Table 3.

Questionnaire Response at Direct Care & Operational Levels

Direct care level n = 73	Operational level n = 14
Question	Direct care	Operational
	yes (%)	yes (%)
Cultural/spiritual needs assessed	79.4	78.5
Services advertised	57.5	42.8
Service info available in languages	65.7	50.0
Cultural competence training available	72.6	71.4
Cultural competence training attended	35.6	35.7
Staff representative of communities	67.1	42.8
Performance appraisal reflect cultural competence	61.6	57.1
Engaging of service users in service planning	56.1	57.1
Person responsible for cultural competence	24.6	57.1
Language assistance available	76.7	78.5
Bilingual staff members in team	94.5	100
Cultural competence in Trust mission statement	67.1	92.8
Direct care level = clinical staff
Operational level = senior managers

Example of question asked: Are the cultural/spiritual needs of the service user assessed during the initial screening/intake into the service?