was there more social care provision in the past? Two things,first less demand on it, people were less likely to survive to experience the joys of dementia. Secondly, yes, there was more available. 35 years ago I was given a cleaner for the 6weeks after a caesarian.
My cousin has spent 40 years fighting against SS reducing the respite hours and “sitting with” allowance for his son - an indication of increasing pressure on the services