
26 March 2026
Turnover in adult social care remains a significant challenge across the UK, with sector wide rates reaching 24.2% 1. High emotional and physical demands, wellbeing pressures and limited progression opportunities, particularly in flat organisational structures, continue to influence retention across the sector 2. At Little Oldway, a residential care and service home, these dynamics prompted a deeper look into what shapes employees’ decisions to stay or leave.
To support this analysis, Joseph Knowles, Head of People Operations and a Senior People Professional Degree Apprenticeship student at the University of Exeter, led an organisational deep dive that integrated staff perspectives with academic theory to uncover development pathways suited to a flat structure.
Contextual Factors That Shaped the Investigation
Several features made Little Oldway an especially interesting case. As a flat organisation (i.e., one with very few hierarchical layers and levels of management), opportunities for upward career movement are inherently limited, making it necessary to rethink development beyond traditional progressional opportunities.
Drawing on the academic literature used in Little Oldway’s investigation, several evidence-based recommendations emerged from the organisational audit. This involved an analysis of attrition, and pulse survey that identified both push and pull factors driving retention.
What was found was that employees demonstrated strong relational motivations, consistent with the caring nature of the sector, where interpersonal connection and meaningful work are central to job fulfilment. Furthermore, data suggested that although staff felt well trained, they lacked formalised development of soft skills highlighting an opportunity to build structures that support depth and employees’ affiliation needs, not hierarchy. As the publicly funded sector is faced with tight budgetary constraints, there is an opportunity for cost control through making improvements to retention.
Take away messages from the audit:
Employees in flat structures cannot progress hierarchically, so development must come from within the role. Evidence shows that expanding social interaction and building deeper relational ties increases engagement³.
Action items for organisations:
Inclusive Talent Management argues that every employee deserves access to meaningful development. Exclusive approaches—focused only on “highpotential” individuals—can create perceptions of unfairness and weaken belonging, particularly in flat structures 5.
Action items for organisations:
In relational sectors like care, employees often have high Need for Affiliation 6, valuing connection, supportive feedback and interpersonal relationships. Mentoring and coaching meet these psychological needs and strengthen satisfaction, confidence and retention (7).
Action items for organisations:
By combining organisational insight with theory, Little Oldway has begun shaping a mentoring based approach that aligns with its flat structure and commitment to people—demonstrating that career development does not require hierarchy, only intention.
References