I come across some equally bad 'care homes' on a daily basis, a lot of them seem to be more interested in the money than the people themselves, maybe its a synical view, but when you go to the umpteenth home in a shift to find a patient who is clearly in a very bad way, with staff unsure which is their a@#e and which their elbow you really do dispair. However there are some very good homes out there, several in my area which have trained staff night and day, staff that once they have dialed the nines actually come out to the front door and meet you, rather than leave you ringing the doorbell at 3am for 10 minutes (just what are they doing? they dialled 999 and reported someone with chest pain - but its ok as we got to the job within the 8 minutes so it was a success in the governments book)