vision set by the manager of Silverwood Care Home with the

Healthcare Environment 6
team leaders, care assistants, registered nurses and domiciliary workers. This organisational
structure has promoted better and effective communication at the culture of Silverwood Care
Home. Employees are aware of the roles they have to play and are in direct contact with the
team leader and manager of Silverwood Care Home (Burton, et. al., 2015).
In the words of Voet (2013), this structure results in a reduction in chances of overlapping
and duplication of tasks. Jacob is taking decisions and fixing work and shift schedule which
ensures that the staff is well informed about their role. This could reduce the chances of
overlapping and duplication. Proper monitoring is there by the team leader and manager of
Silverwood Care Home. This ensures that employees of Silverwood Care Home are
performing as per the decisions of the manager. This organisational structure has resulted in a
reduction in run-around at the culture of the Silverwood Care Home. Responsibilities are
fixed and performance or actions of the staff are being monitored or reviewed by the manager
(Adeniji & Osibanjo, 2012). This ensures that the employees are not running away from their
responsibility. This promotes a sense of responsibility in the culture of Silverwood Care
Home. Employees are having clarity regarding the roles and responsibilities they have to
fulfil. It increases the satisfaction level of the staff as employees have clarity of roles and can
communicate the issues with the team leader or manager. Better and clear growth
opportunities are available as the roles are clearly defined in this structure. Promoting control
on the activities of the staff helps in maintaining the positive environment at the care home
(Adewale & Anthonia, 2013).
There are few negative impacts of line organisational structure on the culture of the
Silverwood Care Home. These negative impacts include dissatisfaction among the staff, lack
of sense of belongingness and lack of quick decision making. Decision-making power is
centralised in Silverwood Care Home due to which the decision-making process gets delayed.
This can affect the quality of health of the residents of Silverwood Care Home. Staff may get

Healthcare Environment 7
dissatisfied as they are being assigned roles and responsibilities and are not involved in the
decision-making process of the care home. The sense of belongingness will not be there in
the employees of the care home as they are not engaged in the operations of the care home
(Zaki, et. al., 2015).

Healthcare Environment 8
Discuss the role and responsibilities of Jacob as the Healthcare Manager of Silverwood
A healthcare setting is providing health care services to the users of the service and the tasks
are assigned to the different individuals working in the setting. A manager of the healthcare
setting has to fulfil various roles and responsibilities for the purpose of meeting the duties
assigned to it. The focus of the manager needs to be on meeting the roles and responsibilities
assigned so as to enhance the quality of the services offered as well as management of the
operations of the healthcare setting in an effective manner. Jacob as a manager of Silverwood
Care Home has to fulfil various roles and responsibilities. These roles and responsibilities of
Jacob as a manager of Silverwood Care Home are stated below:
1. Allocation of duties to the staff: one of the most important roles of Jacob as a manager
of Silverwood Care Home is to prepare the plans and allocate the duties to the staff
for taking care of the residents of Silverwood Care Home. There are two dementia
patients in the Silverwood Care Home and proper care needs to be taken of these
patients. The allocation must be communicated properly among the staff so as to
ensure that staff is performing the roles and responsibilities assigned to them by Jacob
in an effective manner (Westling, 2012).
2. Overseeing staff: Jacob needs to keep a check on the staff so as to analyse the
performance of the staff and identifying the gaps between the expected performance
and actual performance. Jacob takes the decision of the Silverwood Care Home and
these decisions are communicated to the team leaders and other staff of the
Silverwood Care Home. Monitoring and review of the performance of the staff help in
keeping a check on the staff and maintaining the quality of the services.
3. Identification of training needs: Jacob needs to analyse the need for training so as to
enhance the expertise of the staff for offering quality services to the residents of

Healthcare Environment 9
Silverwood Care Home. Effective initiatives need to be taken for the purpose of
enhancing knowledge and skills of the employees (Department of Health, 2011).
4. Conducting training sessions: training sessions need to be initiated by Jacob for
motivating the staff for dealing with the different situations occurring at the
Silverwood Care Home. Jacob has the responsibility to ensure that proper training
sessions are initiated for the staff of Silverwood Care Home.
5. Hiring staff: another responsibility of Jacob as a manager of Silverwood Care Home
is to hire staff by identifying the need of the staff for providing services to the
residents. Jacob has to fulfil the need of staff in Silverwood Care Home for
maintaining the quality of the services. Jacob is engaged in analysing the need of staff
and meeting the staff needs (HSE, 2015).
6. Resolving the issues faced by staff: Jacob has to interact with the employees and
discuss with the team leaders for identifying the issues which are being faced by the
staff of Silverwood Care Home. While providing service to the residents at
Silverwood Care Home, staff may face issues and challenges. Jacob needs to take
steps for dealing with the issues or challenges in an effective manner.
7. Ensuring quality of the services offered: Jacob has to keep a check on the quality of
the service offered at Silverwood Care Home. Silverwood Care Home is providing
services to the people who are aged between 72 to 98. It is vital to understand the
needs of the residents so as to meet their expectations and fulfilling their needs. Jacob
has to guide the efforts of the staff towards the right direction (JKP, 2012).
8. Taking feedbacks from the users of the service: Jacob needs to collect feedbacks from
the residents staying in Silverwood Care Home. Feedbacks collected from the users or
residents of Silverwood Care Home will help in implementing the changes and taking
corrective actions.

Healthcare Environment 10
9. Marketing and managing public relations: another important responsibility of Jacob is
to adopt effective strategies for the marketing of Silverwood Care Home. Presently,
there are total 15 residents in Silverwood Care Home and among these 15 residents, 2
are suffering from dementia. Marketing strategies will help in promoting Silverwood
Care Home. Jacob has to ensure healthy public relations with the different
stakeholders.
10. Setting standards: standards need to be set in Silverwood Care Home for ensuring that
quality services are offered to the residents of Silverwood Care Home. Standards
determine the quality of the services offered by the staff of Silverwood Care Home.
Jacob needs to set the standards and to ensure that these standards are being attained
by maintaining the quality of the services (Gilburt, 2016).
11. Communicating decisions to the team leaders and other staff: an important role or
responsibility of Jacob as a manager of Silverwood Care Home is to communicate the
decisions to the team leader effectively. Jacob needs to ensure that the decisions are
being implemented in the Silverwood Care Home. Jacob ensures that communication
is effective among the staff of the Silverwood Care Home for reducing the chances of
any adverse situation.
12. Staying updated regarding the laws and regulations and implementing the laws and
regulations: Jacob identifies the changes taking place in the legal framework which
can affect the operations of Silverwood Care Home. Changes are made by the
government for the health and safety of the users of the services. Changes will be
made in the existing procedures by Jacob (Tusla, 2017).
13. Taking decisions regarding the creation of work and shift schedules: work schedules
and shift schedules are prepared by the manager and discussed with the team leader
and staff for the execution of the operations of the care home in an effective manner.

Healthcare Environment 11
Shift schedules can affect the quality of the services offered to the residents of
Silverwood Care Home.
14. Conducting meetings: meetings need to be conducted at regular intervals for the
purpose of discussing the issues faced by the employees or the changes which Jacob is
planning to implement in the Silverwood Care Home. Decisions taken by the manager
for the care home can be discussed with the employees in the meetings (Jacqueline
Webb, 2013).

Healthcare Environment 12
Conclusion
Thus, from the above discussion, it has been summarised that Silverwood Care Home has
adopted a line organisational structure which ensures that decisions are taken by the manager
effectively. This report has discussed the organisational structure which has been adopted by
Silverwood Care Home for providing health care services to the residents of the care home.
This report has also covered the various positive as well as negative impact of the line
organisational structure on the culture of Silverwood Care Home. This report has also
discussed the various roles and responsibilities of the manager of Silverwood Care Home. All
these roles and responsibilities form a part of the job of the manager of Silverwood Care
Home.

Healthcare Environment 13
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Healthcare Environment 14
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