Pages

Tuesday, 7 October 2014

Domiciliary Carers Are Not "Just Care Workers"

Domiciliary Care Workers Are Much More Than Just Care Workers
A few weeks ago I read an article entitled:  Care Manager Criticises Negative Attitude of Care Professionals Who Say 'I'm Just a Care Worker by Richard Howard, news editor for homecare.co.uk. In the article, Howard quotes the manager concerned, Rachel Bryan, marketing and communications manager at AJ Social Care Recruitment Ltd:

 “You are never ‘just a care worker’”, she says. “These are comments that are regularly used by people when introducing their profession. Social care support includes more health care related tasks than what people remember as “Home Help”. Care workers naturally learn more about medication, nutrition, health and safety, safeguarding, etc…”
 
I couldn’t agree more. In any business, everyone has a part to play. If there is no part to play then there should be no position in the business for the person with no part. It makes no business sense. Everyone is important. Having said that, every domiciliary care manager knows that the company that he or she works for is only as good as the quality of care that is delivered by the front line care staff.
 
That’s not to say that managers are not important: of course they are. That’s not to say that administrators are not important: of course they are. It is saying that without first class care staff who are manifestly MORE than just care workers, high class domiciliary care cannot be delivered. Businesses often pay lip service to the idea that their staff are their most valuable assets: domiciliary care companies do this at their peril.
 
The Corrosive Corruption of Powerlessness
“Power tends to corrupt and absolute power corrupts absolutely.” You must have heard that quotation before? Its author was Lord Acton - John Emerich Edward Dalberg Acton was his full name – a nineteenth century historian. He was talking about absolute monarchies and he wasn’t the first to utter something about how power corrupts; however, his quotation is, perhaps, the best known.
 
What is the opposite of the possession of power? Obviously, not possessing power is the answer. Thus, Rosabeth Moss Kanter, with a clear nod in the direction of Acton: “Powerlessness corrupts: absolute powerlessness corrupts absolutely.” Kanter holds a professorial chair at Harvard Business School. She first wrote those words some years ago and has returned to this theme in a recent Harvard Business Review Article:
 
“Power corrupts, as Lord Acton famously said, but so does powerlessness. Though powerlessness might not result in the egregious violations associated with arrogant officials who feel they are above the law, it is corrosive. For years I’ve observed its destructive impact on organization.”
http://hbr.org/2010/07/column-powerlessness-corrupts/ar/1

If you have worked in an organisation where power is concentrated in the hands of a small number of people you will appreciate how – to use a word of Kanter’s - corrosive this can be. If you, unfortunately, have been or are powerless, you will know that getting things done is next door to impossible and the environment in which you worked or are working  is bad for you, your managers, your customers and just about anyone who comes into contact with the business.
 
In the worst case, everyone in the organisation becomes a little jaundiced about everything. Managers get to the point where they simply go through the motions because they know they have no influence to change things. Linda A Hill, writing for Forbes.com, is right to regard this as playing a game:
 
“Many managers understand that dealing with the political dynamics of organizations is part of their jobs, but they’re reluctant to “play the game,” as they call it. They dislike conflict and competition and consider the political give-and-take mostly an ego-driven waste of time.”

http://www.forbes.com/2010/12/20/office-politics-power-boss-forbes-woman-leadership-management-negotiation.html

A home care company deals with some of the most vulnerable people in our society. If we as domiciliary care providers get things right we can deliver a level of service that is nothing short of transformative in the effect it has on our customers’ lives. To do this, we need high quality care staff who feel that they can make a difference and are able to make a difference. This will not happen in an organisation where they feel that they are just care workers.
 
Empowerment
For some years now empowerment has been a part of the manager’s lexicon. However, it has to be said that it is often viewed with a good deal of cynicism by employees, and sometimes for good reasons. It is often felt that managers say one thing but do something very different.

A story is often told at management conferences – the story I think originates from Rosabeth Moss Kanter – about the employee at a textile factory who solved a longstanding snag with the manufacturing process with a simple suggestion. The new chief executive, who had invited employees to make suggestions, asked the problem solver when he first came up with the solution. The answer was “about thirty years ago.”
 
That’s one extreme. Of course, at the other extreme there will be those people who do not want to be empowered. There will always be those who come to work with the attitude that it’s “only a job”. In a culture where empowerment is encouraged, this attitude is less likely to spread. Shawn Grimsley defines empowerment like this:
 
“Employee empowerment is giving employees a certain degree of autonomy and responsibility for decision-making regarding their specific organizational tasks. It allows decisions to be made at the lower levels of an organization where employees have a unique view of the issues and problems facing the organization at a certain level.”
http://education-portal.com/academy/lesson/employee-empowerment-definition-advantages-disadvantages.html#lesson

Where leaders create a culture along these lines the attitude of it’s “only a job” is one that will become the exception. Managers in domiciliary care organisations should appreciate that  it is their care staff who day in day out deal with customers. They have experience and expertise that is impossible to gain without that level of contact. Care staff gain a wealth of experience that home care organisations should avail themselves of.
 
Advantages of Empowerment
Empowerment has to be something more than merely having managers asking employees what they think about something. No doubt, encouraging suggestions can be a manifestly positive thing – as in the textile factory employee example above. But empowerment, in its true sense, has to lead to greater engagement with the business of the company by everyone (perhaps not quite everyone, because there will always be those who do not want this level of engagement) in the company. Empowerment has to make a difference for the company, for its staff and for its customers.  As David Lipscombe says empowered employees are
 
“Happier than employees in other companies, empowered personnel tend to be more proactive and willing to embrace change. A team full of workers feeling in control of their destinies is far more enthusiastic about their roles and passionate about achievement, which is all good for the company.
 
There will always be the naysayers who will tell you that empowerment is a load of old nonsense. Any talk of empowerment, the naysayers point out, is just a way of managers trying to convince their staff to do more work for less pay with fewer resources. I’m not so naïve as to believe that there is not an element of that that exists. Just as there are those employees who have the attitude that it’s “just a job” there are those employers who believe they are entitled to their pounds of their employees’ flesh and a little bit more.
 
Empowerment has to be a two way process. Those who do the empowering must do it because they want it to make a difference; those who are empowered must want to make a difference. On the whole, in my experience, employees embrace the idea of empowerment, for the very simple reason that they want to feel that they have some control over what is happening.
 
The greatest advantages, perhaps, of developing a culture of empowerment is that it creates an environment that is alien to the it's  “only a job” mentality and its management counterpart, the micromanager. Few things prevent an organisation from functioning better than a micromanager, because, as Jennifer Nakao observes, micromanagers
 
“… spend a significant amount of time not doing their job and instead doing the job of the people they are supposed to be coaching, developing and mentoring. Micromanagers don’t oversee projects but instead monitor tasks with the expectation that everything is done exactly how they themselves would do the work.”
 
Creating a culture of empowerment is a true act of leadership. It takes courage. Not all people in leadership positions possess that courage because they are relinquishing some of their control. In my experience, businesses in general and domiciliary care companies in particular, benefit enormously from empowered workers.
 
Domiciliary care providers need care workers who believe, and have this belief affirmed daily, that the jobs they have are some of the most important in society and manifestly not “just jobs”.

Garry Costain is the Managing Director of Caremark Thanet, a domiciliary care provider with offices in Margate, Kent. Caremark Thanet provides home care services throughout the Isle of Thanet. Garry can be contacted on 01843 235910 or email garry.costain@caremark.co.uk. You can also visit Caremark Thanet's website at www.caremark.co.uk/thanet.
 

No comments:

Post a Comment