Ensure every employee is responsible and accountable for their conduct and performance by empowering managers to act on poor performance/conduct. Its very easy to say "make managers more responsible" when its actually quite difficult to support staff / manage staff who are underperforming and thus impacting staff morale of those who are doing exceptionally well.
work reviews each year, promote people on work merits, not one off interviews.
More opportunities for care staff
Yes to make Managers more responsibility for the role that they are appointed to, by supporting the staff under their remit.