Could self-management work in care homes?
A fully scalable self-managing approach to care homes would perhaps look something like this:
Small, ‘home-sized’ care homes or using a household model, with teams recruited who had the skills and aptitude to self-manage, sharing responsibility rather than leaning on a traditional management structure.
Those small, largely autonomous businesses networked within a franchise-like structure, with a centrally-developed IT and finance system to track activity, outcomes and payments.
Coaches supporting each team and communities of practice for teams to share their challenges, innovations and learning.