Daily Record Form – DR


  • MM slash DD slash YYYY









  • Include changes in the client’s needs and/or usual behaviour or routine and action taken
    Also include unusual or changed circumstances that affect the client – highlight any deviations
  • Detail how client and team have worked towards the agreed goals
  • Actions or Practice as Specified in Care Plan Guidelines – detail how client and team have followed their care plans
  • Temper/ behavioural outbursts complete a separate ABC, note here if separate ABC completed
  • Record cognitive difficulties observed below and strategies used to assist
  • e.g. hydro, gym, note client ability / any problems / needed prompting
  • Include Matters or Concerns Regarding CLIENTS Health and Well-Being or Requests Made for Assistance Over and Above That Agreed in The Care Plan
  • Brief description – Fill in form and email to CM/ACM.
  • Note sleep hygiene
  • Records maintained in the client’s home should include the following details as a CQC requirement;

    Records maintained in the client’s home should include the following details as a CQC requirement;  The full name, date and arrival and shift times of every staff member  Goals, actions or practice as specified in the care plan  Changes in the clients’ needs, usual behaviour or routine and action taken;  Unusual or changed circumstances that affect the client, highlight any deviations  Contact between the support worker and primary health/social care services regarding the client  Contact with the client’s family or Case Manager or Team Leader about matters or concerns regarding their health and wellbeing  Requests made for assistance over and above that agreed in the care plan  Incidents, ABC’s accidents or near misses and action taken.  Risks and action taken to minimise them