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Develop, maintain and use records and reports essay

Develop, maintain and use records and reports essay

Kelly Dobbs Unit 637 — Develop, maintain and use records and reports. Page 1 of 6 Unit 637 — Develop, maintain and use records and reports. However, overall accountability resides with the Registered Manager. All information must be kept confidential, and should only be shared on a need to know basis; with consent sought.

Develop, maintain and use records and reports essay

Confidential information can only be disclosed if it is in the Individuals best interests, for the protection of others, in the interest of public health, during an official or legal investigation, or if there has been a risk of a serious crime committed. It is important to maintain an environment of trust and respect then the individual is more likely to feel safe develop be more open and honest about the information they are providing to us.

This in turn allows us to ensure that they receive the best care meeting their needs. There are 3 subcategories within Standard 7, and following best practice agreed ways of working with in our home are met by both management and staff. This is achieved by ensuring that policies and procedures in place are up to date, and that all are aware of changes to current working practices. As a procedure of best practice, daily records are summarised in monthly individual evaluations, providing accurate evidence of outcomes, and all support plans and risk assessments are fully reviewed every 6 months, though if necessary can be updated as an when needed.

Page 2 of 6 Each person working within health and social care, has a responsibility to keep information confidential.

We are governed legislation of the Code of Professional Practice aforementioned in 1. Under the Data Protection Act there are eight principles, which state that data must be: Email attachments could be password protected, with automated responses requesting the recipient to acknowledge receipt. This is ensured by support planning documents, being prepared with individuals, based on their outcomes and goals that they wish to achieve. In supporting individuals with daily and weekly living skill and activities of choice, this standard is achieved daily throughout the service provided.

In carrying standard 8, particular attention needs to be paid to Code three of the Code of Professional Practice; as professionals we are duty bound to ensure that individuals well-being, voice and control of individuals and carers is respected in supporting them to stay safe.

Individuals are involved in their own monthly evaluations, carried out with their key worker. This is done at a time and place convenient to the individual in an environment they feel safe. By participating in the evaluations, individuals can see how far they have travelled in reaching their desired goals and outcomes. This can help individuals feel a sense of empowerment and control over their life, and also help them to become refocused if need be.

Record-keeping

ICT covers the use of personal computers, emails that will store, retrieve, manipulate, transmit or receive information electronically in a digital form. We need to ensure this information is kept secure in order that there are no breaches of confidentiality law.

Staff are made aware of the organisations policies and guidelines with regards to storing information as in accordance with the Data Protection Act 1998. All records are held securely and used in accordance with the Date Protection Act 1998. The records and reports if required could form the basis for legal proceedings or used as evidence, in professional hearings. Therefore it is essential that these reports and records are professional and within the guidelines of legislation.

In support planning it is vital that the reports are accurate, factual and concise, as this provides direct information in how to meet an individuals support needs and choices.

Report and records can provide evidence for the basis of judgements and decisions, as other professionals such as district nurse, social workers, Community psychiatric nurse, psychiatrists and the like will review the information recorded by the residential setting in order to pass judgement on the individuals progress or lack of progress. The evidence recorded, will then inform those of whether the placement is delivering its role, and if the individual is receiving the right care.

Therefore it is vital that support documents are reviewed regularly in line with best practices, as it enables the setting to meet legislative and professional governance.