Documentation and Care Planning

Cover image for: Documentation and Care Planning
CPDTime.
15m
Updated 31 May 2026 Certificate33 Ratings

Every shift, visit, and conversation with the people you support leaves a trail of decisions and observations that lives in the records you contribute to, and good documentation is what keeps people safe, gives them a voice in their own care, and protects you and your organisation when something goes wrong.

This module explains what good documentation looks like, your role in person-centred care planning, how to write clear and accurate records, and how to protect the information you handle every day.

Content

6 Units • 13 Questions
Pre-reflection
1 Question
Introduction
1m
The Care Plan and the Person's Voice
3 Questions
2m
Other Documentation
2 Questions
2m
Documentation Fundamentals and Best Practices
3 Questions
2m
Protecting Information
3 Questions
2m
Conclusion
1m
Post-reflection
1 Question

What you'll learn:

1

Describe your role in person-centred care planning and the records you contribute to.

2

Apply the key features of a good care record in your daily work, and recognise when something you've recorded needs to be escalated.

3

Apply the basic principles of confidentiality and data protection when handling care records.

Who it's for:

For frontline care and support workers across adult and children's social care in England.

Topics

For Teams
Assign to your staff

Assign mandatory training and keep all your records in-one-place.

Find out more
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Last updated31 May 2026

Published31 May 2026

Due for review30 May 2030
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