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Many people do not enjoy recorded keeping and in some cases do not understand how important accurate recording keeping is. Keeping records provides a trail of evidence that can be used to document what is needed, what has been done and what needs to be done.

Records can be kept in many different forms. These include personal records, care plans, medications records, health records, employment records, training records, risk assessments and many more.

Records can be kept in paper form, electronically or digitally, however they are kept, they need to be secure and only viewable by people with the rights to access the information.

Your employer will go over what records you must keep or update and where these are stored. They will also tell you about what information can be shared and with whom. You need to fully understand about keeping information confidential and you must comply with Data Protection requirements.

Records are only any good if they are correct and legible. When writing or updating any records, ensure that you write clearly and correctly. Write down the facts, not your opinion. It is important that all records are correctly signed and dated so that it is clear who has written the record and when.

It is possible that records you have provided or updated may be used in an investigation or legal case, this is why it is important to make sure they are always correct. The Data Protection regulations also enable people to request to see records that you hold, this could be the person you care for or their family, so keep everything factual and professional.

If you have any doubt about record keeping and procedures, talk to your manager.