My hon. Friend is quite right that sometimes action is not taken. The answer is that the Care Quality Commission has a range of enforcement powers at its disposal and his message is that it should use those more often to address the problems he has described. The CQC has a range of enforcement powers that it can use to bring a provider back into compliance and in the case of the most serious failings it can cancel a provider’s registration, which would simply result in that provider’s closure. My right hon. Friend the Secretary of State for Health has emphasised to the CQC the importance of driving up standards and using all the powers at its disposal to do that.