Governance and Management

Governing and Support Organisations

  • The Health Information and Quality Authority (HIQA)
  • Health Service Executive (HSE)
  • Department of Health and Children (DOHC)
  • The Nursing Home Support Scheme (NHSS)
  • National Treatment Purchase Fund (NTPF)
  • Nursing Homes Ireland (NHI)

The Health Act

The legislation governing the registration and inspection of residential care services for older people is:

  • Health Act 2007
  • Health Act 2007 (Registration of Designated Centres for Older People) Regulations 2009
  • Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2009
  • The Health Act and National Quality Standards for Residential Settings for Older People in Ireland, which came into effect in July 2009 sets out the legislation regarding the care of people in nursing homes.


The Health Information and Quality Authority (HIQA) is the governing authority for nursing homes in Ireland and is responsible for the registration and inspection of all Silver Stream Healthcare Group Homes.

All nursing homes must register with The Health Information and Quality Authority in order to operate and are regularly inspected to ensure that standards of care are maintained. Inspections may be announced or unannounced and may occur during the day, in the evening, at night or at weekends.

A re-registration application must be submitted every three years at which time a comprehensive registration inspection is carried out. The registration and inspection process is independent and reports are published after each inspection.

For further information on HIQA please visit

The National Quality Standards

The National Standards for Residential Care Settings for Older People in Ireland are the guidelines by which HIQA measure the standard of care in residential care settings.

The Standards incorporate eight themes:
    • Person-centred Care and Support
    • Effective Services
    • Safe Services
    • Health and Wellbeing
    • Leadership, Governance and Management
    • Use of Resources
    • Responsive Workforce
  • Use of Information

Inspection Reports

All Health Information and Quality Authority Reports are published online. Please click here to view Silver Stream Healthcare Group inspection reports.

Nursing Homes Ireland

Nursing Homes Ireland is the single representative body for the private and voluntary nursing homes sector in Ireland. All Silver Stream homes are Nursing Homes Ireland members.

NHI supports members by providing support and advice surrounding care delivery and representing our interests, and those of our residents, at local and national level.

In the Irish healthcare sector NHI engages with state bodies, stakeholders, representative organisations for older people and residential care providers, and acts as a unified voice for nursing homes.

Nursing Homes Ireland now also promote the sector through the annual events NHI Care Awards and NHI Nursing Homes Week.

To learn more about Nursing Homes Ireland please visit

Contact Us

Head Office / Ratoath Manor
Co Meath.
Tel: (01) 825 4265
Fax: (01) 825 4263
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