The Act was created on 11 March 2009 with the following regulated activities: The Care Quality Commission has the responsibilities to ensure service providers are providing quality care when carrying on the regulated activities.

[3] These have the effect of repealing, and replacing most of the provisions of Part 2 of the 1984 Act.

In summer 2021, it was proposed by the Second Johnson ministry to mandate that care home staff be required as a condition of employment to maintain COVID-19 vaccination status.

On 13 July the House of Lords had poignant questions for Nadhim Zahawi MP, at the time the Minister for Business and Industry and also the Minister for COVID Vaccine Deployment at the DHSC.

Lord German said "we have consistently made clear our view that all key definitions and criteria on which decisions that might affect a person’s welfare or livelihood will be made, should be included in legislation and not in guidance which cannot be subjected to appropriate Parliamentary scrutiny or approval.