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Sam Dawson Course Tutor 14/12/2015
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Guest speaker – Allison Wood – Mental Health. To continue Unit 4- Awareness of communication in Adult Social Care. To explore the importance of record keeping in Adult Social Care.
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Allison Wood. Mental Health.
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Records are kept to make sure people are supported safely and consistently. This is in the way they said they would like to be supported.
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Helps to improve accountability. Shows how decisions relating to care were made. Supports the delivery of services. Supports effective clinical judgements and decisions. Supports and promotes communication. Documentary evidence. Helps to identify risks. Legal requirement.
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Data Protection Act 1998. Access to Medical Records Act 1998. Human Rights Act 1988. Freedom of Information Act 2000. Communications Act 2003.
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Make sure your handwriting is readable. All entries should be signed and dated. Should be accurate, factual and no abbreviations or jargon. The language should be understandable. Records should be readable when scanned or photocopied.
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