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The standard of care for people with dementia in both private and NHS
facilities is low and needs radical improvement, according to a cross
sectional survey of seven NHS and 10 private care facilities. Ballard
and colleagues (p 426) mapped the care of 218 people with dementia by
observing their activities over six hours. Only 14% of that time was
spent communicating with staff or other residents, and less than 3%
was spent in everyday constructive activities other than watching
television. The facilities chosen were not selected because of
perceived poor standard of care and were considered to be
representative.