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

Table 4

Summary of guideline, process, and recommendation papers.

Author/year	Aims and context	Region/county/country	Source	Primary focus	Perspective	Methods	Data	Type of closure	Pathway identification
Agencia Consulting 2011 [29]	A meeting was held with 10 members of staff, including the home manager. Staff spoke freely about the impact of closure proposals on themselves and residents	East Midlands -Derby	Report prepared by consultancy from the LA	Findings from interviews of preclosure consultation with staff members	Care staff	Interviews with staff members	N = 10	Implied it would be planned	Care staff were given options to re-interview for positions or be re-deployed
Gloucestershire County Council 2014 [30]	Procedure and guidance on moving residents between care homes under different circumstances	South West-Gloucestershire	Document prepared by adult social care for Gloucestershire County Council	Diagrams showing the procedure for moving homes and the various circumstances under which a resident would be forced to relocate	Implied local authority	Not specified	Not specified	Not required	Article provides information which could contribute towards a pathway for the LA
Kennedy and Colley-Bontoft 2016 [31]	This report provides a list of good practice and lessons learnt following a closure in Nottingham	East Midlands -Nottingham	Report	Summarises the actions taken by the provider during the closures, in addition to the lessons learnt	Local authority	Not specified	Not specified	Implied it was a planned closure	Not a complete pathway but identifies who from the council is involved with closures
NHS England 2016 [32]	A guide for managing care home closures	All of England	A practice guide for LAs, clinical commissioning groups, NHS England, CQC, providers, and partners	Bullet pointed actions for care home closure and conditions which they would close (unplanned and planned)	Not specified	Not specified	Not specified	Unplanned closure	No
Robinson et al. 2013 [33]	Drawing on local knowledge and best practice examples, this article highlights lessons and themes identified by those decommissioning care home services	Mix of urban and rural authorities and two-tier and unitary authorities from different parts of the country	Journal article	Experiences of decommissioning care home services	Local authority	Interviews with directors of adult social services and senior staff from the local authority. Interviews were carried out over the phone. Researchers identified four themes from interviews	N = 12	Participants had experienced either planned or unplanned closures	Article provides information which could contribute towards a pathway for the LA
Williams and Netten 2005 [34]	Examines council powers and responsibilities, as well as residents’ rights during care home closures, before describing the prevalence and content of existing council guidelines	All of England	Journal article	Identifying the extent to which English councils had guidelines for managing care home closures and to identify their plans and recommendations	Local authority	Councils were contacted in March 2002 and asked if they had a protocol for independent care home closures and if so to provide a copy. Documents were reviewed to identify their format, scope, and content	N = 2; Guidelines from councils with 100 or more independent residential homes; N = 7; Guidelines from councils with fewer homes	Implied that the protocols examined discussed planned and unplanned closures	Article provides information which could contribute towards a pathway for the LA
Williams et al. 2007 [35]	Reports case study research that set out to identify what care managers do during independent care home closures	Not specified	Journal article	To understand care managers’ experience of care home closures, their activities, and views of the process and how it might be improved	Local authority	Semistructured interviews 4 weeks after relocation. The software package QSR NUDIST (non-numerical, unstructured, data, indexing searching, and theorising) was used for the qualitative analysis	Selected councils for being large. There were 8 care home closures across 4 councils. Interviews were with 16 care managers, 5 team managers, and 3 senior strategic managers	Not specified	Article provides information which could contribute towards a pathway for the LA
Woolham 2001 [36]	Paper offers guidance on good practice based on evidence from several studies of involuntary relocation in the UK and elsewhere	UK and elsewhere	Journal article	Guidance for care home closures based on previous studies	Not specified	Not specified	Not specified	Not specified	Article provides information which could contribute towards a pathway for the LA