I agree Lingmoor and I fully agree with you that you need to keep it fresh. I have been going back to the same care homes for up to 7 years in a row, theres always a mix of new and long term staff and I would feel really embarrassed in delivering the same package evey year. I keep it fresh - as far as I can- by incorporating lessons learned from fires and prosecutions over the last 12 months, new equipment, aids and techniques that I have encountered on my travels, discussing scenarios that may arise- (what would you do if you were bathing someone when the fire alarm operated and why) practical exercises ( how would we get this service user out of their room on their mattress) and having a walk round with my camera first to take photos and discuss good and bad practice observed. In light of the Royal Marsden, Chesterfeld Royal et al there is plenty of material about.