This is what happens when everything is seen as a business possibility instead of a collective/state issue.
Where my mother lives the local authority care homes were very good and the rate that the LA originally agreed to pay towards residential care reflected the cost of care in a LA care home. But now, years later, the figures have drifted apart and the LA care homes have closed.
Sadly, the elderly, and care in general, has come to be seen as a business opportunity and the business models that SOME of them run on are questionable. But not all.
There's a couple of independent care homes near us that probably make a minimal profit and are not too expensive, relatively speaking. The one my late father was in towards the end of his life was started by a pair of state registered psychiatric nurses who had big ideals about how they wanted to see EMI care carried out.
In a way, if we had to pay (and we did), I'm glad it was to a place like that where he was well looked after and it was such a special place to be.
But in too many places, including with domiciliary care, despite the best will of the front line staff, the business model dictates the terms and these, even if adequate, neither benefit the pwds nor reflect the real costs of decent care. They're profit driven.
Hopefully, new ideas will come along, collectives maybe or co-operative models of care - that's what I fantasise about when wrestling with this subject in my head as I deal with the never-ending layers of bureaucracy.......