William Eichler 02 February 2023

Ombudsman publishes record keeping 'good practice' guide

Ombudsman publishes record keeping good practice guide  image
Image: Maks_lab/Shutterstock.com.

A new guide to help care providers learn from complaints involving record keeping was today published.

Published by the Local Government and Social Care Ombudsman, the new guide focuses on a number of case studies highlighting the common issues the Ombudsman sees, and also includes good practice tips.

Issues covered by the guide include providers fabricating records after a serious incident, customers being given wrong or no medication or food because records were not updated properly, and delayed treatment for another customer because of inaccurate records.

The guide sets out the Ombudsman’s approach to investigating complaints on this matter, including information on electronic record keeping, and it references other regulatory bodies’ guides to meeting the requirements on record keeping.

Michael King, Local Government and Social Care Ombudsman, said: ‘Record keeping isn’t just an administrative task that can be completed as and when necessary – poor records can have serious consequences for the people care providers look after.

‘Our new good practice guide shares the learning from the investigations we have carried out. By highlighting some errors in real scenarios, we want to stress to care providers that not only does maintaining accurate records ensure compliance with the regulations – more importantly, it also saves people from real distress.’

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