As a former carer, both in the community and in residential homes I have seen the picture from 'the other side'. Carers are expected to work miracles in the least time possible. When working with the elderly, who don't move about very quickly, trying to get someone up, showered, dressed and give them their breakfast and any medication in less than an hour can be impossible, yet you sometimes only get allowed 30 mins to do it. I was always arguing with my team leader about it.
I used to get 15 min calls to give folk their medication only. But as you might be one of the few folk they saw in a day, they would obviously try and engage you in conversation and you felt so bad having to effectively shut them down.
If you called on someone who had taken ill or fallen or a piece of their important equipment had broken down, you had to stay and try and sort it out, while trying to get someone else to cover your next call. I often had to deal with these sort of thing and they can take hours to sort out and if it's a weekend when there is less staff on, it can be a nightmare.
Working in residential care you were literally going from one person to the next, getting them up, washed, dressed, depositing them in the dining room while you rushed to the next one. Then you would take one to the dining room and the previous resident would be taken from the dining room to the lounge to just sit. It was relentless.
Then before lunch everyone had to be 'toileted' and taken through to the dining room and so it would go on. You had no time to spend any 'quality' time with the residents.
Unfortunately, although we have found ways to keep folk alive longer, we have not thought about who and how, we are going to look after them. Not everyone is fortunate enough to have good health into old age. Some were so pitiful and would often say they just wanted to sleep and not wake up. Yet, there were families who would insist we got the doctor out, who would then insist we got the said resident up, dressed and taken through to the communal spaces. It was heartbreaking seeing some poor soul being put here, there and everywhere when they had no energy or wish to do so.
Yes, there are staff who you really wonder why they are doing this sort of job, because they are so uncaring, but there are a lot of them, who do love their job, but the timescales are so unrealistic, you are continually chasing your tail, trying to get the work done whilst trying to make the clients still feel valued.
The system is unfit for purpose and will only get worse, unless we stop keeping folk alive who have little or no quality of life and build more places like sheltered housing and very sheltered housing which is affordable for everyone and put teams of carers in to them, so residents can still live as independently as possible, for as long as possible, with continuity of care by the same team of people. And build in social time to visits for those who don't have a family that cares about them.