Care home managers: a scoping review of evidence
Very little is known about the practice, experiences and skills of care home managers for adults in England and the challenges they face. Yet they are responsible for everything that happens in their homes. They make sure the quality of the service and care provided meets the required standards, and they carry out their role while care homes are frequently in the public eye, often as a result of scandals and inquiries.
Katharine Orellana, SCWRU
National Institute for Health Research (NIHR) School for Social Care Research
This scoping review remedied the absence of material about care home managers for adults in England by drawing together primary research studies, secondary analysis of published data, policy documents and other evidence available since 2000. It identifies and summarises the evidence to explore who care home managers are; their practice, experiences and skills, and the supervision and support they receive from their own managers or home owners; the challenges they face in practice; and gaps in the evidence base.
The evidence found mainly related to care homes for older people which may, in part, be a reflection of the level of provision for this group. This review suggests that there remain many unanswered questions about care home managers. They are an often overlooked group when it comes to research, although many are involved in research about other aspects of life or work in care homes, including studies with a focus on care home residents or members of care home staff. The manager of the home is often a hidden or ‘shadowy’ figure, although there is frequent allusion to their impact on the culture of care.
Outputs and impact
The review is available below. Presentations have been made to the Margaret Butterworth Care Home Forum, the British Society of Gerontology Annual Conference and the Annual Conference of the NIHR School for Social Care Research. The review has already been widely reported in the media and was cited in a Serious Case Review of care home failings.
Orellana, K. (2014) 'Care home managers: a scoping review of evidence', London: NIHR School for Social Care Research.
Orellana, K., Manthorpe, J. & Moriarty, J. (2016) 'What do we know about care home managers? Findings of a scoping review', Health & Social Care in the Community, doi:10.1111/hsc.12313
Orellana, K. (2015) 'What do we know about care home managers?', NIHR School for Social Care Research Annual Conference, London, 24 March.
Orellana, K. (2014) 'Care home managers - shadow and substance', British Society of Gerontology Annual Conference, Southampton, 2 September.
Orellana, K. (2014) 'What is known about care home managers in England', Margaret Butterworth Care Home Forum, London, 14 May.
Orellana, K. (2014) 'What do we know about managers of care homes?', Social Care Workforce:, 23 December.