I used to work as a community care worker and most of my clients were private, i.e. they had the money to pay their care, however, the company I worked for were also employed by social services to look after some of their clients if they couldn't provide alternative care. The difference in 1) the standard of living and 2) the amount of care they were given was enormous. For social services cases you had to book in on the phone when you arrived and book out when you left, they were very strict with timings. It was very sad to go and see someone who lives alone and can't look after themselves, maybe change their bandages, give them their medication and then leave them when it might be another 24 hours before they speak to another human being. I have found most people requiring care would rather have someone come and sit and have a chat and a cuppa with them than anything else in the world. Unfortunately alot of people in the care system live lonely lives in poor conditions and their is no money to help them.