Standards in care homes could be monitored using hidden cameras, the Care Quality Commission has revealed.
The health and social care watchdog unveiled proposals to use surveillance to help with inspections as part of a wider review into the way it monitors care providers.
"Mystery shoppers" could also be sent in to check on standards.
This report from ITV News' Medical Editor Lawrence McGinty contains images which some may find distressing:
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Huntingdon's, autism and congenital heart conditions are among those likely to be exempt from reassessment.