- 21 November 2018
- 4 min read
The challenges of transitioning from nurse to home manager
SubscribeThe transition from nursing to care management involves a steep learning curve. Nurses must retain their empathy for patients, but within a business environment. Mark Redmond examines the challenges nurses face when making the move to home management.

Many care homes, especially smaller ones, are started by nurses.
At this point the nurse is forced to consider the two hats they need to wear. They are still the person wishing to provide quality care.
But they have also become the other one - the home manager - that needs to keep an eye on spreadsheets and rotas and CQC requirements.
Managers must work at the intersection between leading and inspiring staff, and managing service provision.

Be the change you want from your manager
We’ve all been there. We’ve sat in staff meetings or sporadic supervision sessions and thought about our managers… thinking ‘I could do your job’.
On the whole we’d probably be right - or almost after a bit of hard work.
The question is how do you get from being a good nursing care worker to becoming a successful home manager?
When you think about it, the actual steps to take for that transition are not quite as difficult as you might think….
… if you are prepared to put in a lot of additional work, take on extra responsibilities and spend some of your own time doing a course either whilst at work or at college or university.
The first step for anyone wanting to make the transition to home management is to visit the Skills for Care website, that is focused on supporting managers.
This site has a raft of ongoing info and ideas to get you started and supported in your first job.
There’s more to home management than staff meetings
These tools are an excellent start, but let’s face it, being a care home manager is more than dealing with the issues that we might see from our managers in a staff meeting or a one to one.
Management and leadership is so much more – encompassing financial, legal, networking, mentoring, publicity. It requires a thick skin, a quick brain, and an ability to enable staff to commit to your vision of the service.
So, on second thoughts maybe making that shift isn’t easy as it seems!
About this contributor
Senior Lecturer Health & Social Care, University of Gloucestershire
For more than 30 years Mark has worked across higher education and adult social care in practice, research and consultancy settings. He is passionate about thinking about ‘doing’ social care differently, and creating new structures that maximizes opportunities for all involved in the care exchange.
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