Effective Reporting and Record-keeping in Health &Social Care

Effective Reporting and Record-keeping
in
Health &Social Care
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Contents
Effective Reporting and Record-keeping in Health &Social Care..............................................1
INTRODUCTION...........................................................................................................................3
TASK 1............................................................................................................................................3
Legal and regulatory aspect.........................................................................................................3
Key legislation.............................................................................................................................4
Maintaining the CQC compliances..............................................................................................5
TASK 2............................................................................................................................................6
The process of storing of records in care home firm...................................................................6
The reasons for sharing information within own setting and with external bodies.....................7
External and internal requirements for recording information in own care setting.....................9
Technology can use in recording and reporting own care setting.............................................10
Benefits of involving service user in record keeping process...................................................11
Accurate, concise record for different service user...................................................................12
CONCLUSION..............................................................................................................................13
REFERENCES..............................................................................................................................15
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INTRODUCTION
Recording keeping have been considered as important aspect in the healthcare setting. In
the social care field, respective data are considered to very delicate for proper effectiveness in
completion of different activities. It is very much important to keep up proper record keeping in
healthcare setting to make up decision in favour of patients. In the health care sector, legal and
regulatory compliance are very much strict limiting up in laws and regulation.
Recording keeping are major role in both external and internal aspect of care setting. The
application of regulatory and legal aspect has proper implementation of technology with
reporting up proper mechanism serving their purpose of care setting. Hence, the care setting has
need to be abide with proper law and regulation ensuring up perfect reporting and record keeping
in view of local and national policies of business environments. The report will have the
inclusion of all perspective regarding information management in the care setting in perfect
manner.
TASK 1
Legal and regulatory aspect
As per the given scenarios, the firm have failed in areas of record keeping and reporting
such as inaccurate medical records, fire safety records not updated, incidents not reported
correctly in line with RIDDOR. The scenario showing up the clear importance of legal and
regularity aspect in healthcare setting. There is major proper compilation of the report on data
base management process in health acre departments and social centers. This includes up proper
description regarding important laws needed around health care setting and business aspects.
Record keeping revolves around the laws and regulations dealing with information which are
confidential in ethical manner. A health care center has information about a person which ae not
needed to be share with anyone without having concern form authority or the person. Health
care departments in UK have been made up with two important things very clear as anything the
individual writes up in relation to work have to be clearly mentioned in health care records.
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Key legislation
As per case study, ABC care home is based on the company that provide the facilities and
services of people. The importance of enterprise to keep up to date maintain or gathered data. In
order to create or develop an accurate report in proper manner. Regulation and legislation are
considered to be simple ways to make sure the health care professionals to practice in safe
manner throughout the year. This are clearly designed to have limitation over risk which an
individual is face during the treatments. In the UK healthcare, the legislation doesn’t only apply
to individuals, but it is successful in covering up many areas including up range from hospitals
to equipment and medicines. Operational manager needs to identify that how care service is
doing well within specific time intervals. There are the different ways in the healthcare working
out suitable manner mainly known as statuary regulation and later on implemented as law.
Health and social care act 2012
This act has been introduced up as under the first legal duties about different health
inequalities taking place in health care centers. This has clear inclusion of the respective duties
for different health bodies including up the Department of Health, Public Health England,
Clinical Commissioning Groups, and NHS England. In ABC care home, manager is still focus
on their client and get personal detailed. At that time, it is important for establishing a better
relationship with client and share more information regarding overall enterprise.
These body have clear requirements over reducing major level of inequalities between people of
England helping out changing in structure of local authorities on public health function in perfect
manner. This act has inclusion up of differ provision which is helpful in guiding up health care
setting by adopting up favorable practices towards the norm of record keeping and reporting.
On the other hand, the health care professional has need to set in boundaries over
releasing up health records. this is helpful in outlining the protection over patient information’s
along with establishment of criminal penalties over violation. The law applies to hospitals,
medical practices, chiropractors, dentists, nursing homes, pharmacies, and psychologists. On the
other hand, the laws will also have inclusion of their business activities or administration which
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