Record Keeping and Documentation

To provide adequate, appropriate care and to meet legal requirements staff must be able to complete documents clearly and correctly. This course uses exercises and scenarios to support staff in developing and improving their record keeping skills.

Learning Aims

  • Attendees will understand how to use reports and records appropriately.
  • They will know how good or poor record keeping can affect client care and know best practice for accurate documentation.

Course Content

• The importance of record keeping and documentation
• The purpose and function of health records
• Effects of good record keeping
• Effects of poor record keeping
• Legal and professional issues
• Appropriate style and content

Complementary Courses

• Administration of Medication
• Safeguarding Adults at Risk

QCF Links

HSC028 elements 1,2 and 3.

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Awareness of The General Data Protection Regulations (GDPR) 2018

Record Keeping, the handling of documentation and an awareness of The General Data Protection Regulations (GDPR) 2018

The protection of personal data is a crucial aspect of the role of a health and social care worker. Replacing the Data Protection Act 1998, the General Data Protection Regulations (GDPR) came into force on May 25th, 2018.

Under these regulations all businesses that handle personal data must have procedures in place that manage data correctly.

Included as part of the record keeping and handling of information course, the GDPR regulations will be introduced in order to provide a broad understand of what they are and the responsibilities of those who collect and handle personal data.

The areas discussed will include.

The aims of the GDPR and its

The definitions and principles of data protection

The types of data, storage, transfer and the right of access

The rights of data subjects and consent

The responsibilities of data controllers and data processors under the GDPR

An understanding of key compliance obligations for organisations using personal data

The impact of data breach monitoring and reporting

The responsible for keeping personal information safe and how this can be done such as through day-to-day good practice and good computer security

Choose from these following courses that compliment the course above