Professor Keith Brown, the Director of National Centre for Post Qualifying Social Work in Bournemouth, said the workers in care homes are now more worried about achieving their targets rather than delivering compassionate services.

He asserted that £200 million is being spent every year, which is apparently just wasted on on-the-job training and away-days using some models. He stressed on redesigning training sessions in order to change the ways the workers deal with patients.

He said they should be taught to deliver better care while sticking to their principles and moral values even under stress. He highlighted the Winterbourne View private hospital abuse scandal to bring forward the need for quality care services.

People are afraid of standing up against the abuses they face since they lack willingness. "That might be because they are afraid, or because of the culture, that if you whistle-blow you will be in trouble, or it might be that they just don't want the hassle", he added.

The systems and structures make the people feel anxious and nervous as a result of pressure in the work. The workers are now being taught to meet targets and not to deliver quality services.