Frequent guidance and training of working personnel is essential in order to update their
knowledge and improve their skills in dealing with elders in assisted living facilities. Objective: The
aim of the study is to determine the effect of a structured in- service care training on performance of
working personnel in Assisted Living Facilities. Setting: The study was carried out in Dar El
Almogamae Dar Elmossenin and Dar El Sadaa in Damanhour. Subjects: All working personnel in
the previously mentioned settings were included in the study. Their number amounted to 45. Tools:
Two tools were used: Socio-demographic and Clinical Data Structured Interview Schedule, and an
observation checklist. Results: Performance of working personnel after the implementation of the
training program improved significantly. The main factors associated with their good performance
were age, and attendance of previous training program. Conclusion: The structured in- service care
training had a significant and positive effect on performance of working personnel in Assisted Living
Facilities in Damanhour. Recommendations: In- service care training for all working personnel in
Assisted Living Facilities in Damanhour is important to be scheduled periodically about elderly care
in order to update their knowledge and improve their practice.