I have carers coming in four times a day to hoist Dad from bed to chair and back again. They're from an agency via the council. Some of them should be paid one hell of a lot more than they get - the best ones use their initiative, are chatty and friendly, know their jobs and are worth their weight in gold. Then there's the others who are clueless, often don't turn up for their shifts, make mistakes and can barely communicate. There doesn't seem to be a middle ground.
I'm a 24/7 carer for my father (aided by the carers' visits) and I can't claim carer's allowance 'cos I'm 'officially' resident in another country, but stay with Dad to look after him. If I were to change my official residence (makes me sound like the Queen!) to here, then Dad - who has dementia and is therefore exempt from paying council tax - would become liable to pay it again, which would wipe out the carer's allowance I'd then be entitled to.
The care agencies are the ones who benefit from the charges (around £22 an hour, per carer, in this area), and I really think that's wrong - the bulk of the money should go to the carers themselves - and then the profession might attract more competent people. The carer's allowance is rubbish - less than JSA - and yet there are so many of us unpaid carers, doing the job for family because we love them - it's disgraceful really - but we don't seem to have a political voice (I certainly don't as am not entitled to a vote, as I've been out of the UK -officially, anyway - for more than 15 years), and so it's unlikely the situation will change in the near future.
I always feel better after a small rant on the subject - thanks for the opportunity! :D