A retired carer states that many care homes are too large, with 30–80 residents, creating noisy, impersonal and stressful environments for both residents and staff.

They criticise the current model as profit-driven, focused on maximising bed space and occupancy, rather than supporting wellbeing.

They suggest society should move towards small, person-centred homes with fewer people and a calm, quiet, therapeutic atmosphere.

They believe this would reduce stress and so-called challenging behaviour, improve residents’ health and enjoyment of life, and lead to more relaxed staff with less sick leave.

An enjoyable life is described as having autonomy, control and personal choice, with less institutional routine and more flexibility around daily activities such as meals.