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DC-G06CQCSection G · Information Governance and Records

Care Records and Daily Notes policy

For CQC-registered domiciliary care services · version 1.0 · last reviewed 1 June 2026

Every visit generates a daily note, and this explains what those notes and the wider care record should contain. It covers recording at the point of care, the level of detail expected, person-centred and respectful language, how information is handed over between staff for continuity, and the common pitfalls to avoid.

What this policy covers

  • The care record — what it contains
  • Daily notes — recording every visit
  • What to record, and what good looks like
  • Recording at the point of care
  • Recording specific things
  • Person-centred and respectful language
  • Handover and continuity
  • Common pitfalls to avoid
  • Corrections, security and retention
  • Annex a — anatomy of a good daily note (examples)
  • Annex b — daily note checklist and what to record

Regulations and guidance it supports

Supports the fundamental standards at Regulations 9, 17 and 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
  • Data Protection Act 2018
  • Data (Use and Access) Act 2025 (G01)

Common questions

Is the care records and daily notes policy CQC-aligned?
Yes. It is written and reviewed by practising UK compliance consultants against current CQC expectations, and supports the fundamental standards at Regulations 9, 17 and 20. It is a controlled starting-point document that you adapt to your own service — you remain the accountable provider.
Can I download and edit this policy?
Yes. It downloads as Word (.docx) or PDF with your company name, registered manager, CQC ID and address already filled in on the cover page and throughout the document. The Word version is fully editable.
Can I buy this policy on its own?
Policies are sold as a complete library rather than individually, because CQC expects a coherent set that cross-references properly — a single policy in isolation creates gaps. The domiciliary care library contains 141 policies and can be bought outright as a one-off purchase and kept permanently.
How often is it reviewed?
The library is re-reviewed every six months and after any material regulatory change. This policy was last reviewed 1 June 2026, and is at version 1.0. Updates reach you automatically, so downloads always reflect the current version.

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