In reply to Timmd:
> It doesn't require a qualification to know not to be abusive to a vulnerable person, patience and compassion should be a given. But I guess the abusive people would be in the staff the NHS don't want.
The issue is that patience takes time and a lot of effort when you have the time. if you have your boss on your back about you dealing with a whole load of people in the shortest possible time you are unlikely to be able to offer the care required.
Caring for people with sever mental illness or developmental and learning difficulties as and incredibly difficult job and can be frustrating for someone with the patience of a saint.
The lack of communication alone makes things difficult, you hear the people in this home talking to the patients as if they understand what they are saying. The chances are they haven't a clue, but the workers haven't grasped this and just think they are being obstructive.