Recordkeeping and Documentation in Care Settings Certification

Recordkeeping and Documentation in Care Settings

Welcome to the New Skills Academy online course on ‘Recordkeeping and Documentation in Care Settings.’

Personal information and recordkeeping is crucial in any field, and even more so in the field of health and care. Proper documentation and recordkeeping not only helps improve delivery of health services and social care but also protects the staff and organisation against the risk of legal action.

The course explains recordkeeping in health and social care.

What you will learn in this course:

• Why it’s important to maintain, store, and share information safely and securely




• The advantages of efficient recordkeeping and how it can benefit the service users, staff, the organisation, and the community




• Why confidentiality is crucial and what it means when there is a breach of confidentiality




• The several precautions that need to be taken while dealing with personal and sensitive information in case settings




• How to create healthcare records that are accurate, detailed, and comprehensive




• How to avoid common pitfalls that often occur in medical records




• The importance of recordkeeping in social care settings




• How to improve the quality and content of daily records in social care settings

How you can benefit from the course:

The online course on ‘Recordkeeping and Documentation in Care Settings’ can be useful to many people, including service users, nurses, nurse assistants, social care workers, managers, and supervisors working in the care sector.

• You will understand the importance of creating and storing accurate, comprehensive, and updated records





• You will be in a better position to avoid pitfalls and identify mistakes which may lead to adverse clinical or legal repercussions





• Your skill in writing, storing, and sharing information can help improve efficiency, communication and keep personal data safe from theft or unauthorised access