How not to sue the nurses who were transferred to cleaners. Experience in creating a cleaning service in a medical organization. Cleaning lady in the state VS cleaning company: which is more profitable for business The management is going to transfer the cleaning lady to a cleaning company

The term “cleaning” usually refers to the work of a whole team of cleaning professionals. But is it really so? Who will replace the cleaning ladies in ordinary Moscow schools?

It is very difficult to imagine the everyday life of an ordinary city school without elderly cleaning ladies. Old cleaning ladies are not only conscientious workers, but also a watchful eye, noticing everything that happens on the school grounds. Before the New Year, there was information that in one of the Moscow schools, from January 1, all cleaning women were fired, replacing them with labor migrants from a cleaning company.

This information came from a collective letter from the cleaners themselves, which they wrote to the ROSVUZ media. The authors of the collective letter claim that, according to the school's management, the decision to fire them was made "from above". The decision to dismiss is most likely based on economic considerations. Female workers regularly receive the average salary in Moscow, and labor migrants can be paid half as much. So the cleaning ladies commented on their dismissal.

In addition, it was suggested that the so-called "professionalism" of new employees, to put it mildly, leaves much to be desired. The cleaning ladies themselves say that they themselves graduated from this school, and the children and grandchildren of these women attended this school. The cleaning ladies know almost all the students by sight, they are familiar with their parents, so they worry that absolutely strangers will come to their place. As a rule, migrants do not know not only children and parents, but often they are not familiar with the rules of behavior and even hardly speak Russian.

Not only the cleaners themselves are worried about this, but also the parents and a significant part of the work collective. Many are worried about the women who have been left without work and express doubts that the "professionals" will do the job better than the previous cleaning ladies.

The director of the school denied the information that the order to fire all the cleaning ladies came "from above". She argues that the decision was made not only for economic reasons, but also for reasons of professional skills of workers. All the same, specialists in the field of cleaning cope with their duties much faster, better and cheaper. The school ceases to deal with cleaning issues, now it becomes the responsibility of the cleaning company. Taking care of detergents and cleaning products, equipment, uniforms for cleaners, protective equipment falls entirely on the shoulders of the cleaning company, and the school can focus on its main activity - teaching children.

In addition, the salaries of cleaners, their sick leave, vacations, conflict situations - all this also comes under the responsibility of the company. So, according to the director, it's not just about saving money. The transition to professional services for the school is very convenient and profitable. Yes, there are a number of inconveniences, but they can be successfully resolved over time.

One of the members of the School's Management Board suggested that the problem be solved in a way that was convenient for all parties. A cleaning company can hire the same cleaning ladies and leave and work in the same school.

IMPORTANT IN THE ARTICLE

1. We rebuilt the cleaning service according to the recommendations of the Ministry of Health

2. We used insourcing - the clinic's own staff. As a result, the salaries of cleaners were increased

3. Free up nursing staff additional time to care for patients

Albina Fokina rchief Physician, KGBUZ "Krasnoyarsk Interdistrict Clinical Hospital No. 4"
Natalia KINDSFATERdeputy Chief Physician for Economic Affairs, KGBUZ "Krasnoyarsk Interdistrict Clinical Hospital No. 4"
Olga KOPYTINAdeputy Chief Physician for Administrative and Economic Work, KGBUZ "Krasnoyarsk Interdistrict Clinical Hospital No. 4"
Olga AFONKINAchief Epidemiologist, KGBUZ "Krasnoyarsk Interdistrict Clinical Hospital No. 4"
Tatiana PRADEDchief nurse, KGBUZ "Krasnoyarsk Interdistrict Clinical Hospital No. 4"

Nurses who are transferred to cleaning women sue the employer and win. The chief physician of the Krasnoyarsk hospital told how to organize a cleaning service profitably and without conflicts. And the expert of the Ministry of Health explained how to draw up the documents so that the employees had nothing to go to court with.

Appreciated the quality of cleaning

In our hospital, until October 2017, general and routine cleaning of the medical buildings was carried out by cleaners and nurses in the standard way: disinfectants, a bucket of water, a mop. Maintaining the cleanliness of the hospital premises required serious financial and time costs. The staff made mistakes - the dosage of disinfectants was incorrectly determined, the cleaning equipment was not properly processed, and the equipment for cleaning surfaces was used irrationally.

The quality of cleaning did not suit us, but this factor affects the quality of medical services. Patients are at risk of getting a nosocomial infection.

For your information

The nurses, who were transferred to cleaners, won the trial. The decision was made by the judges of Solikamsk, Perm Territory.

In February 2018, the management of the Rosinka sanatorium, at the direction of the Ministry of Health of the Perm Territory, transferred seventeen nurses to cleaners, and dismissed five. The reason - the women refused to accept the new terms of the employment contract.

Former nurses went to court. They decided to challenge not the fact of dismissal, but the decision to transfer them to cleaning ladies. The women felt that their labor rights had been violated.

The court upheld the claim. The management of the medical institution must reinstate the employees in the positions of nurses, pay the average earnings during the forced absence from work and compensate for moral damage.


Video. How to arrange the transfer of a nurse to a cleaner? Farit KADYROV, Deputy Director of the Central Scientific Research Institute of Health of the Russian Ministry of Health, Doctor of Economics n.

Considered the work of a new division

To organize a department of centralized cleaning service, a working group was identified. Included were deputy chief physicians for economic affairs and AHP, chief nurse and epidemiologist.

We drew up technological maps for different types of cleaning, taking into account the condition of the premises, the requirements of sanitary legislation and cleaning principles.

We took into account the flows of movement of cleaning equipment and personnel. Substantiated the need for washing machines, racks for clean materials.

Purchased equipment

We have purchased modern cleaning products - mops. The equipment is in containers with a disinfectant solution. The cleaning lady places them on a multifunctional trolley with cleaning equipment. One complete mop trolley can be used for one-time cleaning of 800 sq. m. And no need to lift heavy buckets of water.

In 2013, we have already purchased five carts. We were satisfied with the price and quality of the equipment, so we didn’t look for or try something new. In addition, the supplier trained staff to use the equipment and regularly monitored compliance with the technology.

There were enough trolleys for the initial stage of the formation of the cleaning division. Additionally, we bought mops, attachments and handles for attachments, napkins, chemicals and dispensers.

Attachments for various surfaces and types of cleaning allowed the employee to single-handedly clean the room even with heavy and inactive furniture, hard-to-reach areas. Automatic dispensers that control the use of disinfectants have eliminated the human factor in preparing the solution for surface treatment.

The gradual introduction of cleaning made it possible to purchase the necessary equipment with the least burden on the budget of the institution. The costs then paid off by saving disinfectants and water.

Video. Is it possible to replace nurses with cleaning attendants? Farit KADYROV, Deputy Director of the Central Scientific Research Institute of Health of the Russian Ministry of Health, Doctor of Economics n.


Formed a state

Important

The salary of cleaners increased - from 12 thousand to 25 thousand rubles. This increased labor productivity and staff interest in quality work


The financial deficit did not allow hiring new employees, so they used their own staff. An employee with secondary medical education was appointed the head of the department of the centralized cleaning service (CSO).

When cleaning was introduced, we optimized the staffing of cleaners. Of the 105.75 rates for cleaning staff, 55 remained. Optimization helped to save wages. Now it is possible to establish a decent salary for the employees of the service.

By the time the CSO department was created, we partially transferred nurses to cleaners, but some still worked as cleaners part-time. After the introduction of the CSO, the part-time job was closed, and the vacant rates of cleaners were transferred to the cleaning service. We didn't have to fire the nurses.

Defined cleaning zones

Our institution has four buildings with clinical and paraclinical departments, an operating unit, a laboratory, a catering unit and administrative offices. First, we implemented cleaning in one of the buildings with an area of \u200b\u200b3 thousand square meters. m.


Important

The cleaning department has a full shift of 31 people, together with the manager and the castellan. Cleaning area for one employee - 1500 sq. m


The 5-storey building has one clinical department, a day hospital, a polyclinic and an ultrasound department. Formed plots up to 800 sq. m, which included common areas.

On each floor, rooms were identified that need to be cleaned by the cleaning department. On the technical floor plan, the cleaning areas were painted green. Formed route sheets for 1200 sq. m. Three sites were identified along these routes. One cleaner was assigned to each. We clean it twice a day ().

Scheme. Cleaning implementation stages

Video. On what grounds can an employment contract with nurses be terminated? Farit KADYROV, Deputy Director of the Central Scientific Research Institute of Health of the Russian Ministry of Health, Doctor of Economics n.


Developed a system for assessing the quality of cleaning

The hospital administration and the quality management department organized a quality control system for cleaning the premises. For this, checklists have been developed, according to which the senior nurses of the departments or guard nurses evaluate the work of the cleaners (). Based on the results, the head of the cleaning department determines the quality of cleaning.

For a more objective assessment of the work of the new unit, questionnaires with questions for patients were developed (). These questionnaires help assess the performance of specific cleaners.

The professional cleaning system has been operating in 11 areas in all buildings of the hospital since April 1, 2018. Exceptions are premises with special cleaning requirements, for example, intensive care. For them, we plan to purchase professional equipment with an individual complete set of cleaning equipment.

As it became known to "RBG", the Association of Russian Cleaning Companies (ARUK) is preparing an appeal to Rospotrebnadzor and education departments with proposals for the services of professional cleaners in hospitals and schools. The members of the association (which are more than 70 companies across the country) want to replace full-time cleaners, but they are also ready for less - for example, conduct orientation seminars directly in these institutions and train staff in modern professional cleaning technologies.

However, in government agencies, the idea of \u200b\u200boutsourcing cleaning is controversial.

“It is unlikely that any of the school principals will go for this, the budget does not allow,” Alexander Gavrilov, press secretary of the Moscow Department of Education, explained to RBG. “Each school has full-time cleaners and other cleaning options are not provided. for several years in a row, tenders have been held, and the winning cleaning company is servicing our building, cleaning our offices, meeting room and corridors. "

Auctions are also held regularly at the Moscow Healthcare Department. But the government contracts concluded on the basis of their results relate only to the current repair and maintenance of hospital buildings (ventilation, elevator equipment, refrigeration units), the provision of services for the washing and processing of linen. The specificity of medical institutions does not allow expanding the list of services provided.

"For us, the services of" newcomers "cleaners are unrealistic, - says Irina Pinegina, head of the personnel department of the children's psychoneurological sanatorium No. 4 of the Moscow Healthcare Department, - our nurses take over the shift and don't let the rags out of our hands for a whole day, and we also need to take care of the kids, to wash, comb, there are also bathing days. But washing the windows in the spring is, I think, a possible option for attracting outside help. "

Do not exclude the possibility of attracting cleaning companies and the Ministry of Health of the Moscow Region. "If there is such a need for the institutions under our jurisdiction, then why not use additional services," says Natalya Savelyeva, deputy head of the Material and Technical Base and State Order Department, "if, for example, there are no cleaners in the staff list, but only nurses."

Receiving a government order for many cleaning companies is the only way to keep the business. According to ARUK estimates, when concluding contracts for 2009, participants in the cleaning services market lost 15 to 3 percent of the volume of orders. "On the one hand, clients cut funds for cleaning, on the other hand, prices for imported detergents and cleaning products, inventory and equipment are growing, the ruble is changing," Maria Bochkovskaya, head of ARUK, explained to RBG. "Domestic products are also becoming more expensive, increasing prices for energy carriers and raw materials ".

Prices for the services of cleaning companies this year, according to ARUK, have practically not changed. The price of daily cleaning per square meter costs from 30 to 100 rubles (depending on the complexity of the order), dry cleaning of carpets and carpets - from 20 to 70 rubles. Washing glass surfaces will cost from 100 to 140 rubles per square meter.

By the way, the staff shortage in cleaning companies that existed in the fall of last year became a part of history for two or three weeks in December. All vacancies were closed by yesterday's workers from the "frozen" construction sites. But January made its own adjustments to the "harvesting" business.

“At the beginning of the year, we lost a large object - the building of the federal agency, which, out of savings, went to its own cleaning service,” Vera Glebovskaya, commercial director of the Cleaning Master company, told RBG. “As a result, 30 people were left without work. either to reduce, or to attach somewhere, which is very problematic, there is a problem with the customers. Never in more than 10 years of our work has this happened. "

The desire not to lose the customer, the relationship with which lasts for years, restrains the financial appetites of cleaning companies.

“There is a normal process of cost optimization,” says Mikhail Kharlamov, General Director of Service Prestige. “Whoever did this before was not affected by the crisis. And the one who inflated the staff and kept offices in the center is now shouting“ guard ! ". According to my forecasts, the market for our services will begin to stabilize in May."

According to Vera Glebovskaya, those firms whose services are as diversified as possible will more easily survive the crisis. If there is a narrow specialization (for example, the maintenance of shopping centers, the position of which cannot be envied now due to the outflow of tenants), then it is better not to dream of a bright future. In addition, the cleaning business is seriously suffering from the non-payment crisis. Companies traditionally provide their services on credit. Today, due to the deteriorating financial situation of customers, not everyone is able to wait for payment.

On one side of the scale are taxes, benefits and vacations; on the other, high prices and strangers in the workplace. What is the best cleaning approach for your company? Let's figure it out.

Cleaning and cleanliness are not paramount tasks for business leaders and owners. However, so that this issue does not distract you from the main business processes, it is better to solve it once and for all. Assess the needs and requirements of your company, weigh the pros and cons, calculate the costs for each option. And we will help you to look at the problem objectively.

Cleaning company: pros and cons

The departure of the cleaning company employees once a day will not cost much more. However, this is not enough, and for the constant presence of even one employee from the outside you will have to pay 1.5-2 times more. But with the help of outsourcing, you can solve the problem of vacations and sick days for the only cleaning lady, hiring an outside employee a couple of times a year for 2 weeks.

Supermarket

  • a separate building with an area of \u200b\u200b1000 sq. m;
  • 50 employees;
  • traffic - 10-20 thousand people per day.

Grocery stores also have their own health regulations. They are less stringent than those of medical centers, and the owners are usually guided by financial indicators in matters of cleanliness. Let's count.


The larger the total area of \u200b\u200bthe room, the lower the cost of cleaning one unit


To clean and maintain cleanliness in such an area, at least 6 people are required, who are constantly in the store. Judging by the vacancies on the HH portal, the salary for a full-time cleaner is about 30 thousand rubles. per month. Salary costs - 180 thousand rubles. per month. Another 40 thousand rubles. monthly will go to the tax and the Pension Fund, 30-50 thousand rubles. - for detergents, consumables and replacement of broken inventory. We get a tidy sum of 250-300 thousand rubles.

For retail space, prices of cleaning companies start at 20 rubles. per sq. m. One cleaning will cost 20,000 rubles, and the store must be cleaned at least twice a day. The figure is astronomical. However, for customers who need to clean large areas several times a day, cleaning companies are ready to offer more favorable conditions: cleaning a store with an area of \u200b\u200b100 sq. m according to the schedule 7 days a week for 12 hours will cost 70-100 thousand rubles.

Government agency

Municipal institutions and public sector companies are required to announce a tender and select a contractor through electronic bidding, including for cleaning buildings and territories. The main selection criterion at such auctions is usually the cost of services, dumping wins, and the quality leaves much to be desired.

In such a situation, the staff of cleaners may cost the company more, but the quality will be higher - it is easier to achieve conscientious work from its own staff.

And if we take as an example a state institution a research institute with various secrecy regimes, then there will be no choice at all. At such enterprises, even cleaning women need permits to enter the premises. This can only be done with staff members who will sign the relevant documents. Therefore, outsourcing is out of the question.

conclusions

There is no single approach to cleaning and maintaining order in the office. To understand which option is right for your company, critically assess the pros and cons and focus on the needs of your business.

If a financial issue plays a decisive role, make detailed calculations and include in them not only tariffs and salaries, but also the purchase of inventory and consumables, payment of taxes and contributions, a social package, providing replacement for sick days and vacations, etc. It is not necessary to completely abandon from staff members and vice versa. Sometimes the most rational is a mixed scheme.

If you decide to organize the process yourself, take care of the inventory and regular purchase of consumables. Our company will help you find everything you need and arrange the supply of detergents based on the needs of your business.

The beautiful modern term "cleaning" means cleaning done by a team of super-professionals, so from a formal point of view, the replacement of lone cleaners in schools and kindergartens by employees of cleaning companies looks more than modern. But what happens in practice? The main criterion for recruiting personnel for these companies is, alas, not "superprofessionalism", but the maximum cheapness of labor. As a result, elderly cleaning women living in a neighboring house are fired and replaced by disenfranchised labor migrants who are not paid properly.

Just before the New Year, ROSVUZ media received a collective letter from the cleaning staff of one of the Moscow schools. They all quit on January 1. And their jobs are transferred to employees of one of the cleaning companies.

“They want to take migrant workers from cleaning companies to our places,” one of the dismissed, Natalya Petrovna, told ROSVUZ. At school we are told that this directive was given "from above". This is understandable: we have to pay properly - for work on two sections (a corridor, 15 classrooms and halls on the 1st floor), for example, I receive 38 thousand rubles. per month. And migrant workers will be paid two to three times less, and, for sure, and not every month - how to drink, they will delay their salaries. So we were sent to the exit: from each of the four united schools, 4 cleaning women were fired, leaving only mothers with many children. And for me my whole life is connected with this school. In 1971, we moved here, and I came to the 5th grade. Then my children graduated from this school. And for the last 15 years I have worked here as a cleaner. "

A significant part of the school's labor collective stood up for the dismissed:

“In our country, many believe that it is unfair that Muscovites are fired and they will be left without work, and their places are freed up for visitors from other countries!” Olga Galanova, a librarian of the same school, added to ROSVUZ. where our own workers are not enough - for example, on construction sites. Yes, and I do not want to let completely strangers from the cleaning company into school: there can be diseases, and ignorance of the Russian language, and, possibly, theft. We have known our current cleaning ladies for a very long time - some have worked for 10 years, some more. And we have always been very happy with them. "

True, the director of the Moscow school No. 17, Ksenia Silivanova, did not confirm to ROSVUZ that they were ordered to outsource cleaning to schools from above: “The decision to switch to outsourcing for any work or maintenance is always taken by the school itself. This is an independent decision made by the headmaster in consultation with the governing board and the trade union. The priority factors for making such a decision are, firstly, economic efficiency and, secondly, a modern, flexible approach to solving the issues of maintaining buildings and territories. In other words, the school transfers non-core activities for the educational organization to organizations specializing in these types of work. "

Among the pluses of outsourcing, Ksenia Silivanova said: “1. Focusing the school on the main activity - the educational process. 2. Access to resources and funds that are not available at school (professional staff, household funds). 3. Reducing the cost of outsourced functions. 4. Improving the quality of service. 5. Dependence on subjective reasons for the suspension of premises maintenance (illness of employees, conflicts) is minimized. The contractor is quick to provide replacement. 6. As part of the execution of the contract for the cleaning of the premises, the contractor uses all the necessary household means, modern inventory and equipment. The school is exempt from the purchase of household items, mops, rags, etc. " At the same time, “the terms of reference of the Contract stipulates that all personnel of the Contractor under the contract must have appropriate permits and approvals, medical books for work in educational organizations, must undergo periodic medical examinations in a timely manner. School staff responsible for security carry out verification and control of outsourcing specialists (verification of documents, etc.), ”she stressed.

In a law-abiding country with a well-established system of hiring foreigners to work, this may be the case. But in Russia ... It is enough to look on the Internet to make sure: the red price of a fake certificate of indestructible health does not exceed 3 thousand rubles today. A certificate of proficiency in Russian costs about the same. And how will the school staff authenticate them?

It is very pity for the dismissed elderly cleaning women: “The management council of the school did not listen to this question, but I, as its chairman, called the school director and asked that the former cleaners be provided with other jobs,” Sergey Yesin, head of the Council of School No. 17, shared with ROSVUZ. In making this decision, the director was mainly guided by financial and economic considerations, and this is her right. But humanly, it would be good if these people stayed to work at school. For example, through the same cleaning company ”.

Alas, outsourcing is not a panacea either: “The territory of our school is cleaned by a migrant janitor,” they told ROSVUZ in the same school. “And he says that he has not been paid for two months already - they gave him 5 thousand rubles for bread and water, and that's it. ".

 

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