You should record details of any assessments, reviews undertaken and

clear evidence of the arrangements made for future and ongoing care.

This should include details of information given about care and treatment.

Records should identify any risks and show the action taken to deal with

them.

You have a duty to communicate fully and effectively with colleagues,

ensuring they have all the information they need about the people in your

care

You must not alter or destroy any records without being authorised to do

If you need to alter records, you must give your name and job title and sign

and date the original documentation. The alternations made and the

original record should be clear and auditable