characteristics of case recording

The contacts with the child and family and whether the child has been seen alone; The views of the child or young person and their parents and. It is a tool for: This document aims to provide a robust set of recording standards which enable employees to record information in a clear and consistent manner. If key documents are received such as a specialist assessment; a Case Note must be created on Protocol to note the existence of the uploaded document. The assumption is therefore that data collected are more objective than are perceptions. If due to capacity further file/s are required, the allocated Social Worker is responsible for ensuring that the Protocol record is amended to reflect the relevant end date of the current file (via the ‘Update Record’ link) and open a record for the new file (via the ‘New Record’ link) with the correct start date and location. Corning Community College provides a fine illustration of a local government that has an effective records storage program. Excellent results were shown for a medium composed of Co-Ni-Re-P plated on a nonmagnetic electroless-plated Ni-P layer. “Visit to R to clarify if she needs a supporter at the Review”. These characteristics also have a direct influence on the types and distribution of aquatic biota. Working with service users may on occasion give rise to the need to record a 'risk alert' on Care Director. It applies as appropriate to all aspects of recording including essential family and household information and all interventions, decisions and processes from referral to closure. A device that stores computer data on magnetic tape is known as a … While it may be difficult to record every moment the essence must, at least be captured in a summary. This will primarily hold all ICS documentation, demographic information and running Case Notes. In such cases access will be restricted to Social Worker, the Team Manager and Assistant Team Managers, the Adoption Team Manager, Post Adoption Worker and the Independent Reviewing Officer (IRO). Do the content, language and tone demonstrate socially inclusive practice and is it suitable for the person concerned to read? Joint Protocol for parents with cognitive impairment; A co-ordinated approach with partner agencies and teams. It is made up of four elements which are updated as required: Within Protocol the following screens and functions are particularly important for the Social Worker to maintain and use in working with the family: All staff have a responsibility to contribute to records in accordance with this Policy, Procedure and Best Practice Guidelines. Consideration must be given when recording race, culture, age, disability, gender or sexual orientation and how the needs of individual children have been acknowledged and supported. It will contribute most effectively to the achievement of good outcomes where staff view and value it as a positive aid to practice and as giving a “voice” to a vulnerable child rather than as a distraction from the “real” job. It is the responsibility of the child's allocated social worker to write up and maintain the chronology. Nature, characteristics and objectives of social case work The relationship between the client and case worker arise out of shared and emotionally charged situation. If a NARRATES is required this outcome must be selected from the Referral and the starting a NARRATES task sent to the Initial Response Team’s Tray. The framework is to be used pro-actively to record, retrieve and use information to inform practice and decision-making in the child’s interests and as a means to achieve the best outcomes possible. The characteristics are: 1. To ensure that case records are maintained according to this policy, procedure and guidance including all essential family and household information and all aspects of management from referral to closure; to record decisions they make with intended outcomes and the reasons behind them; to record details of discussions and actions agreed with partner agencies, including the Police; to authorise NARRATES and plans and other templates on Protocol; to complete ‘file fit for purpose’ audits on Protocol; to monitor all cases for which they are responsible in supervision to ensure cases are being actively managed and recording is being maintained; Senior Team Manager (IRT) and Head of Statutory Social Work Services: To ensure that discussions and decisions they make are recorded on the child’s record with reasons. A spell check is available for all electronic formats; No colloquial figures of speech for instance “the children” rather than “kids”; Neutral language for instance “H said that G left the house for the second time this week after an argument” rather than “G stormed out in one of his usual tempers”; Names and job roles where relevant written in full so that all individuals and their actions can be easily identified at any time. Please see Protocol manual for how to close cases on Protocol. 68. The language and actions reflect respect and consideration for each individual and for diversity and difference regardless of circumstance. We use cookies to track usage and preferences. Information sharing - Advice for practitioners providing safeguarding services to children, young people, parents and carers. The social care case record is the “story” of the professional work and decision-making with or on behalf of a child. Record this in the analysis section of the case notes. It is electronic and includes those documents which have been written, drawn, photographs, diagrams and audio or DVD recordings. However, there are some situations in which access to particularly sensitive records must be restricted to proactively prevent them from being accessed inappropriately. Active use of NARRATES within Protocol will make it more likely that the significance of the information will be understood and used to promote good outcomes; A set of data requirements to contribute both to individual case planning and the information required to plan and deliver children’s services. case report form: EBM (1) A printed, optical or electronic document designed to record all of the protocol-required information to be reported to the sponsor for each subject/patient in a clinical trial. The first and main point of reference for those who wish to find information (e.g. Do not record simply what has happened but use analysis to move beyond this to hypothesise and explain why particular situations and events are occurring. Recent research on an acrylamide-based photopolymerizable holographic recording material is presented. A full individual ‘stand-alone’ record for each child receiving a service; Up to date information added as soon as possible; Outcome focused with outcome expressed as the effect on a child’s well being; Informed by evidence including knowledge from observation, theory and research; Fact differentiated from opinion or allegation. Children and Families will always need to link to other policies, processes and procedures, e.g. The case transfer audit should also be attached to Care Director to evidence that the case is ready for transfer to another team with a Case Note entered on the relevant date. I summarised by acknowledging J’s feelings of anger. Ensure that you see the child alone and record what the child says in their own words. Any paper-based information must not be left open or easily accessible at any time. This section provides a framework for the best practice and the skills required to achieve case records which are accessible and professional and suitable to be used in evidence as required. One of the characteristics of a good voice recording at is that it has clarity and flexibility. The standards apply to existing and new records, whether stored in paper format or on electronic systems. All recording should be evidence based with clear distinction between fact and opinion. and the client said but also significant reaction of the. Related Posts. An outcome is expressed as the effect on the well-being of an action on the child or young person for instance “L will take K to her hospital appointments” (action) so that her epilepsy is controlled (consequence) and she can live a normal life for her age” (outcome). Risks. a client chart is a continuing account of client’s health care status and need. Managing, recording and interpreting case information is a skilled professional activity that both promotes and reflects quality practice. The policy states that an additional red paper file should be opened to record any information regarding the family finding and adoption process. (2) A record of clinical study observations and other information that … Where a child/young person has been received into care out of hours a paper copy (available in the Duty Bag) of the relevant sections of the. NARRATES, the framework for assessment, planning, intervention and review is informed by a child’s developmental needs, their health, education, emotional and behavioural, social, self-care and resilience. Each child must have his or her own electronic case record from the point of referral to case closure. All sections are mandatory and apply to all staff who contribute to case records for individual children and young people. formats with guidance) for Contact, Referral and Information, NARRATES, including. In addition to these, documents prepared electronically within Department of Health and Social Care must be uploaded to sit with the child/young person’s electronic Protocol record e.g. It is also shorthand for the reported decisions (appeals, certain decisions of federal courts and special courts such as the tax court) which can be cited as precedents. “I contacted JN, social worker in Mental Health Services for P’s father and we agreed to undertake a joint assessment”. This is the point at which the care plan for adoption is agreed. A decision will be taken by the relevant manager whether the paper file needs to be held separately and details of its secure location recorded on Protocol. Service users and carers are to be informed of their right to access their records and the procedures for doing so. Where members of staff or members of their family are service users or service providers it is essential that they can be sure that personal information is kept confidential within the organisation and only accessed and used by the staff who need to know for the purposes of providing the services. Are the following essential aspects clear? A record is not normally altered once completed but where necessary must be changed to a) correct significant inaccurate facts which may affect decision-making or b) remove entries which are clearly inappropriate such as discriminatory language or defamatory remarks about colleagues. What are the main Characteristics of Observation Use of Senses . If a member of staff attempts to access a restricted record inappropriately the ICS Helpdesk will contact the Head of Service for the area in which the record is based, who will ascertain if there has been an intention to breach confidentiality. To represent an actor's participation in a system, a line is drawn between the actor and the use case. Adoption records refer to any records about a child. This data is used for the Performance Management Framework meetings held monthly; Templates (i.e. Is the record in the right formats and maintained securely? The social worker would also need to take care that the adopters Care Director records are restricted and do not reflect their whereabouts. This will provide focus and is a requirement of the Climbie report 2003 (Recommendation 34); Key topics, themes and decisions clearly identified. Staff must only access service user records appropriate to their allocated caseload and/or work or management responsibilities. All paper documentation received regarding a child/young person must be uploaded to the Protocol record. n. short for a cause of action, lawsuit, or the right to sue (as in "does he have a case against Jones?"). Where disclosure of the information is likely to result in serious harm to their physical or mental health or to that of another individual (including a member of staff); Where disclosure would identify a third party who has not consented to being identified (this does not apply to third parties who have provided information in a professional capacity); Where disclosure would be likely to prejudice the prevention or detection of crime. can be uploaded onto the file. Contents must not be available to or disclosed to anyone without consent of the subject of the record other than to: the individual the record concerns as appropriate, employees and partner professionals with appropriate permissions to access them solely in order to provide a service or for management and quality assurance purposes or as directed by a Court.

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