How do Standards affect a typical 40-bed home?
|Economist and nursing home owner Ian Holden discusses the impact of Care Standards on smaller care homes lacking the resources of the corporates| A whole generation of motivated carers Â normally partners, one of whom was usually a registered nurse Â entered the long term care industry in the 1980s and early 1990s. Then the Registered Homes Act set out the basis for registration and subsequent inspection. Although there was always some controversy over the demands of inspectors, by and large relationships were good, and operators learnt to live with the level of bureaucracy. Now, however, the new regime has imposed on the industry a level of control that is anathema to the small operator. It is as if those managing their businesses are being tested by rote, across every aspect of their operations, the emphasis being heavily weighted towards recording systems. These demand more and more time for form filling, at the expense of time needed to do the actual caring. For the small operator this creates an impos