MHA or Care Act?

From the information give, the resident remains ordinarily resident in local authority A as a result of the “Care and Support (Ordinary Residence) (Specified Accommodation) Regulations 2014”.
Care Act responsibilities remain with the borough of ordinary residence, so management of the placement will remain with local authority A, even if the person’s needs have changed since moving into the care home.
As stated previously, this assumes the person is not eligible for Continuing Healthcare.