I've just read the horrendous report into abuse of an elderly woman with dementia at a care home (I haven't linked to it here as it makes very distressing reading, but anyone who wants to can google it in The Guardian). My father with dementia has commented cryptically a couple of times about the attitude of night staff and being roughly handled when being changed, but up to now we've dismissed it as part of his dementia ( he also tells us that the home has been taken over by the Mafia, there is a snake on the loose which has bitten staff etc). This article has really made me think though. How are night staff monitored? In the section of the home that my dad is in, there are two night staff and one nurse on duty, who are very often agency workers. The regular day staff and management all leave in the evening. So who would know if there was abuse going on?