Skip to main content Opens in a new tab
← Back to Articles
Help Desk › Sales Support › Article
❓ FAQ

What care documentation and record-keeping features are included?

Summary

Comprehensive overview of care documentation features including care plans, body charts, food diaries, and goals tracking.

Care Pathway Pro provides comprehensive documentation tools that meet CQC requirements and support person-centered care delivery.

Core Care Records:

Service User Profiles: Complete digital care records including personal information, emergency contacts, medical history, care preferences, and life history to support person-centered care.

Care Plans: Dynamic care plans that can be easily updated and reviewed. Supports multiple care plan types including:

  • Personal care plans
  • Medication care plans
  • Nutrition and hydration plans
  • Mental health care plans
  • End of life care plans

Daily Notes: Quick and easy daily observation recording with time-stamped entries. Staff can document care delivered, mood, behavior, food intake, and any concerns.

Body Charts: Visual body mapping for documenting skin integrity, wounds, bruises, or marks with photo upload capability and date tracking.

Bowel Charts: Comprehensive bowel monitoring with Bristol Stool Chart integration, frequency tracking, and constipation alerts.

Food & Fluid Diaries: Detailed nutrition and hydration tracking with portion size recording, fluid intake calculation, and dehydration risk alerts.

Pain Management: Pain assessment tools using validated scales (0-10, visual analog, faces scales) with intervention tracking and effectiveness monitoring.

Repositioning Charts: Pressure care documentation with automatic reminders and visual positioning diagrams.

Goals and Outcomes: SMART goal setting and tracking system to evidence person-centered care and support service user independence and wellbeing.

Benefits:

  • All records are time-stamped and attributed to specific staff members
  • Complete audit trail for CQC inspections
  • Searchable records for quick information retrieval
  • Reduced paperwork and administrative burden
  • Real-time access to information for all authorized staff
Live Support