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Monitoring work well-being, job confidence and care provided by care home staff using a self-report survey
  1. Tim Benson1,2,
  2. Joe Sladen3,
  3. Jessamy Done1,
  4. Clive Bowman4
  1. 1R-Outcomes Ltd, Thatcham, UK
  2. 2Institute of Health Informatics, UCL, London, UK
  3. 3Wessex AHSN, Southampton, UK
  4. 4City University School of Health Sciences, London, UK
  1. Correspondence to Tim Benson; tim.benson{at}


Background and method In care homes, staff well-being, job confidence and opinion of the care provided to residents are central to morale and care quality. In this study, care home staff in the East Midlands region of England completed self-reported outcome and experience surveys in two rounds. Mean scores for each home are shown using a scale from 0 (all chose lowest option) to 100 (all chose highest option). High scores are good.

Results In round 1, 332 staff in 15 homes submitted responses; in round 2, 207 staff in 9 homes. Mean scores in round 1 and round 2 were similar, although those of some homes scores differed significantly, cancelling each other out. Overall, Work Wellbeing mean score was 83 (care home range 48–97), with worthwhileness (92) the highest ranked item and anxiety at work (78) the lowest. Job Confidence mean score was 84 (range 59–94), with able to manage the work (86) highest and involvement in decisions that affect staff (79) lowest. Care Provided mean score was 86 (range 59–97), with treat people kindly (91) highest and well organised (80) lowest. Homes rated as outstanding by the Care Quality Commission had higher scores on average than those rated good, which were higher than those rated as needing improvement.

Conclusions This study has demonstrated the practicality of measuring staff views of their Work Wellbeing, Job Confidence and Care Provided in care homes. Rather than wait for adverse quality outcomes to be detected, this approach offers a way to track staff morale and declared capability over time.

  • nursing homes
  • quality management
  • surveys
  • performance measures
  • evaluation methodology

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  • Contributors TB designed the surveys with CB and wrote the first draft of the paper. TB and JS performed the analyses. JD managed the data collection. All authors contributed to the final text, read and approved the final manuscript.

  • Funding The study was funded by the East Midlands Academic Health Science Network Patient Safety Collaborative (EMAHSN PSC).

  • Competing interests TB reports grants from East Midlands AHSN, during the conduct of the study; he is a director and shareholder of R-Outcomes Ltd, which owns the copyright of the Work Wellbeing, Job Confidence and Care Provided measures and provides quality improvement and evaluation services in the health and social care sectors. JD and JS worked for R-Outcomes on this project. CB is a non-executive director of AKARI Care Homes, FINCCH and Invatech Health, all of which have interests in care homes and social care. Please contact R-Outcomes Ltd if you wish to use these measures in care homes.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available on reasonable request.

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