(I canvassed other major care providers for their policy on emergency admissions to hospital; shockingly none was willing to guarantee that residents would always be escorted - because that requires a degree of slack in their staffing levels above bare minimum cover, the standard for their budgets. Ask yourself, would it be acceptable for a terminally ill child to be sent alone to ED? No? Then why do providers - charging up to £2,000 per week - believe it to be so for a frail elderly person with severe cognitive impairment or for an adult with learning disability? You won't find that in any glossy sales brochure.)
*Updated @November 2016, August 2017, May 2018, April 2019.
NB: During 2017 and 2018, this situation escalated further to crisis for the home as a whole (not just my complaint), with it being rated "Requires Improvement" in all categories by the CQC in 2018, where it had formerly been "Good" or above. In May 2018, regretfully I felt I had to move mum out of this once excellent home; it was a huge decision, but thankfully she settled well into her new home in the same area, due in no small part to some familiar staff who had preceded her there. Continuity of care is paramount for those with dementia and I am grateful that she now has that once more. However, I am also aware of our good fortune as self-funders in being able to make this move; others were not so lucky, and many of the issues described here persisted in the original home for some time after she left. (Update: as per summer 2019, I'm pleased to report that the original home has now received a good rating once more, but in her state of advanced age and frailty I didn't feel mum had time to wait for this improvement). Crucially, I now know no provider is immune from them; they are part of the overall landscape of the sector, due to funding models that remain contentious.
Meanwhile, a report into privatised adult social care by Professor Bob Hudson indicates that the detrimental changes I have witnessed in mum's home are common symptoms of the drive among providers to maximise profit by cutting down on their major expense and main budget variable: staff. (See in particular points 12 & 13 on page 9 of the report...)
Part 1: a Good Home