Course Description:

This Record Keeping training course is designed for carers, healthcare professionals, and support staff to understand the importance of accurate and effective documentation in care settings. The course provides an overview of best practices for maintaining clear, consistent, and compliant records to ensure the safety, accountability, and continuity of care for individuals.

Learners will explore the legal and professional standards associated with record keeping, how to avoid common errors, and the importance of confidentiality and data protection. The course also focuses on the practical skills needed to produce high-quality records that support effective communication within teams.

Topics include:

• Understand the importance of accurate and timely record keeping in care settings.
• Recognise the legal and professional standards for maintaining records, including confidentiality and data protection including GDPR.
• Learn how to document care activities, observations, and communications effectively and concisely.
• Avoid common errors in record keeping and understand their potential consequences.
• Develop skills for maintaining records that ensure accountability and support continuity of care.
• Understand how accurate records promote effective communication and decision-making within teams.
• Gain confidence in using digital and paper-based record-keeping systems.