Silverwood care home is located in Beeston, Nottingham and its main objective is to provide residential, nursing and respite care. Currently it has 15 residents whose age is between 72-98years. However, two among them have been diagnosed with Dementia. Dementia is a term that has been given to the decline in mental abilities that are severe enough to hinder with daily life. The most common examples of Dementia are Memory loss along with the common type of Dementia is Alzheimer. The manager of Silverwood care home is known as Jacob. However, along with Jacob the staff team comprises of 2 registered nurses, 2 domiciliary workers, 5 care assistants and 1 team leader. As far as Jacobs’s role is concerned, it can be said that he is the one who takes maximum decisions in the home. Jacob communicates his final decisions once he has made it to his team leader. However, his expectations from his team leader is that the decisions that he took for the care home gets implemented properly by the team leader without questioning his decisions. Jacob consider respecting the authority to be very necessary in his job. Residential care homes are mainly long-term care centers for adults or children who can stay in a residential environment rather than being in their home or with their family (Falk et al. 2013).
1. Definition of organizational structure
An organization can be a business unit or a non-profit seeking entity; organization is a group of people who are working towards a shared goal. Every organization regardless of the scale and nature of operation have a set hierarchy that is usual maintained in a formal or informal way depending on the culture of that organization. Organizational structure is defined as the process in which responsibilities are delegated and assignments are segregated in order to maintain coordination in the daily operations of the business. Every organization has an arrangement that illustrates the roles that the members associated with the organization have to perform so that there is a collective understanding about the duties and the responsibility on a daily basis. The structure described with the help of info-graphics and charts. The hierarchy of the company has to be clear, in order to maintain a flow in the organization (Claver-Cortés, Pertusa-Ortega and Molina-Azorín, 2012).
Type of organizational structure in Silverwood
Communication process in an organization depends on the steps of hierarchy and hence the structure has to clear in the minds of the people associated with the organization. This helps the employees to respect the posts and the organization as well. There are many types of organizational structure: hierarchical, functional structure, divisional structure and matrix structure.
However, as far as Silverwood is concerned this healthcare organization is found to have following Hierarchical organizational structure.
Definition of hierarchy
In hierarchical organization structure, the idea of the concept of hierarchy is that it has vertical levels central to a top authority figure where the higher levels guides the lower levels in the hierarchy. It can be defined as the process by which power and authority along with responsibilities are maintained among a group of people, the people of the organization are arranged in the order of rank (Ashkenas et al. 2015).
Hierarchy structure in Silverwood
This type of a structure clearly defines the bond between the managers and the underlying staffs from the top to bottom of the organization. The staff members are given defined roles and responsibilities. Therefore, apart from having few disadvantages it has several advantages for small organizations. The features that this organizational structure bears in Silverwood are as follows-
- In Silverwood the departments are small will few employees thus, they knows that they have to seek guidance from their managers who the supervisor just above them.
- In the hierarchal organization structure, the managers are very skilled in the department’s particular functions. Jacob is a skilled manager of the unit and maintains the hierarchy while taking any decision.
- The employees have a clear notion whom to approach for promotions so that they can arise in the organizational ladder. Jacob knows that he cannot take decision on the behalf of the management and hence he reports to the team leader. It is clear to the employees in this type of an organizational structure that where the path is guiding them and where it is ending.
- In hierarchical structure, the staff members can relate which each other as while working, they may face similar challenges and can share their previous experiences.
2. Definition of organizational culture
Organizational culture involves the organization’s assumptions, experiences, values and philosophy that binds the organization together and is demonstrated in their internal workings, self-image, and communication with the external world as well as their future expectations (Alvesson 2012). The culture in any organization is based on shared beliefs, customs, and attitudes along with written and unwritten rules that are evolved over time and are considered valid. Thus, culture gets reflected in the ways the organization runs its business, behaves with their staffs, clients and the community as a whole, the level in which freedom is given to the employees for taking part in decision making, delivering new ideas and expressing themselves. Moreover, organizational culture depends upon how power and information is transferred through its ranking and lastly, how the staff members are committed towards the collected goal of the organization.
The impact of organizational structure on the culture of Silverwood
However, as discussed earlier a formal structure always requires achieving the objectives of the organization in an effective manner (Thornton, Ocasio and Lounsbury 2012). Therefore, when employees have to work together to provide the specific services to their client in Silverwood under the restrictions of the functional structure to reach their ascertain objectives which are done by following a specific way to speak and communicate which definitely forms an organizational culture. The organizational structure is known to partially describing the organizational culture, therefore any difficulty the structure can have an impact on its culture. The organizational structure is mainly the framework for their culture to be executed while on the other hand the organizational culture commands how the organization should be structured (Gordon et al. 2013). Communication is important in the daily operations of the business and in this culture, the approach is clear as the roles and ranks are defined clearly.
Silverwood care home follows a hierarchical organizational structure and hence the culture corresponds with the structure (Mullins 2016). This ensures stability and reliability as the decisions and the powers are not concentrated in the hands of a single person. Organizational structure affects the culture directly because of the employee’s placement within the formulated structure (Bock et al. 2012). Thus, if the employees in the structure are not coordinated enough then that will surely affect the organizations culture. The work environment that includes hierarchy makes the process of operation smooth and easy, as the people are well aware of their roles and responsibilities, therefore works accordingly. Thus, when the structure is made the focus should be on what the organization wants to achieve otherwise the culture will get affected. A communication structure, top down information flow, neural networking and most importantly the size of the organization also affects the culture along with the structure. However, the hierarchical structure also affects the culture of the organization as it is based on the defined role and responsibilities in each level of hierarchy thus, many a times it may be considered that too much control can hamper the creativity as well as productivity of the employees, which in a way affects the organizational culture. The organizational culture is also affected because it not only has little scope of communication but also rarely allows any kind of flexibility. It further has an impact on the culture by not encouraging the employees to collaborate and share among the reporting structure. Hierarchical culture in an organization ensures planning and strategizing in a way that will be most effective for the origination. The people in an organization seek help and motivation form the people who are higher in the ladder and the seniors take the grievances and challenges of the subordinates seriously, as it affects the commitment of the employee towards an organization (Scott and Davis 2015).
3. Definition of a manager
A manager is a person who is responsible for a team or a group of people who have the same goal. A manger is responsible for the administration, operation, finance and human resource of an organization. The roles and responsibilities and the post of the manager depends on the scale and the nature of the business unit. The manager is a person who ensures smooth running of the business on a daily basis (McKinney et al. 2016).
Definition of a healthcare manager
A healthcare manager is a person who serves both administrative as well as leadership roles in the organization dealing with health care facilities. A manager in the healthcare industry is expected to be skilled in many dimensions he should not only have managerial skills he should also be aware of the minimum requirements of the healthcare sectors inorder to understand the objectives of the organization better (Buchbinder and Shanks 2016).
The role and responsibility of the Health care
The main role of a health care manager is to manage the business aspects like the finances and operations of the heath care organization (Iles 2005). Their basic responsibilities are to ensure that their clients are receiving higher quality care by imparting physicians and nurses along with the tools that are needed to provide greater health care. According to the U.S Bureau of labor statistics, the main role that managers play is to supervise the personnel, finances, facility operations as well as information technology in a health care organization (Buchbinder and Shanks 2016). They also try to improvise the efficiency as well as the quality of care provided to their patients while keeping a check on their costs. However, American College of Healthcare Executives have more specifically outlined the roles of a health care manager which includes the following points-
- Associating with the physicians as well as nurses to provide high quality care to their clients/patients
- Verifying that the health care organization is at all financially and operationally sound or not
- Regulating personnel issues of the other employees as well as patients
- Educating the members of the community about the health related problems
In hospitals or any health care homes apart from the need of doctors and nurses, the role of a manager is very important to handle not only the administrative tasks explained above but also tasks like budgeting, human resource as well as checking the supplies. Thus, it can be said that they takes over the profit making tasks for the organization. A health care manager primarily encourages an environment that can supply important as well as quality health care towards supreme profit. They not only prepare the budgets or look after the orders they also administer the payroll and benefits and spread day-to-day communications (Nilsson and Furåker 2012). Moreover, they are responsible for keeping up with the appropriate health care related laws, current technologies and standards and thereby representing the organization at outside meetings or gatherings. Furthermore, they as a healthcare manager they are responsible to control the needs of health care along with the way medical decisions affects the system and finances of their care homes. Managers are also responsible to further conduct meetings with the doctors, nurses, vendors as well as clients or patients.
The role and responsibility of the Health care in Silverwood
Jacob is the healthcare manager of Silverwood care home. Jacob has to deal with all the aforementioned responsibilities in Silverwood care home. Jacob is a person who is describes as one who respects the hierarchy of the organization and does not step up the ladder. But he is also aware of the fact that he knows the place better than anyone else and seeks reciprocation from the hierarchy in terms of respect and value. The decisions made by Jacob are sent for approval by the senior management but he expects that all his policies will be implemented.
The biggest responsibility of Jacob is managing salaries, delegating work schedules, training employees as well as ensuring that the organization is working efficiently with the existing employees (Alfes et al. 2013). They have the power to promote the staffs to supervisory or at positions where they can become the head of their specified groups. To become an efficient manager one needs excellent skill of leadership to encourage their employees and good interpersonal skills. The role and responsibilities of any health care manager varies with the titles and functions of their organization. Those health care managers who are working in a hospital are mainly given the charge of admission, employees and maintenance of medical centers, observing that the patients are receiving the appropriate services (Hall et al. 2013). However, for Jacob who is working in a health care home has to focus on almost all the departments and employees. As he is in charge of a not so large organization thus, he can keep a check on all direction. However, it is Jacob’s job to set goals and guides the areas of responsibilities of other workers. They also keep a check that sensitive medical data is protected from random and illegal access. Apart from these there are few other duties of the health care manager that are discussed below-
- Strategic planner- they are the businessperson in the medical practices thus, they are charged with taking the appropriate decisions, guiding the strategic planning so that a vision is created to carry forward the practice.
- Organizational spokesperson- Jacobare the one who are to act as the spokesperson of the organization in and outside the organization.
- Collaboration- Jacobalso has to link with other medical staffs to guide the ongoing processes in the organization. Moreover, it is his duty to maintain a good relationship with nurses and other staff members to maintain a high morale standard.
- Employee management- Jacobnot only help the employees in their day-to-day work but also keep an eye to see if everyone is working appropriately. He decides on the standard of the performances by his employees and evaluates their work.
Thus, from the above tasks it can be concluded that Silverwood care home, which is located in Nottingham, has its main goal of providing residential, nursing and respite care to their clients or patients. Silverwood has in total 15 residents who are between the age group of 72-98years of whom two are said to have diagnosed with Dementia. However, Jacob who is the manager of this health care home is observed to have taken all the major decisions and then he communicates that with his team leader. This organization has been therefore following a hierarchical organizational structure with the higher levels of authority figures are ruling the lower levels in the hierarchy. Moreover, it was also analyzed that organizational structure does have an impact on its culture. Therefore, if any imbalance is created in the structure of the organization then it will severely affect the culture. Lastly, the roles and responsibilities of the manager of a healthcare home are discussed that is for Silverwood that role of its manager is that he is responsible for administrative, operations as well as financial duties. Along with which he is also responsible for managing the employees, observing the authenticity of the work being done as well as taking decisions and planning for the organization.
Alfes, K., Truss, C., Soane, E.C., Rees, C. and Gatenby, M., 2013. The relationship between line manager behavior, perceived HRM practices, and individual performance: Examining the mediating role of engagement. Human resource management, 52(6), pp.839-859.
Alvesson, M., 2012. Understanding organizational culture. Sage.
Ashkenas, R., Ulrich, D., Jick, T. and Kerr, S., 2015. The boundaryless organization: Breaking the chains of organizational structure. John Wiley & Sons.
Bock, A.J., Opsahl, T., George, G. and Gann, D.M., 2012. The effects of culture and structure on strategic flexibility during business model innovation. Journal of Management Studies, 49(2), pp.279-305.
Buchanan D and Huczniski A. 2017. Organizational Behaviour (9th edition) Pearson: Harlow
Buchbinder, S.B. and Shanks, N.H. eds., 2016. Introduction to health care management. Jones & Bartlett Publishers.
Claver-Cortés, E., Pertusa-Ortega, E.M. and Molina-Azorín, J.F., 2012. Characteristics of organizational structure relating to hybrid competitive strategy: Implications for performance. Journal of Business Research, 65(7), pp.993-1002.
Cummings, T.G. and Worley, C.G., 2014. Organization development and change. Cengage learning.
Falk, H., Wijk, H., Persson, L.O. and Falk, K., 2013. A sense of home in residential care. Scandinavian Journal of Caring Sciences, 27(4), pp.999-1009.
Gordon, A.L., Franklin, M., Bradshaw, L., Logan, P., Elliott, R. and Gladman, J.R., 2013. Health status of UK care home residents: a cohort study. Age and ageing, 43(1), pp.97-103.
Hall, R., Belson, D., Murali, P. and Dessouky, M., 2013. Modeling patient flows through the health care system. In Patient Flow (pp. 3-42). Springer US.
Iles, V., 2005. Really managing health care. McGraw-Hill Education (UK).
Lunenburg, F.C., 2012. Organizational structure: Mintzberg’s framework. International journal of scholarly, academic, intellectual diversity, 14(1), pp.1-8.
McKinney, P., Evans, J.T. and McKay, R., 2016. Improve manager competency with experiential learning. Nursing management, 47(10), pp.46-49.
Mullins, L., 2016. Management and Organisational Behaviour (16th edition) Pearson: Edinburgh
Nilsson, K. and Furåker, C., 2012. Learning leadership through practice–healthcare managers' experience. Leadership in Health Services, 25(2), pp.106-122.
Porter, M.E. and Lee, T.H., 2013. The strategy that will fix health care. Harvard business review, 91(10), pp.1-19.
Scott, W.R. and Davis, G.F., 2015. Organizations and organizing: Rational, natural and open systems perspectives. Routledge.
Thornton, P.H., Ocasio, W. and Lounsbury, M., 2012. The institutional logics perspective: A new approach to culture, structure, and process. Oxford University Press on Demand.