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Wednesday, 18 February 2015

The Qualities of Outstanding Domiciliary Carers: Number One: Time Management

Context
I’m the managing director of a domiciliary care company. We have never been under any illusion that we are only as good as the quality of the people who deliver our care services. In this respect we are no different from any other business to the extent that all businesses are dependent on the quality of their staff. With businesses in the service sector, however, where there are no products being supplied – the quality of the business is wholly determined by the quality of the people supplying the service.

Businesses often pay lip service to the idea that their staff are their most valuable asset. We don’t. Our starting point for running the business is that we realise only too well that without our customers our services would not be required, but we realise equally as well that we are only as good as the services provided to our customers by our care and support workers. For those reasons, we have a right to be very selective in the people we choose to provide those services.

Some people may call us choosy; some people may call us picky, some may even say we are impossible to please. Most certainly we are very particular when it comes to selecting the people whom we are prepared to send out to care for our customers; without any doubt, we are very demanding in the qualities we look for in our carers, I certainly would not say that we are impossible to please; we are, however, never satisfied with second best.

What qualities, therefore, do we look for when we select care and support workers? I’m not talking about the technical side of care. All the skills you need to be able to deliver care itself are ones that can be acquired. Such skills as the correct way to use a hoist, to prepare food and assist with medication can be learned. I am more concerned in this article, and other articles that will follow, with the things that are much more difficult to teach. Time management is the first of those qualities I’m going to look at. In other articles I’ll look at such qualities as communication, people skills and dealing with paperwork.

Time Management
I was once given some great advice: never be on time; always be early. Now I have to declare a particular prejudice at this point.  If there is one human failing more than any other that I find that I am increasingly highly critical of – to the point of outright intolerance - it is poor punctuality. My critical stance is such that I will devote a separate article to punctuality; however, the overlap between time management and punctuality is manifest.

Let me tell you a true story about a very good friend of mine. I’ll call him David. He and I met about twenty five years ago when we shared an office together. Everyone liked David. He was friendly, good company and a constant source of good humour. David, though, had two major problems in life: he could never (and I mean never) do anything to time and he could never say no.

Everyone in the company knew that if you asked David for anything he would always say yes. And everyone knew that if you asked David for anything you would not get it on time. You would always be chasing him.

What people did, of course, was to give David deadlines several days and sometimes weeks in advance of when the true deadline was. In a short time, this just had the effect of bringing everybody’s’ deadlines forward and did nothing to help David. After a while, David’s line manager decided that it would be good for David to go on a time management course.

The time management course just made things worse. One morning, I found David frowning over a list he was drawing up. He looked unhappy. I asked him what was wrong. He explained that he had been advised on his time management course to draw up a to do list and prioritise the jobs he had to do on any particular day. The problem was that he was now taking over an hour (sometimes up to two hours) each day deciding what should be on his list and in what order of priority they should appear.

I’m not saying that time management techniques are not a good thing: they can be. I’m not saying you should not adopt some of these various time management techniques: you should if they work for you. What I am saying is that you need to be selective: and know when to say no.

Let me make the point again. I’m not saying that time management skills should be ignored, but they have to work for you. Different techniques work for different people. This is put very well by dumblittleman.com:

“Time management is a skill that takes time to develop and perfect. It also is a skill that is different for everyone. Your best bet is to try a variety of different approaches until something clicks in your brain and sticks in your routine.”
http://www.dumblittleman.com/2008/02/11-solid-ways-to-improve-your-time.html

And you need to know when to say no because of the nature of psychological time. You need to be able to say no so that you can focus on doing the things that are most productive. And what is most productive may not be drawing up to do lists.

Chronological Time and Psychological Time
Chronological time is the same for all of us. One day is one day; one hour is one hour, and one minute is one minute. We are all equal in the amount of time available to us in a day. Psychological time varies from person to person, and varies for each person according to the activity. As entrepreneur.com explains:

“In real time [psychological time], all time is relative. Time flies or drags depending on what you're doing. Two hours at the department of motor vehicles can feel like 12 years. And yet our 12-year-old children seem to have grown up in only two hours.”
http://www.entrepreneur.com/article/219553


You will be very familiar with the idea of psychological time, or real time. Remember how slowly Christmas used to come around when you were a kid? How quickly does it come around now that you are an adult? And it is because of the way psychological time varies that you must learn to say no. You may think that you have plenty of time to complete a task, so it’s fine if you add on one more little job. Then the time you thought you had is just gobbled up.

Time flies when you are having fun. When you are having fun it is easy to lose track of time. When you lose track of time your time management ability is at risk. As a care and support worker you never want to be in a position where your time management skills are at risk.

Carers and the Duty to Say No
The nature of care work is that it is fluid. The calls that a carer has each week are unlikely to remain the same week in week out. Customers change the times that they want calls; carers go on holiday and go sick and cover is required, new customers are taken on and old customers, for various reasons, end their calls.

If we offer calls to you as a care and support worker and you accept our offer, our position is a very simple one: you have a moral, obligation to us and to the customers whose calls you have agreed to do to carry out those calls on time to the very best of your ability.

Once you accept the commitment of a care call, a large number of people come to rely upon your carrying out your call. We rely upon you; your customer relies upon you; your customer’s family rely upon you; other cares rely upon you, and other people dealing with your customer that day may rely upon you. That’s a heavy weight of responsibility.

Let me emphasise something: you have no duty to accept our offer or work. You do have a duty to decline our offer if you know that you will be unable to fulfil your commitment.

Once you have committed to doing calls you are under a duty to decline any other offer of work (or any other offer for whatever it may be, even if it is an offer of fun where you know time will fly) that might prevent your completing the calls to which you have committed yourself. I won’t pursue here the point about promising to do work and then reneging on that promise – that’s for another time. I’m more concerned here with taking on too much.

How to Say No
I’m not for one moment going to tell you that this is easy: it’s not. David used to find it very hard to say no because he was quite simply a thoroughly nice person. He hated the thought that he might offend people and he always wanted to help but he ended up offending them anyway and not helping them at all.

The truth is that there is no easy way to say no. When it comes down to it there are two approaches you can take. You can beat about the bush and offer all sorts of explanations about why you can’t do something, or you can come straight to the point and just say no. I’m not saying that you should be rude: far from it. You should be polite but firm. As Celestine Chua puts it:

“The simplest and most direct way [is] to say no. We build up too many barriers in our mind to saying no. ...Don’t think so much about saying no and just say it outright. You’ll be surprised when the reception isn’t half as bad as what you imagined it to be.”

Organising Your Time
One of the most organised people I have ever known worked in marketing. She used to organise her time by using an electronic diary. She would shade out chunks of time in various colours that related to the different activities that she had to do. It worked for her. I don’t recall her ever missing a deadline or forgetting anything.

Different techniques work for different people. If you know you have difficulties managing your time, you need to find the thing that works for you. If you simple cannot organise your time, then however strong your other caring skills are you will be lacking an essential quality that we look for in all our carers.

You may have heard of the 80:20 principle.  In short, this principle tells you that 20% of the tasks you undertake are vital to your productivity. The other 80% of your tasks, whilst not trivial (although some will be) are the ones that make you least productive. The 80:20 rule has its roots in economics but it has very real world applications, as Yaro Starak explains:

“The good thing about the 80/20 rule is that you don’t have to understand statistics to be a believer. Yes it has foundations in economics and yes, it was ‘proven’ using statistical analysis by a man named Pareto, but it is not meant to be understood only by economics professors.”

I’m not convinced that it’s possible to prove the 80:20 principle. However, I think there is plenty of evidence that many of us are prone to waste our time on things that make us poor time managers, like my old friend David’s writing out his to do list. Identifying some of those time wasting activities can help improve time management. But it is ultimately down to you to identify these things.

Conclusion
Let me finish with the point I made at the beginning. Our starting point for running the business is that we realise only too well that without our customers our services would not be required, but we realise equally as well that we are only as good as the services provided to our customers by our care and support workers. For those reasons, we have a right to be very selective in the people we choose to provide those services.

The point is a very simple one; if you cannot manage your time you will be incapable of providing the outstanding service that we have a duty to provide for our customers and they have a right to receive.



 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.









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