• Person-centred care plans. Capture needs by domain, desired outcomes and planned interventions, with scheduled reviews and clear overdue-review flags.
• eMAR. Record every medication round — given, refused, missed or not available — with witnessing for controlled drugs.
• Risk assessments. Waterlow, MUST, Falls and Moving & Handling, scored into a risk band with the next review date worked out for you.
• Emergency “This is me” summary. A print-ready one-pager for every resident, for hospital or an emergency — sharing only what the resident has consented to.
• Vital signs, clinical flags (DNACPR/ReSPECT, DoLS) and a complete audit trail on everything, from day one.