Who regulates care homes, and where to read the inspections
There is no universal model for who watches over care homes — some countries run a single national regulator with public ratings, others place the entire competence at provincial or regional level with no national register at all. This table names, for seven jurisdictions, the body that regulates residential care for older people, how inspection works, and where its findings can be read — each row backed by a source verified against a retrieved document. Where the cited source does not establish a cell, the cell says so rather than guessing: for France and Spain, the national bodies steer and finance the system while day-to-day inspection is a regional matter their pages do not detail, and for Canada the absence of a national regulator is itself the sourced fact. In Great Britain the row names the English regulator; Scotland and Wales have their own inspectorates, listed among this page's sources and in the glossary.
How this is compiled
| Country | Who regulates | Who inspects, and how | Where to read the findings | Official source |
|---|---|---|---|---|
| GB United Kingdom | England: the Care Quality Commission (CQC), independent regulator of health and adult social care. Scotland and Wales have separate inspectorates (see sources) | CQC monitors, inspects and regulates services, and encourages them to improve | CQC publishes what it finds, including ratings from Outstanding to Inadequate, for every registered service | cqc.org.uk ↗ |
| US United States | Centers for Medicare & Medicaid Services (CMS) — the federal agency behind nursing-home quality rating | Health inspections feed one of the three rating domains, alongside staffing and quality measures | Nursing Home Care Compare (Medicare.gov) — an overall one-to-five-star rating per nursing home, plus domain ratings | cms.gov ↗ |
| FR France | CNSA — the national public body managing the branche Autonomie, steering and financing autonomy-support policy | Not established by the cited source — inspection is not a CNSA function described in it | Not established by the cited source | cnsa.fr ↗ |
| ES Spain | Imserso — the state Social Security body managing services for older people and the dependency system (SAAD) | Not established by the cited source — care-home inspection is not an Imserso function described in it | Not established by the cited source | imserso.es ↗ |
| AU Australia | Aged Care Quality and Safety Commission — the national body protecting and improving safety and quality of life for people receiving aged care services | Not established by the cited source — the page states the Commission's purpose, not its audit mechanics | Not established by the cited source | agedcarequality.gov.au ↗ |
| CA Canada | No national regulator — provinces and territories are responsible for how long-term care homes are regulated | To operate, homes must undergo inspections and meet provincial or territorial requirements; third-party accreditation is mandatory in five provinces | Not established by the cited source — oversight, and its publication, is organised per province or territory | canada.ca ↗ |
| NZ New Zealand | Ministry of Health — all rest homes and aged residential care facilities must be certified under the Health and Disability Services (Safety) Act 2001 | Certification and surveillance audits every one to four years by designated auditing agencies (each team includes a registered nurse), plus unannounced spot audits and complaint-triggered inspections | Audit reports for all rest homes are published in the Ministry's public database of certified providers | health.govt.nz ↗ |
Sources
What this page is based on — every source is verified and links out so you can check it yourself.
- Verified / official
- Provisional
- Out of date
- About us - Care Quality Commission
- Our ratings and scores - Care Quality Commission
- Care Services, Inspections & Reports | Care Inspectorate
- Code of Practice for Inspection of Regulated Services | Care Inspectorate Wales
- Five-Star Quality Rating System | CMS
- Rapport de la branche Autonomie de la Sécurité sociale (CNSA)
- Quiénes somos - Instituto de Mayores y Servicios Sociales
- About us | Aged Care Quality and Safety Commission
- Development of a federal Safe Long-Term Care Act: Discussion paper - Canada.ca
- Rest home certification and audits (Ministry of Health NZ)