Again, i can only speak from my experience which is having worked in care homes, having owned a care agency and having had family members that were la funded and others that self funded.
Main difference is choice. When you self fund you go round the homes and see which you like. My relative that had no money had a choice of one. The one the la would pay for.
Generally but not always I saw a difference in how service users were treated. There are good homes and bad homes, good staff and bad staff, in all. Im only speaking on what I personally saw. If you paid for your own care you were seen as a customer. If the la pad for you, you weren't.
Not in all places but enough that I personally noticed a pattern. Management were the worst. There are a lot of kind and caring people in the care sector but there is also a culture of you get what you pay for.
Care staff feeling demoralised, undervalued and frustrated. Low wages failing to attract good staff.
Decor. I saw a difference. The more money going into a place, the better it looked.
Agency staff. Some homes only cared about a warm body to make sure they had the ratios right on paper. As cheap as possible. Other homes made sure the staff filling in had the skills needed.
i could go on all day. Everything I saw told me it all came down to money and those who had it had more and better options.
If you were initially self funding then went down to part then went below the cont levels then you'd think the la would pay to keep you where you were but no, I saw many people being made to move to a cheaper place, which caused them great distress. Not always, sometimes they'd stay. Normally if they had family kicking up an almighty fuss.
Granted, my experience is now 20 years out of date but nothing I read, see or hear fills me with confidence that anything has changed. If anything, I expect its worse.