One might expect dementia patients to not act an an ideal manner. One probably doesn't read of reports of attacks by them because it is expected and coped with. Sure it would be nice to pay more but the market is supposed to sort out the jobs one needs to pay more for to attract employees from those that don't (distorting the market by bringing in foreign labour aside). It's difficult, if carers are paid more are we happy to pay more tax to cover the rise ? And who else should be paid more, and who is then to be at the bottom of the wage scale instead ? Should there be no such thing as differentials ?
Ultimately the issue here is the system and lack of checks that all is working as the public has aright to expect. I dread my mind going as I age and ending my days in one of these institutions. Not wishing to be controversial but I'd prefer society gave me the facilities to opt out when I felt enough was enough. But maybe that's a subject for different thread.
Back to the subject, pay might mean you get less than dedicated folk there, folk who feel that are only there because they can't find a better job, but in the final analysis the system should ensure that doesn't mean the service and thus the patients, suffer.