It's All in the Record, * Liz O'Rouke and Hazel Grant, * Lyme Regis, Russell House Publishing, 2005, pp. 176, ISBN 1903855721, 29.95

Abstract

This training manual follows an earlier book by the same authors, entitled For the Record, designed to develop good practice skills in recording for direct care workers. This second manual is aimed for use by trainers and managers undertaking the development of recording skills with care managers particularly in adult care services, and includes a section relevant to those training domiciliary care workers. The manual aims to provide practical guidance in effective recording, addressing the dilemmas and tensions inherent in open recording. The book comprises five chapters focusing on different aspects, including the purpose of recording, the difficulties and dilemmas involved in accurately describing reality, attaining objectivity and making judgements, the process of assessments, defining needs, sharing information with people using services, and recording for different readers and purposes. Sessions are designed to address these topics and trainers’ notes, handouts, exercises and overhead transparencies are given. The book addresses important and relevant aspects of recording for care managers and other practitioners involved in the assessment process, including differentiating fact from opinion, deciding what should be recorded, considering to whom and from whom recording may be restricted, confidentiality and issues of anti-discriminatory practice. Participants are encouraged to explore dilemmas that affect recording in care management, such as the tensions and conflicts inherent in assessing needs with regard to applying for resources. The manual focuses on the needs and perspectives of people using services throughout, stressing the importance of their involvement in the assessment and recording process and the effective sharing of information.