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7 - Regulating the quality and safety of long-term care in England

Published online by Cambridge University Press:  05 February 2014

By
Juliette Malley ,
Jacquetta Holder ,
Rachael Dodgson  and
Samantha Booth
Edited by
Vincent Mor ,
Tiziana Leone  and
Anna Maresso
Juliette Malley
Affiliation:
The London School of Economics and Political Science
Jacquetta Holder
Affiliation:
University of Kent
Rachael Dodgson
Affiliation:
Regulatory Design, Care Quality Commission, United Kingdom
Samantha Booth
Affiliation:
Intelligence Directorate, Care Quality Commission, United Kingdom
Vincent Mor
Affiliation:
Brown University, Rhode Island
Tiziana Leone
Affiliation:
London School of Economics and Political Science
Anna Maresso
Affiliation:
London School of Economics and Political Science
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Summary

Introduction

The focus of this chapter is the regulatory system for quality assurance of long-term care in England. Entry of providers to the long-term care market and their continued operation is currently regulated under the Health and Social Care Act 2008 (HSCA 2008), which also established a single health and social care regulator, called the Care Quality Commission (CQC). Although the current regulatory framework is new, the long-term care sector has been regulated since 1927 with the Nursing Homes Registration Act. However, from 1927 until 2000 regulations varied by long-term care provider type. Thus, there were different regulations and regulators for each care home type (homes with or without nursing); community-based services were unregulated; and publicly owned providers in contrast to independently owned providers were subject only to inspection and not required to register. In addition, there were regional variations since locally based inspection units carried out inspections according to locally defined standards (Day and Klein, 1987; Klein, 1997; Peace, 2003). In 2000, passage of the Care Standards Act (CSA) marked a turning point in the regulation of the sector, beginning a phase of consolidation of the regulatory environment and creating a structure that has largely continued to this day. It established an independent national regulator, with powers to register, inspect and enforce national standards in all care homes and home care agencies, irrespective of ownership status, or region of the country.

Type
Chapter
Information
Regulating Long-Term Care Quality
An International Comparison
 , pp. 180 - 210
Publisher: Cambridge University Press
Print publication year: 2014

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