You are here: Home » Care & Support » Social Care Services » Your Care Record » Guidance For Staff » Care4you Staff Guidance
Your Care Record: Guidance For Care4you Staff
This page contains guidance on Your Care Record for Care4you staff.
- Introduction
- Basic principles of the folder
- Contents
- Role of home support
- Role of residential and resource centres
- Role of City Wide Alarms
- Further information
Introduction
May 2008 sees the implementation of Your Care Record - yellow folders to all service users known to Neighbourhoods and Community Care who have had or will have the Single Assessment Process (SAP) undertaken.
It is for all adults in Sheffield health and social care community who are assessed / reviewed & go onto receive community support. The folder won't be offered if the person is or will be permanently living in a care home.
This will allow assessment records and other relevant documents to be held centrally. It will support the practice of information sharing between the assessed person and practitioners of various multi disciplinary agencies in a standard format. Care4you managers have been consulted about the input required and our agreement is detailed below.
As a care provider you will be a contributor to the folder as outlined in Your Care record - staff guidance, in particular section 7.1.2.
Where a home care provider is involved with the assessed person, the home care provider manager will, with the person’s permission, ensure that the home care provider’s contact details and brief details of any non care worker visits are recorded in the appropriate sections of the folder (see 4.2 Contact numbers and 4.5 Record of visits).
Regular care worker visits will continue to be recorded in the service user logbook.
A duplicate copy of their service / care plan should be inserted in the individual professional record social care section (4.6.2)
The folder is private and confidential. The assessed person controls access to the folder, and practitioners should never look inside the folder without the express permission of the person, unless its an emergency as detailed in staff guidance section 6.2.
The contents of the folder belong to the assessed person for that episode of care but each organisation is required to assist with the maintenance of the information if requested or necessary (see section 5.1)
Basic principles of the folder
Below are the basic principles of the folder:
- The assessed person decides who can access the information
- The aim of the Your Care Record is for the information to be completed by all relevant agencies involved with this person.
- The information if shared can quickly inform any health and social care professional, family and carers about the assessed needs and the care and support being received.
- There will be a contact list where names and telephone numbers of people involved will be recorded. The care plan will illustrate who is involved and what support is provided.
- People can take their folder with them when they go to see their doctor or nurse, if they go for a hospital appointment or they are admitted to hospital.
- When involvement ends with the person this should be documented in the contact numbers section.
Contents
Below are the sections within the folder
Part A:
- Contact Numbers - of people involved in the care and support provided
- Emergency Care - this will contain information that health and social care professionals may need to know in an emergency. The section will contain one Personal Preference for Emergency Care (PPEC).
- Personal Records - this will contain assessments & care records that are relevant to all professionals involved in the persons care
- Record of Visits - health and social care professionals are required to complete, recording their details and a brief record about the visit
Part B :
Individual professional records contains sections for specialist records or notes that people have made about the person and their care. Leaflets can also be stored in these sections. The sections are:
- Social care notes
- Nursing notes
- Therapy notes
- Health care notes
- Other notes
Role of home support
As a provider service of home support Care4you and all the independent sector home support providers have agreed to complete the following sections. The Care4you Home Support Folder is still to be maintained on all calls/visits.
- Contact numbers section - contact details of the team and the Home Support Manager (not Senior Support Workers or Home Support Workers)
- Social care notes section - a copy of the service user plan to be placed in this section
- Record of visits section - Home Support Managers and Senior Support Workers to record brief details of the visit, i.e. update risk assessment, Annual Quality Assurance review. This section is not to be completed by Home Support Workers.
Role of Residential and Resource Centres
As a provider of respite and short term support the service user may bring with them the folder at each stay. The following sections are to be completed by the management team within the unit:
- Contact numbers- contact details of the unit
- Social care notes - copy of the service user care plan
- Record of visits – brief summary details of the stay and any planned reviews or future planned admissions
Role of City Wide Alarms
As a provider of emergency support the following sections are to be completed:
- Contact numbers - contact details
- Record of visit - to be completed briefly when a visit/call out has been undertaken.
Further information
Further information about Your Care Record including the folder content and staff guidance are available at Your Care Record.
Reviewed 20.05.08
Sara Leigh, Registered Manager
How useful is this page?