This document discusses the important roles played by family members, care providers and external stakeholders in managing quality of services in care homes. It highlights the responsibilities of family members in providing information about the service user, following the terms and conditions of the agreement, and communicating required information about the service user’s daily activities and lifestyles to service providers. It also discusses the roles of care providers in providing necessary services to patients, assuring quality of services, developing effective communication with family members, and reviewing the regular progress of physical and mental health of service users. The document further elaborates on the roles of external stakeholders such as local authority and council, patients, quality assessors and government in maintaining strategic control, improving organizational performance, determining quality of health care services, and developing policies, legislations and regulations for health and social care services.