Totally agree with you, Welshlibranr - the staff in the Care Home where my Mum was before, covered every task, from washing the floors, to giving out the clean laundry, to feeding the residents, to toileting them and so on. There was no time left for actually inter acting with the residents, so they were drugged up and left to sit in a chair or in bed.
This programme on tonight was dealing with young adults with learning difficulties, something I also have experience of. My late sister-in-law had learning problems, but was always listed as mentally disabled - she could be difficult, but with gentle coaxing and encouragement she was fine. I cried at this tonight, putting her in that position, she would have been terrified.
I think bully boys Wayne & Co should be put in a room with a few, lets say, not so vunerable adults - if you get my meaning (:o)