Competency Framework

Work completed in partnership with Northumbria University in 2016 demonstrated a need of a standardised, integrated competency framework that was specific to the needs of care home residents, covering the whole workforce from those providing essential care to specialist / advanced practice level.  This work proposed that the framework should encompass:

  • The integration of physical, mental, social, emotional and spiritual
  • Align with, and incorporate existing competency frameworks that have relevance to the provision of care home services
  • Reflect the care pathways emerging from our EHCH Vanguard Programme

The purpose of the framework is to provide a coherent approach to:

  • Determining what competencies are required within the workforce that provides healthcare in care homes
  • Identifying ‘competency gaps’
  • Identifying, commissioning, developing and providing training and education programmes to support competency development
  • Agreeing and developing infrastructure to enable valid and reliable assessment of competency which is accepted across the whole system, regardless of employing organisation
  • Informing the future commissioning of care home services through explicit articulation of the competencies required of staff providing care and support
  • Workforce planning for delivery of integrated care
  • Formulating job descriptions for staff working in care homes and staff providing healthcare in care homes
  • Developing clear career progression opportunities and pathways within and across organisations
  • Recognising care home nursing is a complex activity, and promoting care of care home residents as a specialised and attractive practice area
  • Informing service users and family members what competencies they should expect staff working in and supporting care homes to have

The framework consists of four inter-related domains and each domain is comprised of a set of competencies:

A: Values and attitudes

B: Workforce Collaboration, co-operation and support

  1. Inter-professional and inter-organisational working and communication
  2. Teaching, learning, and supporting competence development

C: Leading, organising, managing and improving care

  1. Leading, organising and managing care
  2. Pharmacology and management of medicines

D: Knowledge and skills for care delivery

  1. Communication with residents, families and friends
  2. Care Process: Assessing, planning, implementing and evaluating care: Pharmacology and management of medicines
  3. Promoting health, wellbeing and independence: Promoting and supporting independence and autonomy: Promoting and supporting holistic health and wellbeing.
  4. Management of dementia (these competencies are in addition to D1, 2 and 3)
  5. Management of mental health (these competencies are in addition to D1, 2 and 3)
  6. Management of frailty (these competencies are in addition to D1, 2 and 3)
  7. End of life care (these competencies are in addition to D1, 2 and 3)

Tyne and Wear Care Alliance

Tyne and Wear Care Alliance have completed work on our behalf to identify a snap shot (in time) of the current workforce in care homes across Newcastle Gateshead. Individual interviews took place with care home managers that have produced a rich array of information that can be used to support the mapping of competencies and also the identification of potential gaps in the skills of our current care home workforce.