• Carson Manor remained opened nearly 30 years ago for persons requiring nursing care.
• Carson had a bed capacity of 470.
• Staff totaled 235 with nonmanagement personnel unionized under the District Service Workers Union Local 325
• Mr. Henry Davis is the City’s director of Social services.
• Carson Manor Committee of Management consists of five aldermen who were painted or volunteered to fill these positions. • Ms. Elaine Tylor, director of supply for the city of Winston, was reviewing proposals for the Carson Manor study.
Background contd.
Mayor
City Council
City
Administrator
Board of Control
Committee for
Community Services
Carson Manor
Committee of
Management
Director of
Social Services
City Treasurer
Director of Supply
Carson Mason
Administration
Defining the Issue
• The Carson Manor had a history of apprehensive with cost disorganizations
• Over hiring non-managemental staff (basically two to one)
• Budget is enormously incompetent in keeping and taking care of the elderly within the nursing home
• Cost savings not in corresponding terms
• Reporting structure too complex, and unnecessary
• Current operations do not meet PSD objectives
Analyzing Case Data
• Patience Care Ltd Cost $35,000
• Clark-Hamilton Ltd Cost $47,000
• Standard Care Ltd Cost $77,000
Alternatives
• 1. Do noting
• 2. Standard Care proposal
• 3. Rearrange existing structure (costs and management) Recommendation:
• Standard Care would be an optimal consultant for Carson Manor based on previous experience, it is expected that savings should be in the order of 8 to 10% of total expenses, which would be approximately $1.1 million in the case of Carson Manor.
• Reporting structure should be minimized in an effective manner.