Not much different than the US, really. I had to hire some at-home care for a relative with brain cancer, and almost all of them were drunk on the job, falling asleep when they were supposed to be monitoring at night, or getting offended at something their patient said, who's mental state resembles that of a psychotic 8 year old. Oh and if you don't lock shit up, some of them will steal.

At a certain point, you fire so many there aren't any left in the area. I moved my relative to another area for unrelated reasons, but it was the same story at the new place too.

There were a few really good ones tbh, but 95% were in private care because nobody else would hire them.

Did you go through an agency or a private hire? I took care of my dad in his final months during Covid. The hospital gave him Covid and then forcibly discharged him, so none of the agencies wanted to deal with him. I was able to find someone who wanted direct work and who was not daunted by the 'rona. They were fantastic. But of course one person can't do every day or around the clock care. I had another great mother+daughter+third care team lined up for when it was time to ramp up even more (they had taken care of my uncle), but (un)fortunately I never got quite there.