Review Article

A Scoping Review of the Costs, Consequences, and Wider Impacts of Residential Care Home Closures in a UK Context

Table 1

Summary of causes of care home closure papers.

Author/yearAims and contextSourcePrimary focusPerspectiveMethodsData

Allen and Forder 2015 [7]This study investigates the causes of care home closures in the English care home/nursing home marketJournal articleCausesNot requiredThree empirical models: IV probit model, averaged probit model, and random effects probit modelThe analysis used data from the CQC at two different time points (2008 and 2010) N = 9324 and N = 9330. Data from CQC were augmented with commercially available data from care home specialists, LaingBuisson. The closure status was made by identifying whether each CH remained open on the register at the subsequent time point, so any change in ownership/organisation was ignored. Quality was measured using the CQC star rating measure. Competition was measured using a distance‐time and travel-time weighted Herfindahl‐Hirschman index (HHI)
Quality was measured using the CQC star rating measure, which can be either zero stars (poor), one star (adequate), two stars (good), or three stars (excellent)

Netten et al. 2002a [22]Describes the results of the first phase of a study on the causes, processes, and consequences of home closureDiscussion paperCausesRegulatorFollowed up a national survey of homes conducted in England in 1996. Managers from the registration and inspection units (R&I) were telephone interviewed between April and June 2001. Interviewers asked open-ended questions about the 2 most recent closures in the manager’s area.N = 21

Netten et al. 2002b [23]A study was conducted investigating the factors and circumstances that lead to homes closing from the perspective of independent providersDiscussion paperCausesProviderThe R&I unit managers from Williams et al. 2002a were asked to supply contact details of people who had been involved in a closure during the past two years
One to one structured interviews were conducted
N = 20
Mixture of proprietors, managers, owners, owner/manager, regional manager/director, and consultee representing owner