Chetwynd House: Record Keeping in Healthcare Settings Report

This report delves into the practices of healthcare record-keeping, focusing on the use of technology, particularly within the context of Chetwynd House, a care home known for its quality of care. It explores the benefits of incorporating service users in the record-keeping process, emphasizing the importance of accurate, legible, and coherent records. The report examines various aspects of managing service user records, including compliance with national and local policies and guidelines, such as interpreted records, record reliability, timeliness, and security. It highlights the significance of record-keeping in ensuring patient safety, facilitating medical staff, and maintaining confidentiality. The assignment also mentions the importance of involving patients in managing their records, facilitating effective care, and addressing potential legal considerations related to patient care and accidents.

Health care settings records and report
P6 Describe how technology is
used in recording and reporting
in own care setting
The technology used in home care is
used to record and report the data.
These technologies is used in
improving home and health care
quality. The technology can also used
to increase productivity of home care.
In context of Chetwynd House care,
the technologies are used to provide
luxury quality care environment to
residents. The technology is mainly
used is computer based technology
which is help in improving the care
services. The computer based
technology is become more
affordable and the demand of this
technology is increase in health care
homes. This home care broadly use
computer based technology as to
provide luxury care to residents. By
computer based technology, it is
easier to keep the record in
systematically manner of patients.
P7 Explain the benefits of
involving service users in
record keeping
P9 Explain different aspects of
own management of service
user records with reference to
compliance with national and
local policies and guidelines
• There are some aspects which are
considered for record keeping
management. The aspects
includes interpreted records, the
reliably information of the
record, maintaining the record on
time, security of records. With
the reference of national policies,
the management of record will be
consider on patient safety.
• To involve the patients in
managing and keeping the
record.
• Facilitate the medical staff to
keep the records in standard.
• To destroy the records
confidently if they are not longer
required.
The benefits of involving services
users is to improve the relationship
between service providers and users.
Their involvement refers to the
improvement in services by using
their experiences. The service users
have different insight of work which
enhance the work. By involving
services in record keeping, the record
can be free from abusive and
prejudiced. As the concern of users is
attached according to their care
providing so it is easier way to
involve them in record keeping.
Their involvement has overcome the
challenges which may vary socially.
The service user involvement is used
in progressing the level of service
delivery. Their involvement give
people opportunity to gain skills and
to increase the sense of self-esteem of
citizens. It also increase the
satisfaction and improves the
outcomes of services.
P8 Produce accurate, legible,
concise and coherent records
regarding service user care for
different service users following
own setting guidelines.
Chetwynd house care home is a award
winning, family run home, they provide
luxuries quality care in chin-well. High
standards of dementia and residential care
in a caring, homelike and merciful
environment. The team provide daily fun
and the resident happiness or well being is
the heart of home care. To keep appropriate
records play a significant role in social and
care, main reason for hold up the records of
medical and social care is to assure
coherency of patient care and it also
necessary for judicial intention that is the
patient pursues a assertion on road traffic
accident on accidental injury at work.