Report on Senile Care Nursing Home: Organization Design and Management

This report details the design and management of a nursing care home, named Senile Care, focusing on providing comprehensive care for elderly individuals with extended needs. The report outlines the organization's mission to provide dignified and independent living for residents, along with core values of privacy, confidentiality, respect, and non-discrimination. An organizational chart is presented, with the author as CEO, and the report emphasizes a leadership approach that prioritizes staff empowerment through delegation, clear expectations, resource accessibility, multidisciplinary teams, and a positive work environment. A multidisciplinary team is described, consisting of a physician, nurse, complementary activities instructor, palliative nurse, physiotherapist, and psychotherapist, to provide holistic and personalized care. The report emphasizes a patient-centered approach, focusing on maintaining the residents' independence and quality of life through various therapeutic and supportive services.

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Design an Organisation
Introduction
Healthcare organisations are essential institutions of a community. They are responsible for the
health and wellbeing of the community in order to maintain quality of life. However, there are
certain prerequisite skills or knowledge for running a healthcare organisation. Unlike other
service-providing organisations or private industries, healthcare organisations are not supposed
to be profit-driven. Also, healthcare organisations are locally focused and do not aim to expand.
Also, they need to have significant knowledge about the treatment approaches and the use of
enhancing technology. However, there have been significant changes made in the industry to
liken it to a private service industry. This aims to streamline the costs of care and the quality of
services provided. Also, the care receiver is given a more central position, making it important to
consider their views and preferences when providing care.
Determine the type of unit or organization you are developing
The type of healthcare organisation that will be developed in this study is a nursing care home. A
nursing care home is a residential unit for elderly patients who have more pressing needs that
cannot be fulfilled within their private homes. It aims to provide a safe and protected
environment, regular supervision by a nurse, regular check-up by physicians and allow them to
live as independently as possible. It will also provide a short-term care facility as well as long
term ones for elderly care seekers who do not have suitable care providers at home (Graban &
Swartz, 2017). Short term care facilities include treatment of minor injuries and rehabilitative
stay after surgery. Physiotherapy, speech and cognitive skill therapy and memory care therapy
for patients with dementia will also be provided. The nursing home will also have other
alternative therapies like yoga, meditation, chiropractic, aqua therapy and naturopath treatment.

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The rationale behind setting up an organisation of such sort was to enhance the quality of life of
old people. Most elderly people who have health complications live a sedentary lifestyle, do not
interact much and also do not have interested in their own. As a result, they are overlooked even
when in their own private place and hence become more vulnerable. They are not treated with
dignity or respect in most places and are often forced to accept a form of treatment that they do
feel comfortable in. in most cases, their consent or preferences are overlooked when they are in
need of care services.
Give your organization a name
Senile care and nursing home
Describe the mission statement and values of your organization
The mission of the organisation is to provide care and treatment for aged care seekers who have
extended needs that cannot be met at their homes. Essential values and principles are put forward
in our care practice that enables to provide quality care and treat the patients in a dignified
manner.
Privacy- the individuals in the care home will be allowed to maintain their privacy and spend
their private times the way they want to.
Confidentiality- Patient information and care approaches will only be disclosed to some
authorised and close members of the family.
Respect and dignity- the care seekers will be treated with respect, their body dignity will be
maintained and their preferences will be acknowledged.
Discrimination- the care seekers will not be discriminated based on their health problems or
their background. Care designs have been provided in a manner that is tailor-made to their needs
and preferences and any disabilities.

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Interaction- our care providers will be in regular contact with care seekers to be able to keep a
constant record of their health and mental condition. Also, these channels will also allow the care
seekers to report any disturbance of issue easily to the nurses.
Independence- The care providers aim to enable the care seekers to live an independent life
within and outside the care home. this can be done by providing top grade care, making use of
technological interventions, having a support network and creating a safe environment for them.

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Draw an organizational chart for your organization including yourself (the head person) in
the chart
Nursing staff Physiotherapists
Senior health
care assistant
Complementary
activities
instructor
Laboratory and
resources managerCo-Ordinator Clinical head
nurse
Housekeeping
manager
Maintenance
manager
Manager of
Care
Support services (Manpower,
Finance, HR)
CEO

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The organisation chart has been presented in the form hierarchy. As instructed, the head position
of the CEO is reserved for me. A separate department has been set up with the title supporting
services that take care of the non-clinical aspects of running a healthcare organisation. This
consists of the manpower, administration, finance and the human resource department. The focus
was on the nursing and clinical unit (Gopee & Galloway, 2017). The manager of care is the head
of the care department and is responsible for quality check, allocating resources and for settling
issues. The coordinator is the next in charge after the manager.

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Describe yourself at the head of your unit or organization
As the head of the organisation, I want to function as a leader rather than a manager. the
organisational hierarchy has planned at least two managers for quality check and administration
in the nursing department. As a result, I will be able to lead the organisation and set a working
principle among the staff. As a leader of the organisation, I do not want the organisation to
compete with others in the industry. Rather I want to create a niche and a name in among our
target care seekers for our care quality. The aim for setting up the organisation was to enable the
elderly care seekers to be able to live a dignified and maintain their independence until they die
(Kumar & Khiljee, 2016). We do not focus on complete recovery and force patients to accept
medication and treatment if they are willing. The aim is to respect their choice and allow them to
live with dignity as long as they do.
Describe five strategies you will use to empower staff members
Delegate to develop- when deploying nurses and other staff to a given work process, their
preferences and standards are kept in mind. In most organisations, whether private or in
healthcare, work is delegated in order to get over with the tasks. However, that is a short-sighted
goal and only ensures that the task at hand is done. When work is delegated according to the
capabilities of the staff, they are more likely to learn, provide a better quality of work and
enhance their skills. Providing a chance to learn and grow within a healthcare organisation,
makes the staff more loyal to the organisation and more focused towards their work. They are
motivated by their intrinsic need to fulfil their purpose and excel in their position. The
organisation also promoted their staff to higher hierarchical positions based on their skills and
experiences (Hargett et al. 2017). This is a way to ensure that their quality work is acknowledged

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and much needed. When practised at a greater level, the quality of services and performance of
each individual is enhanced.
Clear expectations- the organisation is in close communication with the care seekers and their
authorised family members. This will allow each care seeker to set clear goals about their health
and wellbeing. Clear goals and expectations are easier to work with, fulfil and provide greater
satisfaction to both the care seeker and the provider. The staff has very clear goals, values and
principles that allow them to manage their work accordingly so that they elicit the desired results
(Alilyyani, Wong & Cummings, 2018). The vision and mission of the organisation have also
very clearly explained to the staff and they will be trained to maintain it at all times.
Freehold of resources- the most important requirement for the high quality of work is easy to
access to the resources. In most healthcare organisations, care seekers are more than can be
managed within the given resources. As a result, it will be made sure that there are enough
resources and the staff has easy access to it. However, it is necessary to ensure that the resources
are not misused or exploited. As a result, a close record will be kept about who is in charge of the
resources and how will they be utilised for a given patient.
Multidisciplinary teams- Multidisciplinary teams are a new feature in healthcare where a team of
healthcare professionals from various field and specialisations are put together. They are in
charge of critical cases, are allowed to discuss the prognosis and utilise their collective
knowledge to provide a care plan that is suited to the needs of the patient. Also, these care plans
are inclusive of the physical, mental and emotional health of the patient and often differ from
more conservative forms of treatment (Agrawal et al. 2016). Such teams have wider knowledge
and experience base and work as a team to provide a holistic approach to treatment, medicine
and health.

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Positive work environment- working to build a positive environment both for work and for
treatment is a long-term goal for the organisation and will reap many benefits. Positive work
environment allows staff with a conducive area to work on, learn, implement and grow. Having
enough scope will increase staff loyalty to both their profession and the organisation (Pillay et al.
2016) Also, in the healthcare sector, turnover rates are especially high as nurses are burnout from
stressful situations at work. As a result, the organisation may have to be on a continuous lookout
for recruiting, training and deploying nurses. It is more beneficial both for the organisation, staff
members as well as the patients receiving care, that a conducive work environment is provided.
Describe one team that will function in your organization?
The use of multidisciplinary team has been identified as one of the strategies for empowering the
staff. Multidisciplinary team is essentially a care team that focuses on handling more critical
cases and providing holistic treatment approaches that may not be considered by other
professionals. The multidisciplinary team will consist of a physician, a nurse, a complementary
activities instructor (depending on the nature of the issue of the care seeker), a palliative nurse, a
physiotherapist and a psychotherapist. The team has been put together in a way that adheres to
the holistic approach of treatment. The physician and the nurse will focus on contemporary
medicine and treatment (Donetto, Pierri, Tsianakas & Robert, 2015). The complementary
activities instructor is one that is proficient in yoga, meditation, aqua therapy and etc. they are
required for care seekers who also want to improve their quality of life, need an invigorating
activity and a purpose. These activities also have physical and mental health benefits. A
palliative care nurse is important part of the group as the elderly care seekers are often in pain
due to unease in various systems of the body. Also, their pain threshold has reduced, as a result
they get more anxious and upset when feeling pain. Pain has a debilitating effect on the body,

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making the person disinterested in other activities. A palliative nurse will try to relieve the pain
through both clinical and non-clinical approaches. They are also required to manage the side
effects and regulate the dosage of any strong pain relievers (Carnero & Gómez, 2016). The
physiotherapist will focus on motor and muscular issues as elderly patients often have complains
about rigid or painful joint. This restricts their movement and often hampers their quality of life
and their independence. Depression, anxiety and eating disorders are common among old people
as a result psychotherapist was included in the team. They will focus on the mental condition
provide therapeutic care, interact with them, empathise with their condition and also dispel their
fears regarding their future.
The rationale for forming this team and describe how you will ensure the group will
function effectively
Multidisciplinary teams are a new appendage in the healthcare industry and there is much
evidence from researches and practical experiences that such teams provide better grade of care.
Moreover, multidisciplinary teams regard health and well being to be inclusive of mental,
physical, emotional and social health. In most organisation, the care seeker is provided with only
clinical and medicinal treatment. Their mental and social health is mostly disregarded and left for
their family to take care of. The team was formulated with keeping in mind the general health
concerns that an elderly patient has. As one of the goals identified was to better their quality of
life, the care seekers need to be provided with a care approach that is able to better their social,
emotional and mental condition as well. These needs often go unacknowledged as most
professionals and their family members are focused on maintaining their physical health.
However, they fail to understand that health is inclusive of it all and cannot be managed
exclusively.

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Design an Organisation
The team will have an identified leader who will be most experienced one of them. they are
required to manage the team internally and answer to the person in charge immediately after
them. The group will also have internal feedback and peer review system to check their
performance. Also, a system of grading will be set, where eat multidisciplinary team will be
ranked in an order for their performance.
Handle this situation: two nurses having a heated debate
The environment and atmosphere of a healthcare organisation needs to be relaxing, calm and
professional (Nica, 2015). In such a scenario, the issue of two nurses having verbal spar in the
middle of the hallway is likely to cause a great scene. This will have a negative impact regarding
the image of the healthcare organisation on their mind. As a result, the satisfaction level of the
in-house patients may also decrease. It is essential to deal with the issue in a professional
manner. The nurses will be first schooled by their respective in charges and then be asked to
personally apologise to all the patients within the hearing distance who may have been disturbed
by their behaviour. This will make them aware of the consequences of their actions on other
people.
They will then be schooled about how to hold discussions and debates in a professional manner.
Also, the issue on which the debate had started will not be overlooked and will be inspected into.
If any leniency in their professional behaviour is seen then suitable action will be taken for that.
A letter of reprisal, signed by the CEO will be handed to each of them that would serve as an
official intimation for their unprofessional behaviour.
Conclusion

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Setting up a healthcare organisation requires knowledge, experience and an internal motivation
for providing care. Unlike other private organisations, healthcare industry should be guided by
profit, growth or expansion. Rather it should be lead by a sense of goodwill and care. The
organisation plan made in this study, was motivated to provide a way to live dignified and
independent life for the elderly people. The mission and values were made in accordance that
would enable the organisation and its staff to provide quality care and elicit high patient
satisfaction rates.

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