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By Helen Caulfield

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The Commission for Social Care Inspection in England regulates care homes by a licensing system which sets out the type of care and the number of residents that can be accommodated in each home. The regulations set out minimum standards for the environment of the care home; for example, that each single room must have at least 12 m2 of usable floor space (Department of Health, 2003). If a care home does not comply, it is possible for the licensing body to take away the permission for it to operate as a care home.

Regulatory agencies create minimum standards that are inspected and assessed. These agencies set up a licensing system for the provision of a particular service. 18 Vital Notes for Nurses: Accountability • There is power to withdraw the licence if the provider fails to meet the conditions of the licence. The function of regulation in professional accountability The UK has seen a rapid growth over the past few years in the creation of different regulatory bodies. These bodies exist to provide performance assessment in improving quality patient care.

The Court of Appeal decided that the NMC was in a more expert position to make a judgement about the suitable penalty to impose when a finding of fact that amounted to misconduct had been found. Commentary There is some confusion about the extent to which the NMC and other professional regulatory bodies have to assess the quality of their decision making. It is now possible that the CRHP can challenge every decision. The use of the courts is a useful mechanism to assess the extent to which the legislation can be interpreted to decide how the powers of each regulator are used in relation to each other.

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Accountability by Helen Caulfield

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