Ms Mary Dunnion:

In the end it is in the assessment that is taken of an organisation or service. One of the key principles of regulation is that it is consistent in its approach. As a consequence that means that it is irrelevant what the culture or ethos of an organisation is because the same standard is being assessed everywhere. A good example of that is our challenge in addressing, reporting and trying to change institutionalised care practices that are currently there that are legacy issues as opposed to ethos. We have quite a strong evidence trail of how we take that consistent approach across the services we inspect and monitor and I have no hesitation in assuring that same standard will be applied across the acute services irrespective of what their governance or legacy issues are.