“…Regulations are often the product of scandal and demonstrate an understandable desire to safeguard a growing and vulnerable aging population (Banerjee and Armstrong, 2015). Often, regulatory frameworks are portrayed as a means of protecting the vulnerable, ensuring public confidence (Cornes et al , 2007), reinforcing elements valued by the community (Selznick, 1985) or as a way to promote market efficiency or deliver social welfare (Abrardi et al , 2018). Critics, such as Power (1999), suggest that the focus on audit and evaluation is driven by political agendas and may, in face, serve to get in the way of operational improvements the result of which might be a “regulatory state” (Wright, 2009) rather than significant improvement in standards.…”