Book contents
- Frontmatter
- Contents
- List of Tables, figures and boxes
- List of Contributors
- Foreword
- Part I Introduction
- Part II Long-term care quality systems based on ‘professionalism’
- Part III Long-term care quality systems based on regulatory inspection frameworks
- 6 Regulating long-term care quality in Australia
- 7 Regulating the quality and safety of long-term care in England
- Quality monitoring of long-term care in The Netherlands
- 9 The regulatory structure of Spanish long-term care: the case of Catalonia’s service structures and quality assurance systems
- Part IV Long-term care quality systems based on data measurement and public reporting
- Part V Long-term care quality systems and developing regulatory systems
- Part VI Conclusion
- Index
- References
7 - Regulating the quality and safety of long-term care in England
Published online by Cambridge University Press: 05 February 2014
Book contents
- Frontmatter
- Contents
- List of Tables, figures and boxes
- List of Contributors
- Foreword
- Part I Introduction
- Part II Long-term care quality systems based on ‘professionalism’
- Part III Long-term care quality systems based on regulatory inspection frameworks
- 6 Regulating long-term care quality in Australia
- 7 Regulating the quality and safety of long-term care in England
- Quality monitoring of long-term care in The Netherlands
- 9 The regulatory structure of Spanish long-term care: the case of Catalonia’s service structures and quality assurance systems
- Part IV Long-term care quality systems based on data measurement and public reporting
- Part V Long-term care quality systems and developing regulatory systems
- Part VI Conclusion
- Index
- References
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 QualityAn International Comparison, pp. 180 - 210Publisher: Cambridge University PressPrint publication year: 2014
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