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Domiciliary care glossary

Competency assessment

A competency assessment is a documented evaluation of whether a worker can apply the required knowledge, skills and behaviours safely in their role. A course or certificate can provide learning evidence, but it does not by itself demonstrate competent practice or authorise the worker to perform the activity.

Training, assessment and authorisation answer different questions

RecordQuestionWhat it does not prove
Training recordWhat learning was completed?Safe performance in practice
Knowledge assessmentDoes the worker understand the subject?Practical execution
Competency assessmentCan the worker perform the defined activity safely?Manager permission to perform it
AuthorisationMay the worker perform the activity in this service?That competence will remain current forever
Scheduling eligibilityMay this worker take this assignment now?Eligibility for a different person, task or item of equipment

Who can assess competence?

The assessor should thoroughly understand and have direct experience of the activity being assessed. The provider should also confirm that the person has the authority, assessment skill and current practical capability needed to make or recommend the decision.

A job title alone is insufficient. Record why the assessor was suitable for the specific activity, equipment and context.

Methods that can contribute evidence

Knowledge questions

Check understanding, judgement, escalation and the reasons behind safe practice.

Simulated demonstration

Use when live assessment would be unsafe or impractical, while recording the limits of simulation.

Direct workplace observation

Observe the worker performing the defined activity in a realistic context.

Records produced

Review notes, MAR entries, checks or other work created by the worker.

Service-user feedback

Use relevant feedback as supporting evidence, not as the only assessment method.

Reflective discussion

Explore decisions, changes, near misses and how the worker would escalate concerns.

Record more than pass or fail

A useful competency record should include:

  • Activity and expected outcome
  • Assessment method and context
  • Assessment date
  • Assessor and suitability
  • Evidence observed
  • Knowledge demonstrated
  • Outcome and rationale
  • Limitations or conditions
  • Follow-up actions
  • Reassessment date or trigger
  • Worker acknowledgement
  • Manager authorisation
Possible outcomes: competent for the defined activity, competent with supervision or conditions, not yet competent, or reassessment required. Record a separate authorisation decision where the duty is controlled.

Three practical examples

Medicines

A course and quiz establish learning. Direct observation, current assessor evidence and an annual competency review support the practical decision. A manager still records whether the worker is authorised.

Moving and handling

Observe the worker with the relevant technique and equipment. Record whether competence transfers to the person and environment or whether further assessment is needed.

New-worker shadow shift

Shadowing provides experience, but it becomes an assessment only when an appropriate assessor observes defined outcomes and records a decision.

Freshness, incidents and reassessment

Evidence freshness should follow task-specific guidance or an organisation-defined review policy. Where no period exists, do not invent an expiry. Instead, record the evidence date and consider whether changes, absence, incidents, complaints or supervision concerns make reassessment necessary.

An expired course and a competency reassessment trigger require different actions. Refresh learning when the learning review is due; reassess practical competence when evidence about safe performance has changed.

Related terms and tools

Check a worker’s evidence chain