I think that mugglewump has said what I wanted to (but so much better than me!)
The current thinking is that care homes are homes first, the residents are not patients because it is their home. If they want to spend the day in bed, in their nightclothes or in the lounge staring at the TV, then that is what they will do.
Most care homes are full of very vulnerable people who need 24 hour support. Of course there are times when things go missing or don't happen exactly as they should, but show me any workplace where things are 100 percent perfect.
Carers do the best they can under quite tight restraints, there is always budgets to adhere to, and no that is not the way things should be run.
We take our residents to the pub every week, they go out to lunch once a week, the hairdresser comes once a week. We have music groups who come in, there is a keep-fit guy who comes once a month, we celebrate christmas, easter, valentines day, mothers day, fathers day etc. We go to the shops to buy little bits with the residents.
The more capable residents help with folding laundry, preparing veggies for meals, laying the tables for lunch, basically any household chores that they wish to do.
There are always going to be 'bad' care homes but there are plenty of gudielines in place for people to complain, if people don't complain, then the authorities don't know that there are concerns. The standards commission only go in a couple of times a year to do inspections, this isn't often enough. Residents families need to query why mum is in her nightie/ in bed/ in dirty clothes. If you don't challenge the things you aren't happy with nothing will change.
Speak up, check clothes/drawers/wardrobes. Ask questions, demand answers. Make yourself known to the team leaders, then the deputy manager, then the manager. If you don't get satisfactory expalnations, go to the owner of the home. Ask for the contact address of the Care Commission, although this should be displayed in the entrance of the home.
There will not be the change which is needed unless people speak up, if you don't demand change, then how do the authorities know it is needed?