Licence Loss: Revocations of Residential Care Licences in Four Nordic Countries

Abstract

With placement in residential care, society assumes overall responsibility for a child's daily care, well-being and development. How public authorities respond to poor care quality is of crucial importance. To guarantee quality care and minimise risks, welfare states increasingly develop different mechanisms and systems to supervise out-of-home care. In this article, we analyse how central inspectorates in Denmark, Finland, Norway and Sweden deal with what can be conceived as the last supervisory measure, namely, the revocation of licences. The aim is to describe and analyse how frequently and why national inspectorates in Denmark, Finland, Norway and Sweden withdraw residential care licences. <br/>The findings are based on an analysis of all available documented reports on revocation decisions between 2017 and 2021. The findings reveal that, between 2017 and 2021, there were <br/>53 licence suspensions or revocations across the four countries, albeit with variations among the nations. Furthermore, the study shows that residential care units (RCUs) generally have a documented history of interactions with inspectorates. Revocation decisions were often attributed to several reasons, with safety, staff-related concerns and documentation deficiencies being the primary factors. The findings are discussed based on concepts and theory on regulation and supervision.