Title

Develop, Maintain and use Records and Reports

Type

Knowledge and skills

Learning outcomes

Assessment criteria

Potential Evidence

1

Understand the legal and organisational requirements for recording information and providing reports

1.1

Specify own responsibilities and those of others when recording information and producing reports

Showcasing your knowledge: –

Tutor marked assignment – one of:

a) Assessment Pack

b) Resource Pack                      

c) Essay

All Assignments MUST use and be submitted with an appropriate referencing system

Professional Discussion

E-learning

Prior Learning / Certificates

Learning Journal

Showcasing your skills: –

Observations

Witness Testimonies

Workplace Records

Minutes of Meetings

Care Plans

Daily notes

Supervision / Appraisals Records

Medication Administration Records

In put – Out put Records

Turn Charts

Reports

Prior Learning / Certificates

Learning Journal

1.2

Explain the legal requirements and agreed ways of working for the security and confidentiality of information

2

Be able to prepare professional records and reports that meet legal requirements, and agreed ways of working

2.1

Support individuals to participate in the preparation of reports that meet legal requirements, and agreed ways of working

2.2

Produce accurate and coherent records and reports that can be understood by those who have a right to see them

2.3

Maintain accurate, complete, retrievable and up-to-date records

2.4

Ensure that records and reports comply with legal and organisational requirements

2.5

Explain how to balance the tension between confidentiality and openness in records and reports

2.6

Use information communication technology (ICT) systems for the collection and storage of information in line with legal requirements, and agreed ways of working

2.7

Use ICT that supports information exchange within and across disciplines and organisations in line with legal requirements, and agreed ways of working

3

Be able to use records and reports to inform judgements and decisions

3.1

Clarify the accuracy of records and reports with individuals and others

3.2

Respond to feedback from those who receive records and reports

3.3

Demonstrate the use of facts and evidence-based opinions within records and reports

3.4

Evaluate how own records and reports provide evidence for the basis of judgements and decisions