Good care homes are the exception rather than the rule and will ever be so until we ditch the asylum model of care. We were supposed to have closed the long term hospitals with the Community Care Act in 1992. It’s so ageist and ‘dementia-ist’ to perpetuate this model for older people. The few good homes are those who create a sense of security within those people living at the heart of their home communities. Too many of the old guard cling terrified to the security of the keypad and locked door. Go on, do the real work needed, build that sense of belonging, engage and enter mutually nourishing relationships and unlock the doors. It works.