[lettie]

I have worked in a fair few nursing homes in the past. Some are good and some are bad. The bad ones got reported. I worked in homes by going through an agency whilst I was waiting for a hospital job to come up. It was no skin off my nose to report bad ones, my livelihood didn't depend on having to work in them. I had at least 80 hours a week offered through the agency for an RGN so could pick and choose my work.
I think that some staff wouldn't report poor care practices because they have nowhere else to go and would depend on a reference from their employer for another job. This doesn't excuse them in my book, I would much rather employ someone who would speak out about poor standards and try to improve levels of comfort and care.