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Documentation and Record-Keeping - Level 2 - e-learning Course - ComplyPlus™ LMS - The Mandatory Training Group UK -
CPD-Accredited Documentation and Record-Keeping - Level 2 - eLearning Course - ComplyPlus™ LMS - The Mandatory Training Group UK -
Online Documentation and Record-Keeping - Level 2 Course - ComplyPlus™ LMS - The Mandatory Training Group UK -

Documentation and Record-Keeping - Level 2

Trusted by over 1 million learners, The Mandatory Training Group delivers accredited courses through ComplyPlus™ LMS, our AI-powered, interactive e-learning platform. Designed for compliance and impact, our training supports CQC, Ofsted, HSE and other regulatory standards.

Price:

£19.99 + VAT

Course reviews:

Level:

2

Duration:

2 hours

Method:

Fully online 24/7 via ComplyPlus™ LMS

Platform:

Desktop, Laptop, Mobile, Tablet

Course access expiry:

365 days

Certificate validity:

3 years - CPD-accredited, instant digital certificate on completion

Last updated:

01 May 2026 (V2.6)

Accepted payments:

Course overview

CPD-Accredited | CQC, NMC, GMC, & HCPC Compliant | UK GDPR-Aligned | ComplyPlus™ LMS

This Documentation and Record-Keeping Level 2 online course equips health and social care professionals with the knowledge to maintain accurate, secure and legally compliant records. It covers documentation standards, confidentiality, access rights, retention periods, data protection principles and GDPR responsibilities. This course supports CQC Regulation 17 and promotes safe, accountable, consistent and effective record management in care settings, services and professional practice.

Course content

This Documentation and Record-Keeping e-learning course covers:

  • Definition and purpose of health and clinical records in practice
  • Legal and professional record-keeping requirements in health and social care
  • CQC Regulation 17 and governance responsibilities in care settings
  • Confidentiality, consent and data protection principles
  • Access to records and subject access request procedures
  • Retention periods for different record types and legal expectations
  • GDPR terminology and data controller responsibilities
  • Storage, security and safe disposal of records
  • Electronic and paper-based record systems in practice environments
  • Documentation standards, accuracy, accountability and audit requirements in practice.

Who is this course for?

This Documentation and Record-Keeping eLearning course is for:

  • NHS and independent healthcare professionals in regulated settings
  • Nurses, doctors and allied health professionals maintain records
  • Care workers and support staff documenting care delivery
  • Community and domiciliary care providers handling service-user records
  • Managers responsible for governance, compliance and record oversight.

Aims

The aims of this Documentation and Record-Keeping online course are to:

  • Strengthen understanding of legal, regulatory and professional record-keeping standards, enabling learners to produce accurate, complete and contemporaneous records that support safe and effective care delivery in practice settings and environments
  • Promote accurate, defensible documentation practices while enhancing confidentiality, data protection compliance and governance to support accountability and regulatory compliance in health and social care settings and services.

Learning objectives

This Documentation and Record-Keeping e-learning course will:

  • Explain what constitutes health and clinical records in practice and care settings
  • Detail legal frameworks, including the UK Data Protection Act 2018 and GDPR requirements
  • Clarify CQC Regulation 17 and relevant professional regulatory expectations in practice
  • Present best practice standards for maintaining documentation quality and accuracy in records
  • Outline access rights, subject access requests, statutory retention periods, and disposal requirements
  • Explore electronic record systems, audit trails, and secure digital documentation processes
  • Demonstrate secure storage, confidentiality safeguards, and effective data protection measures
  • Reinforce accountability, governance responsibilities, and compliance in care settings.

Learning outcomes

At the end of this Documentation and Record-Keeping eLearning course, learners will be able to:

  • Define health records and explain their legal and professional significance in practice settings
  • Apply data protection and confidentiality principles appropriately in care settings and environments
  • Identify who can and cannot access patient or service-user records in practice
  • Determine appropriate retention periods for different record types in line with guidance and policy requirements
  • Demonstrate secure storage, handling and disposal procedures for records
  • Produce clear, contemporaneous and defensible documentation in practice
  • Support organisational compliance with CQC, professional standards and governance requirements in care settings and professional contexts and roles effectively in practice.

Course assessment

  • Multiple-choice knowledge assessment with a minimum pass mark of 80%
  • Assessment questions mapped directly to course learning outcomes
  • Unlimited assessment retakes included
  • Confirms knowledge of documentation standards, data protection, confidentiality and record management.

Course certification

  • CPD-accredited digital certificate issued on successful completion
  • Certificate available for immediate download as a secure PDF
  • Supports evidence of governance and documentation competence in regulated care environments
  • Certificate authenticity can be verified via the ComplyPlus™ platform.

Refresher requirements

  • This course certificate must be refreshed every 3 years
  • Earlier refresher is required if legislation, guidance, workplace policy or risk assessments change.

Course accreditation

  • Externally reviewed and accredited by the Continuing Professional Development (CPD) Certification Service, ensuring high-quality training meeting international standards
  • Supports compliance with CQC Regulation 17
  • Informed by the Data Protection Act 2018, UK GDPR and professional guidance (NMC, GMC, HCPC)
  • Reinforces safe, accurate and accountable record-keeping in care.

Frequently asked questions

Why is this online documentation and record-keeping course important?
This online course ensures accurate records, supports patient safety and legal compliance, and provides evidence of care in audits, complaints, or investigations.
What does this documentation and record-keeping e-learning course cover?
This e-learning course covers legal requirements, GDPR, confidentiality, record access, retention, governance, and best-practice documentation standards.
Who should take this documentation and record-keeping eLearning course?
This eLearning course is suitable for healthcare staff, managers and anyone responsible for creating, managing or storing patient or service-user records.
How do I log on to the eLearning platform?
After purchasing a course, you'll receive an email with your login details and a platform access link to ComplyPlus? LMS (optimised for Google Chrome). Your email address will serve as your fixed username. To avoid access issues, ensure your purchase information is accurate and up to date.
I haven't received my login details. What should I do?
Your login details are emailed automatically right after purchase. Please check your Spam or Junk folder, as some email providers (like Google or Yahoo) may direct them there.
How do I download my certificate(s)?

Once you have successfully completed the end-of-course assessment with a passing score, your certificate will be made available online on ComplyPlus? LMS . It is issued in a quality-assured PDF format and can be downloaded directly from the platform.

Once available, you can:

  • Download the certificate directly to your device
  • Save a digital copy for your records
  • Print a physical copy if needed.

No physical copy will be mailed, as all certificates are issued electronically for convenience and instant access.

Can I request name changes on certificates?

Learners are not allowed to change their names directly in the LMS. This is to ensure that the name reflected on the certificate belongs to the actual individual who completed the course and to prevent the risk of name forgery or transferring certificates to others.

If you need to request a name change, please contact our Support Team by submitting your concern through this form. Kindly include a clear reason for the change and any supporting documentation required for verification.

Do you give discounts for bulk purchases?

Yes, we offer competitive volume discounts for organisations enrolling multiple candidates in any of our online training courses. To view our current volume discount options, click here.

Login steps

  1. If you are a New User, check the email you provided for the login instructions
  2. If they are not in your Inbox, please check your Junk/Spam folder
  3. Follow the instructions provided and proceed to the LMS
  4. If you are an Existing User, proceed to your account
  5. If you cannot remember your account password, click here
  6. If you bought 1 license, you can either assign the course to yourself or another person once you log in
  7. If you bought 2 or more licenses of the same course, a group account will be automatically created so you can add and monitor your learners.

Need Help? Contact our support team via Live Chat for quicker assistance or email info@mandatorytraining.co.uk

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