A new competency ‘matrix’ was developed, in partnership with care home staff.

The competency matrix took a more objective and accurate approach to measuring competence across physical and mental health domains of skills and knowledge. The matrix incorporated several key themes related to frail older people.

Specifically, this included undertaking comprehensive geriatric assessments, offering advice and management on specialist seating and posture management, undertaking mental health assessments and introducing therapeutic interventions.

The matrix was piloted on all new care home support service staff in the ECHO programme.