Advanced Record Keeping

Course Aim:

Learners will be able to better understand the importance of Good Record Keeping within their own working environment

Course Duration:

6 Hours


  • Identify the key information needed for Record Keeping
  • Highlight the reasons why Record Keeping is so important and the need for confidentiality
  • Explain accountability, do’s and dont’s
  • Outline how to maintain effective records and why this is necessary
  • Instruct how to record changes and know how to pass on messages

Assessment Method:

  • Formative through activities, scenarios and Q&A
  • Summative: Quiz, Q&A

Course Content:

  • Data Protection 6 Enforceable Principles
  • Different types of data
  • Legislation, Accountability and CQC Standards
  • Difference between Reports and Who is responsible
  • Handling & Storing Records
  • Why are Records Valuable
  • Key Documents, Commonly used forms and when to use them
  • Why Good Record Keeping is so important
  • S.O.A.P
  • Care plan record and The Core Values
  • The Nurses and Midwifery Council
  • The importance of writing in a clear, accurate and concise manner and the standards of Record Keeping
  • Computerised Records & Record Retention
  • With holding information from clients
  • Writing Statements, Defining the Purpose, Identifying the reader & Setting the Objective
  • The Do’s and Dont’s of Record Keeping
  • Documentation relating to care and to individuals care needs and advantages of effective Record Management
  • Person Centred Records
  • Information to Record and How to Record Information Accurately
  • The need for Transparency
  • Sharing of Information
  • Fact v Opinion, Avoidance of Jargon and Personal Comments
  • Confidentiality
  • Good Practice Points

This course is available in our dedicated Colchester training room, if you would like to book this course or request more information about doing a training session nearer your business please fill out the fields below

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