Effective Reporting and Record-keeping in Health & Social Care

Effective Reporting and
Record-keeping in Health &
Social Care

Table of Contents
INTRODUCTION...........................................................................................................................4
MAIN BODY...................................................................................................................................4
TASK 1............................................................................................................................................4
P1) The statutory requirement for reporting and record keeping in own care setting ...........4
P2) Describe the regulatory and inspecting bodies requirement for reporting and records
keeping in a care setting.........................................................................................................6
M1) The implication of non compliance with legislation, regulating and inspecting bodies
requirement.............................................................................................................................6
D1) Evaluate the consequences of non compliance with references to the media service safety
and the credibility of the care setting ....................................................................................7
TASK 2............................................................................................................................................7
P3 Describe the process for storing of record in own care setting. .......................................7
P4 Reason for sharing information with external bodies or within own settings...................8
P5 internal and external requirement for Record Keeping in own care setting .....................8
M2 current processes in own care setting regarding and storing and sharing record.............9
D2 evaluation on per setting arrangement and processes for sharing information and storing
along with recommendation for improvement.......................................................................9
TASK 3............................................................................................................................................9
P6 Describing the role of Technology in recording and reporting in own care setting..........9
P7 Benefit of involving service user in Record Keeping processes.....................................10
M3 Use of digital technology in medical management processor for care plan..................10
D3 Effectiveness of use of Technology in term of service user needs and to maintain
confidentiality.......................................................................................................................11
TASK 4..........................................................................................................................................11
P8) Produce accurate, legible, concise and coherent records regarding services user care for
different services user following own setting guidelines ...................................................11
P9) Explain different aspects of own management of services user records with references to
compliance with the national and local policies and guidelines ..........................................12

M4) Analyse the various process of mainlining records in their own setting, identifying any
potential or actual difficulties...............................................................................................13
D1) Evaluate the effectiveness of own completion of documentation in term of meeting
services user need, ensuring appropriate care is given and effective reporting is carried out13
CONCLUSION..............................................................................................................................13
REFERENCES .............................................................................................................................14

INTRODUCTION
The reporting and record keeping are important in the particular healthcare. There are
various activity which is useful in the social care and this provide to store data and all. The field
is very clear and this will provide the use of data or information in perfection and this provide
high level of effectively of activities. In the social and health care units it is well analyse to
create the high level of effectiveness of activities. As per this, the record keeping is major step
which is involved in maintaining the higher storage of patient data. There are various number of
decision which is taken in favour of patient. This is ensure that the record keeping is the area of
health and social well being is essential in order to patients. In addition to this, the legal and
regulatory parameter in health and social care for the health and social care. In this context, the
requirement for record keeping may not necessary in order to link with external aspects but they
also associated with the internal environment (Frost and et. al., 2017). There are number of
application which is based on regulatory and legal aspect of the rational practice. Moreover, in
the care setting should be abide by law and regulation. This help to ensure about law record
keeping and keeping local and national policies. This report covers the all perspective of the
record and information management which is important in care setting.
MAIN BODY
TASK 1
P1) The statutory requirement for reporting and record keeping in own care setting
Legal and regulatory aspect
A scenario help to answer on legal and regulatory aspect in the given case study which is
regulated by the National health services. They ordered the national regulator to compile a report
on data management and process of health and social care centre. The description is usually
related with the aspect of various law and regulation which help to know the fact within the
aspect of its practices (Manogaran and et. al., 2017). In the regulation of record keeping the law
and regulation which is dealing for various information that is confidential and ethical.
Moreover, the information sharing which is usually drive in order to take place with various
people who required additional information which is constantly saving and attaching with
various data base. This all aspect is a regulation of a person in authority in care setting which is
help to share information. The person which may be friend, family member and professional