Involuntary closures of for-profit care homes in England by the Care Quality Commission

IF 13.4 Q1 GERIATRICS & GERONTOLOGY Lancet Healthy Longevity Pub Date : 2024-03-12 DOI:10.1016/S2666-7568(24)00008-4

Anders Bach-Mortensen PhD , Benjamin Goodair MSc , Michelle Degli Esposti PhD

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Abstract

Adult social care services in England are struggling, and sometimes failing, to supply the quality of care deserved by the most vulnerable people in society. The Care Quality Commission (CQC) is responsible for protecting the recipients of this crucial public service. Their strongest enforcement is the ability to cancel the registration—the legal right to operate—of a health or social care provider. Using novel data from the CQC, we show that the proportion of care home closures due to CQC enforcements, relative to all closures, is increasing. Since 2011, 816 care homes (representing 19 918 registered beds) have been involuntarily closed by the CQC. Our results show that effectively all involuntary closures (804/816) occurred in for-profit care homes. This data emphasises the need for a comprehensive assessment of the impact of for-profit provision on the quality and sustainability of adult social care in England.

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护理质量委员会非自愿关闭英格兰营利性护理院的情况。

英格兰的成人社会护理服务正在努力提高护理质量，有时甚至无法满足社会中最弱势人群的需求。护理质量委员会（CQC）负责保护这项重要公共服务的受众。他们最强有力的执法手段是取消医疗或社会护理服务提供者的注册资格--即合法的经营权。通过使用来自 CQC 的新数据，我们发现因 CQC 强制执行而关闭的护理院在所有关闭护理院中所占的比例正在增加。自 2011 年以来，已有 816 家护理院（代表 19 918 张注册床位）被 CQC 非自愿关闭。我们的结果显示，实际上所有的非自愿关闭（804/816）都发生在营利性护理院中。这些数据表明，有必要全面评估营利性护理机构对英格兰成人社会护理质量和可持续性的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Lancet Healthy Longevity GERIATRICS & GERONTOLOGY-

CiteScore

16.30

自引率

2.30%

发文量

192

审稿时长

12 weeks

期刊介绍： The Lancet Healthy Longevity, a gold open-access journal, focuses on clinically-relevant longevity and healthy aging research. It covers early-stage clinical research on aging mechanisms, epidemiological studies, and societal research on changing populations. The journal includes clinical trials across disciplines, particularly in gerontology and age-specific clinical guidelines. In line with the Lancet family tradition, it advocates for the rights of all to healthy lives, emphasizing original research likely to impact clinical practice or thinking. Clinical and policy reviews also contribute to shaping the discourse in this rapidly growing discipline.