Description
Good record-keeping is a core skill for everyone working in a care home. This foundational course from ecert Training equips care assistants, senior carers and team leaders with the knowledge to document care accurately, lawfully and in a way that genuinely serves the people they support. Learners explore all main record types, including care plans, daily notes, medication administration records and incident reports. The course covers the key legislation governing care records, electronic care management systems and their audit trails, confidentiality and data protection responsibilities, and how to avoid the most common documentation errors.
Learning outcomes
- Explain the purpose and importance of accurate record keeping in care home settings.
- Identify the key legislation and regulatory standards that govern documentation practice in England.
- Apply the core principles of good documentation, including accuracy, timeliness and objectivity, to daily recording tasks.
- Recognise the main types of records maintained in care home environments and describe the purpose of each.
- Use electronic record systems safely and confidently, including understanding audit trails, access rights and downtime procedures.
- Understand the requirements of the Data Protection Act 2018 and UK GDPR as they apply to care records, including confidentiality and information sharing.
- Identify common documentation errors and describe practical steps to prevent them.
- Describe how records are audited and how sound documentation supports quality improvement and CQC inspection outcomes.
Accreditation Certificate
Embark on a learning journey with confidence! Our courses come with the assurance of CPD accreditation, ensuring that you receive certified recognition for your professional development. Elevate your skills with us and earn accredited certifications across all our courses.
Record Keeping and Documentation Standards Certificate
Create accurate, person-centred records, use electronic systems safely, and meet CQC and UK GDPR standards.
What does my certificate include?
Your Record Keeping and Documentation Standards Certificate includes your name, company name (if applicable), name of course taken, date of completion, expiry date and stamps of approval or accreditations by recognised authorities.
Record Keeping and Documentation Standards
Pass Requirement
10%Certification Period
1 yearThis course includes
Downloadable resources
Self-paced learning
Access on mobile devices
Certificate on completion