03.11.2025 Juanita
Improving standards and continuity of care
What is record-keeping?
Accurate record keeping in health and social care is vital for delivering high-quality care to residents and is the responsibility of all care workers.
It is essential to maintain accurate records, as they play a crucial role in informing healthcare decisions and ensuring that residents receive the appropriate treatment tailored to their needs.
Utilising digital social care records like mCare provides numerous benefits for care providers when it comes to record-keeping.
By consolidating all resident information in one centralised system, accessing and managing essential details such as medical histories, treatment plans, and care preferences becomes much easier. This streamlined approach enhances communication among carers and reduces the risk of errors or omissions during a resident's care.
.jpg?width=900&height=602&name=shutterstock_2254674059%20(1).jpg)
Better tracking of a resident's progress over time
Additionally, having comprehensive and up-to-date digital records allows for better tracking of a resident's progress over time.
This, in turn, supports more informed decision-making and facilitates more personalised care, ultimately leading to improved health outcomes for residents.
Accurate record keeping is essential for care providers, as it enables them to:
- Deliver safe, compassionate, and high-quality care: Thorough documentation ensures that all aspects of a resident's history, treatment plans, and progress are accurately recorded. This allows care providers to make informed decisions, personalise care, and maintain a high standard of service that prioritises safety and wellbeing.
- Comply with regulations: Maintaining organised and up-to-date records is crucial for meeting the standards set by the regulators. Compliance not only helps in passing inspections but also demonstrates a commitment to best practices and accountability in care delivery.
- Address the needs of each individual: Accurate record keeping enables care providers to recognise and respond to every individual's unique preferences, conditions, and requirements, helping to enhance the overall care experience.
- Share information efficiently: Accurate and organised records facilitate seamless communication among health and care services. Timely information exchange is vital for coordinating care and ensuring that all team members are informed about a resident's status, treatment history, and any changes in their condition. This collaboration ultimately leads to better resident outcomes.
Carers should be provided with comprehensive and easily accessible medical records for each resident.
These records should include a clear and organised list of essential information regarding the resident's medical history, current health status, and any specific preferences or values that are important to them.
Additionally, the records should contain a detailed summary of the resident's individualised care plan, outlining the goals and strategies for their care.
It's also crucial to include the resident's wishes for future care, ensuring that their preferences are respected and taken into consideration. This information must be readily available to all care teams involved in the resident's treatment, care or support, facilitating coordinated and personalised care that meets the resident's needs and promotes their wellbeing.
Improving standards with Person Centred Software's digital social care record system, mCare
By utilising comprehensive data analytics within our digital social care record system, care providers can compare various datasets to identify trends and areas for improvement.
This enables them to continuously refine and enhance the quality of care they provide residents. This systematic approach not only facilitates tracking resident outcomes and service quality but also allows carers to analyse patterns and trends over time.
With these insights, providers can implement targeted changes that enhance the overall quality of care, ensuring that the needs of residents are met more effectively and efficiently - and that's not all!
With Person Centred Software's digital social care record system, care providers can also:
- Record care in real-time: Care providers can record detailed information about the care being provided to each individual in real-time. This allows for immediate updates and ensures that all care team members have access to the most current information.
- Share information safely and efficiently: The system facilitates quick, accurate, and secure sharing of vital information among health and care teams, which is essential for effective communication. This minimises the risk of errors and ensures that everyone involved in a resident's care is well-informed.
- Be aware of changing needs: mCare helps carers to be aware of any changes in a person's needs. This proactive approach allows for timely adjustments to care plans, leading to better resident outcomes.
- Get instant access to resident information: Care providers can obtain immediate access to a resident's personal information and preferences. This enables them to deliver truly responsive and person-centred care tailored to the individual's unique needs and wishes.
- Engage relatives in their loved one's care: The system keeps residents' relatives informed and engaged in the care process. By providing them with updates and ways to connect, family members can remain actively involved in the care and support of their loved ones, fostering a sense of community and support.
- Communicate with external professionals easily: Through the eRedBag feature (electronic hospital pack), care providers can instantly share important information with hospitals and external professionals. This seamless communication ensures that individuals receive the highest quality of care throughout every stage of their health and social care journey, improving coordination and outcomes.
CQC Compliance Consultant shares her insights on the importance of using a digital social care record system like mCare
"While conducting extensive mock inspections and care plan audits in a variety of provider services across the UK, I had the opportunity to closely utilise and observe several digital social care record systems listed on the Assured Solutions List.
-Mar-11-2025-10-25-21-0177-AM.png?width=205&height=205&name=image%20(1)-Mar-11-2025-10-25-21-0177-AM.png)
Whilst the systems met the standards set by the DSCR Standards and offered features and functionalities that addressed the needs of care providers and residents for managing care records, one noteworthy and easy-to-use system was mCare, developed by Person Centred Software.
mCare, which is currently utilised by more than 6,000 care homes across the UK, streamlines the management of care records, enhancing efficiency and ensuring better service for residents.''
Impressively, 95% of these care homes using mCare have received ratings of 'Good' or 'Outstanding' from regulatory authorities, highlighting the positive impact of the software on the quality of care provided.''
Georgina Turner, an experienced CQC Compliance Consultant specialising in adult social care services
Overall, the use of our digital social care record system, mCare, greatly improves the efficiency of record-keeping for carers, along with a whole heap of other benefits.
If you want to learn more about how mCare streamlines record-keeping, click here to delve into how our icon-driven care notes:
- Reduce the risk of errors
- Improve accuracy
- Increase the number of care notes recorded
- Contribute to delivering person-centred care, ensuring that each individual's needs and preferences are at the forefront of your service.
The ultimate guide to switching digital social care record systems
To read a full list of the benefits of using mCare, download our ultimate guide to switching digital social care record systems!
You can also discover how our person-centred approach can transform your care services, boost team performance, and ultimately create a positive environment for both staff and residents here.
Let us help you achieve excellence in care!
.webp?width=80&height=80&name=HTD%20Awards%202023%20Badge%20(4).webp)
