families member worked in care homes for years, a number were state run, those who did work in private care homes, say that the problem was mainly the staffing, levels not nearly high enough, and the simple fact is both state run, and private do not pay high wages, and if they did then perhaps they would see better people, or it could have the opposite effect of only in it for the money, which i suspect happens now. Its a minefield of problems, state or private run care.