An important challenge for managers and practitioners in social care is to record the work done with clients. Being people-focused, social care workers feel that once the work is done then recording it is a lesser priority -Ênot least given that the next urgent piece of work is already in pressing need of attention.
A good starting point is winning staff to the purpose of recording. If you can do this, it is more likely to be done and to be of a good quality. Even in an established team this is worth reviewing as often recording becomes sloppy or does not keep up with changes in cases.
For practitioners, case recording provides the history of your organisation's intervention in a person's life. It can be used to evaluate the success of past interventions and help shape future ones. It provides a chronology to consider the impact of significant life events and a record of the work caseworkers have done.
For managers, case recording can help with disputes about who agreed to what, and provide evidence of co-operation or otherwise. Of course, management recording takes other forms as well: supervision records, review and management meetings and action plans. All these records map our daily working lives and provide evidence that we are worth our salaries.
For clients, their case record may be the only means they have by which to make sense of their past and they deserve an honest, thorough and professional account of events of which, at the time, they may have had little understanding.
So, impress upon your staff: records are an integral part of good care practice. However, to record is one thing, to record well quite another. Here are a few practical things to think about.
Be clear about the purpose of the record - know why you are keeping it.
As always, staff need to be aware of the needs of their audience, which must include the service user as well as you the manager and other professionals. By considering the audience's language skills, and knowledge and understanding of the subject, this should help in pitching it right.
And why not check the accuracy of your record with the service user, if appropriate? As the Social Services Inspectorate says in Recording with Care: "You need to give clear guidance and training to staff about working in partnership with service users and carers and constructing and sharing written records. Gaining clearance to share third-party information with service users in day-to-day work is important in ensuring that access is maximised."
Rubbish tips
Resources
1 Social Services Inspectorate, Recording with Care, HMSO, 1999
2 Liz O'Rourke, For the Record- Recording Skills Training Manual, Russell House Publishing, 2002, price £41.45. Visit www.russellhouse.co.uk
3 For an excellent website on effective recording in children's services, visit www.writeenough.org.uk
4 Graham Hopkins, Plain English for Social Services, Russell House Publishing, 1998
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