Barriers and facilitators to cross-sector workforce competency assessment in the care of older people residing in care homes

Background In recent years, transformation in care delivery towards cross-sector models has occurred with the aim of providing safe, efficient care for older people with complex needs, including those living in care homes. Effective workforce competency development and assessment across sectors is integral to these models. However, there is much evidence to suggest a distinct lack of cross-sector alignment with regard to competency development and assessment, which could lead to variations in practice and affect outcomes for older people. Methods This qualitative study explored the barriers and facilitators to cross-sector workforce competency assessment in the care of older people residing in care homes. Twenty nine staff with responsibility for staff learning and development participated. Data were analysed using Braun and Clarkes (2006) six phase thematic analysis approach. Findings Findings indicate that a significant challenge to the development of a competent workforce is evidencing competency, due to difficulties in finding appropriate assessors and inconsistencies in the assessment process. Findings also indicate potential solutions including: a system-wide, standardised framework and strategy for assessment of competence; policy for the sign-off of competencies that is recognised across organisational boundaries; and adopting practice-based approaches to competence development and assessment.