This report reflects findings from a three-year research project detailing the effects of regulation on residential care services for people with dementia. We have worked with three leading provider organisations and Dementia Australia’s National Consumer Network. Interviews took place with care-users (10), senior managers (17), facility managers (13) and personal care workers (30) across eight aged care facilities, in addition to a scoping exercise with experts from a variety of backgrounds. We also made observational site visits to the organisations involved.
In this study we looked at the ways organisations adapt to regulatory demands. First we mapped the agencies, regulatory bodies and pathways involved. Second we looked at organisational strategies at different levels. Third we identified two coping approaches used in everyday care interaction. Regulation emerges not as a matter of more or less or good and bad, but as a practice of adaptation that can both reduce risk and enhance innovation.