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The project demonstrated that assessing competencies that identify both knowledge and skills in physical and mental health domains could be achieved, and that these can be simply applied by service managers and clinical mentors in a way which reflects the needs of the care home service.

The matrix is owned by the staff who helped develop it and has therefore had a positive impact on implementation, where such changes can often be met with resistance.

The new matrix has also increased clarity around performance expectations and established a clearer link between individual and organisational performance.

The competency training matrix has since been rolled out to all care home staff across our host trust, Oxford Health NHS Foundation Trust.