Effective Reporting and Record Keeping in Health and Social Care

This report provides a comprehensive overview of the crucial role of reporting and record-keeping in health and social care services. It begins by emphasizing the importance of maintaining accurate records to facilitate quality patient care and effective communication. The report delves into the statutory requirements for reporting and record-keeping, referencing the Health and Social Care Act and outlining specific requirements for care records and access to records within Core Havencare Ltd. It also examines the role of regulatory and inspecting bodies, detailing the consequences of non-compliance. The report further explores the processes for storing records, including both paper documents and patient information, and emphasizes the importance of maintaining confidentiality. It discusses the reasons for sharing information, both internally and externally, and identifies internal and external requirements for recording information. The report concludes by summarizing the key aspects of effective reporting and record-keeping in healthcare settings.

Effective Reporting
and Record keeping
in Health and Social
Care Services

Table of Content
• Introduction
• Statutory requirements for reporting and record keeping
• Regulatory and inspecting bodies’ requirements
• Process of storing of records in own care setting
• Reasons for sharing information
• The internal and external requirements for recording information
• Conclusion
• References

Introduction
In every organisation reporting and record keeping is essential. It is
considered as the process of recording events as well as transactions. It is
an crucial aspects of health and social care services. Effectual record
keeping is helpful to promote patient care as well as better
communication

Statutory requirements for reporting and
record keeping
Reporting and record keeping is essential for both patients as well as
for healthcare firm. While maintaining relevant and accurate records
company can facilitate better quality of services to their employees and
patients. In health and social care, reports and records are kept with the
use medical record numbering, dividers, folders and so on.

Cont...
The statutory requirements for keeping records are set in regulations 20
of Health and social care Act. So, its requirements in Core Havencare
Ltd. are as follows:
• Care records - Care services must be capable to show that keep
records of care and treatment are facilitated to all services user.

Cont...
• Access to records - Records are available to service user or legal
representative concerned care and treatment. For example: someone
lacks mental capability to make decision on Core Havencare Ltd.
And employees. Thus, all should have knowledge about where
records and reports are kept and to access them

Regulatory and inspecting bodies’
requirements
Regulatory and inspecting bodies are considered as government agency
which is established to perform a regulatory functions. Many regulatory
bodies protect public from various health risk and facilitate numerous
events for people health and welfare. Some regulatory body in health
and social services are heath and safety authority, mental health
commission, medical council and so on.

Cont...
Failure to comply enforcement notice: Enforcement notice is
considered as a formal document which creditor issue to debtors,
providing warning about taking action to cover owed money. If Core
Havencare Ltd. Failure to comply enforcement notice in that case
notice of prosecution should generally obey.

Cont...
Due to this some consequences happens in Core Havencare Ltd. such
as loss of trust, dignity, privacy etc. that are mentioned below:
• Loss of trust
• Loss of dignity

Process of storing of records in own care
setting
In health and social care records are stored as it facilitates the relevant
as well as exact information about patients details, treatments that is
given to them and so on. Process for storing paper documents like
clinical notes, incident report etc..

Cont...
In Core Havencare Ltd. Records are store through following process:
• At first the forms are obtained
• Reports are started
• Basic facts are facilitated
• Involve line regarding nature of incidents

Cont...
Process for storing patient information in Core Havencare Ltd. Are as
follows:
• Care plans
• Nutrition recording
Process of maintaining confidentiality in Core Havencare Ltd. Are:
files of people are locked and secured, data are not told to anyone,
patients medical, details are not explained without its consent.