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Staff management


Be cautious about formal procedures Most care homes will have some kind of formal policy framework to draw upon when issues with or between staff arise. However, the worst way to deal with any conflict, and particularly one where mental health may be involved, is to pull out the formal disciplinary or grievance policy. These formal processes are centred


around blame and retribution rather than sorting issues out through adult-to-adult dialogue. They offer a mirage of justice and an illusion of fairness, forcing people into right/wrong, win/lose mindsets, while at the same time soaking up an inordinate amount of time and resources. Dragging people through them is damaging, divisive and akin to tipping a bucket of cortisol over the heads of already stressed people. What typically happens is that people


go off sick or leave their jobs - both of which cause even more issues in a care sector where good people are hard to find and staffing levels are already precariously low. If people do see a formal procedure out and remain in their roles, relationships have often been irretrievably damaged, and it is never long before issues start to rear their heads again. There are, of course, occasions where there has been serious misconduct of


some kind, and a formal investigation and sanctions are necessary. Yet the reality is that the vast majority of issues can be sorted out if people are able to just sit down and talk to each other openly and honestly. Many organisations in the health and


social care sector are shifting away from these policies and transforming the way they respond to conflict, complaints and concerns by taking a ‘resolution first’ approach. This involves working within a TCM


Resolution Framework, which helps managers identify an appropriate route to resolve an issue, depending on the individual circumstances of each case. The framework replaces traditional disciplinary and grievance policies and emphasises the use of early resolution techniques such as facilitated conversations, mediation or restorative justice, with formal approaches reserved for only the most serious of cases. Organisations who have embraced


this approach are finding it is helping them to develop higher performing, happier, healthier and more harmonious workplaces. It is a radical approach, but one that could be transformational for a care sector which is under pressure like never before.


David Liddle


David Liddle is chief executive of the transformational culture consultancy TCM Group, which works with Public Health England, Health Care People Management Association, Health Education England and numerous other health trusts. He is also founding president of the recently formed Institute of Organizational Dynamics. David’s new book, Managing Culture is due to be published this year and is available to pre-order now from the Kogan Page website.


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38 www.thecarehomeenvironment.com• February 2021


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