A number that has to hold 24 hours a day, and the six in the morning phone call
A 40 bed home runs on a staffing number: say three carers and a senior on every long day, two on every night, plus the nurse, the kitchen and the domestics. That is 28 day shifts and 14 night shifts a week before anyone is sick or on holiday, and every one of them has a name against it or the number does not hold. A rota for a home is a coverage problem first and a calendar second, which is why it is usually a grid of Ds and Ns on the office wall.
The grid has two enemies. The first is the night: a shift from 19:30 to 07:30 starts on one date and ends on the next, and a spreadsheet that counts by calendar day either splits it or loses it, so the night carer’s hours are argued over every month. The second is the call-off. Someone rings at six to say they are not coming, the senior on duty rings down a list, and by half seven either an agency worker is on their way or the number is not met.
The rest is money. Carers on hourly rates, nights and bank holidays at a premium, bank staff who worked four shifts one month and none the next, and a payroll that has to be right because the people on it are watching it closely. Below is how a home of thirty people looks in InShift.