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This guidance provides a summary of the Health Information and Quality Authority’s (HIQA’s) approach to the regulation of designated centres. It outlines the key enhancements to its approach arising from its review of the Authority’s Monitoring Approach (AMA). These enhancements apply from 1 January 2018.

The purpose of regulation

The purpose of regulation is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in designated centres are receiving a safe, high-quality service that meets the requirements of the regulations.

Regulation has three aspects:

  • Registration. Under Section 46(1) of the Health Act 2007 (the Act) — any person carrying on the business of a designated centre can only do so if the centre is registered under this Act and the person is its registered provider
  • Monitoring compliance. The purpose of monitoring is to assess compliance with the Act, regulations and Standards by gathering information and evidence, reviewing and riskrating this information to inform regulatory judgments
  • Enforcement. In taking enforcement action, the primary concern is to protect the safety and wellbeing of residents.
    When other means of seeking compliance and improvements have failed, enforcement action may be taken.