Regulatory noncompliance among unlicensed care homes: Evidence from Poland

The development of markets for private for-profit care homes often raises concerns about the quality of services provided by these care homes. To address the fundamental needs of their residents, governments introduce quality regulations and, through mandatory licensing, allow private care homes to enter the market. However, in some countries, evidence reveals that many private care homes operate without a mandatory licence; information about the basic characteristics of these unlicensed care homes (UCHs) and their operations is often unavailable because they try to remain ‘invisible’; they have also received little research attention. This article fills this gap using the case of Poland. The study employs a unique dataset combining inspection reports produced during public monitoring of UCHs and in-depth interviews with owners of such care homes. This article explores how the regulation of markets for private care homes does not lead to the comprehensive licensing of such care homes. The findings show that the regulation enabled UCHs to remain ‘partially visible’ to many parties, including public sector entities. The findings contribute to a wider debate about the marketisation of long-term care, particularly regarding the noncompliance of private providers.