To What Extent Does the Care Quality Commission Capture Person-Centered Care Delivery in Dementia Care Homes
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Charles Hallé Room |
Jennifer N.W. Lim
Reader in Health Inequalities and Behavioral Science School of Health and Society, Faculty of Health, Education and Wellbeing
Wolverhampton University
Mahnaz Khalafehnilsaz
Researcher
Wolverhampton University
Summary
To What Extent Does the Care Quality Commission Measure Person-Centered Care in Dementia care Homes
Introduction
The Care Quality Commission (CQC) regulates English dementia care homes through five domains theoretically aligned with Person-Centered Care (PCC). This study evaluates the effectiveness of the new CQC assessment framework in capturing PCC practices in dementia care homes across England.
Method
A qualitative textual analysis of 149 CQC reports published up to 28 March 2025. Explicit/implicit PCC references using CQC standards and Brooker’s VIPS framework were analyzed and compared.
Results
Only a small proportion of reports explicitly mentioned PCC, but most reflected implicit PCC principles (e.g., dignity). The Caring domain showed strongest PCC alignment, while Safe and Effective were weaker. VIPS analysis revealed strengths of PCC practices in valuing identities but also gaps in personalization and staffing support. Few reports referenced PCC training.
Conclusion
While the CQC’s framework reflects PCC principles, its real-world application in dementia care reports remains inconsistent. Using frameworks like VIPS could enhance PCC evaluation by providing clearer, more structured assessment criteria.
Key words: Person-centered care, dementia, CQC, VIPS framework