Communication and Record Keeping

Not only does proper record keeping make a positive contribution to quality care provision, it prevents errors and provides evidencing where needed.

Increasing demands for more paperwork and better standards of written communication requires health and social care providers to teach their personnel how to make a record in the correct manner and how records are to be effectively and properly used and managed.

This communication and record keeping course will genuinely benefit your record keeping by training people what to do and how to do it.  Importantly, in a way that helps them understand why record keeping matters so that they are encouraged to put what they learn into practice.

Course Content

• The principles of good record keeping
• Knowing the use of records
• Making sure information is understandable
• Ensuring relevance
• Being clear and concise
• Facts
• Checking
• Accountability
• The worker’s role in record keeping
• Using records appropriately
• Working with reading/writing difficulties
• Developing good record keeping habits
• Making sure records are useful
• Legal requirements of records
• Access to records
• Confidentiality
• Different levels of recording
• Care plans
• Using black ink and why
• When to use red ink
• Open and closed records
• Dealing with mistakes correctly
• Proper recording styles

Course Assessment and Certification

There will be  continuous tutor assessment, there is no final examination.

Those students who complete the course and are deemed to have reached the required standard will be awarded a certificate that is valid for 3 years.