The rising aging population in India has led to an increased caregiving burden, and accordingly, the number of residential care facilities is also burgeoning. There is no regulatory framework or registration authority specifically for residential care homes in India. The article’s objective is to understand the need for a regulatory framework in India in the context of historic and global experiences in the UK, USA, and Europe. Although there is a lack of literature comparing the community home-based care and residential care, one study reported a preference for home-based care in the South Asian context. Elder abuse and deprivation of rights of seniors are common, and there is a need to bring in more safeguards to prevent these from the perspective of the older adults, their family members, the care providers, and the state. While the main priority of meeting care needs in long-term care is a challenge given the lack of trained care staff, the quality control mechanisms also need to evolve. A review of adverse incidents, complaints, and litigations also highlights the need for regulation to improve the standards and quality of care. The article explores lacunae of residential care facilities in the Indian context and provides recommendatory parameters for evaluating the quality of care provided. Relevant sections of the statutory new Mental Healthcare Act of 2017 in India could provide a regulatory framework ensuring rights and liberties of the residents are upheld. The authors propose a state-run model for elderly care homes and commencement of framing regulations appropriate to the Indian context.

印度人口老龄化加剧导致看护负担加重，相应地，养老院的数量也在迅速增加。印度没有专门针对养老院的监管框架或注册机构。本文的目的是在英国、美国和欧洲的历史和全球经验的背景下了解印度对监管框架的需求。尽管缺乏比较社区家庭护理和住宿护理的文献，但一项研究报告了南亚背景下对家庭护理的偏好。虐待老人和剥夺老年人权利的现象很普遍，需要从老年人、他们的家庭成员、护理提供者和国家的角度采取更多的保障措施来防止这些。由于缺乏训练有素的护理人员，满足长期护理中护理需求的主要优先事项是一项挑战，但质量控制机制也需要发展。对不良事件、投诉和诉讼的审查也强调了监管的必要性，以提高护理的标准和质量。这篇文章探讨了印度背景下住宅护理设施的缺陷，并提供了用于评估所提供护理质量的推荐参数。印度 2017 年法定的新精神保健法的相关部分可以提供一个监管框架，确保居民的权利和自由得到维护。作者提出了一个国营的养老院模式，并开始制定适合印度国情的法规。