The report, titled “High-level Review of the HIQA Inspection Process for Residential Care Settings for Older People”, examined a sample of 40 published inspection reports, completed since July 1st 2009, a questionnaire available to all private and voluntary nursing homes in Ireland and completed by 133 respondents, a third of all operators. The report also reviewed practice in other comparative jurisdictions as a means to inform the development of recommendations to advance the continuous improvement of the inspection process. The report includes 29 specific recommendations.