Undercover Investigation Reveals Issues at Struggling Care Home

Recent undercover investigations have highlighted serious concerns regarding the quality of care at Castlehill, a prominent care home in Inverness. The findings suggest systemic issues that affect the well-being of elderly residents, prompting calls for significant reforms within the care sector.
Investigative Findings on Care Home Conditions
The investigation was initiated after Susan Christie, a concerned family member, reported inadequate care for her father, who had been residing at Castlehill for two years. Charged at £1,800 per week, the facility claims to offer luxury care but fell short of delivering basic needs.
Mrs. Christie noted horrifying neglect, including:
- Improper washing and hygiene care.
- Extended periods of over 12 hours without changing incontinence pads.
- Food placed out of reach, leading to distress.
After installing a secret camera, she documented disturbing incidents, including one where a cleaner was observed abusing her father. The response from the care management was insufficient, leading to her moving her father out of Castlehill in May.
Critical Complaints and Understaffing Issues
In 2024, Castlehill topped the list of care homes in Scotland with ten upheld complaints, as revealed by a Freedom of Information request to the Care Inspectorate. This alarming statistic reflects the mounting concerns surrounding care home operations.
During her seven-week undercover assignment, Catriona MacPhee, posing as a cleaner, witnessed firsthand the distress experienced by residents due to insufficient staff levels. On several occasions, she observed residents calling for help while staff were unavailable to assist with essential needs, such as using the toilet or basic hygiene. The chronic understaffing led to:
- Increased distress among residents.
- Unsanitary living conditions, including residents lying in soiled clothes.
- Lack of meaningful engagement and support for vulnerable individuals.
Expert Insights and Calls for Reform
Experts, including Donald McAskill of Scottish Care, have pointed out that the care sector is in crisis. Factors contributing to this crisis include:
- Severe underfunding.
- Staff shortages.
- Unprecedented cuts to dementia support services.
The rising number of individuals needing care, especially those with dementia, underscores the urgency for reforms. By 2040, the demand for dementia care is expected to double, leading to even greater challenges if current conditions persist.
Response from Castlehill Management
A spokesperson for Castlehill expressed shock at the findings aired in the investigation. They stated that the footage does not represent the present conditions and emphasized recent improvements made within the facility. Additionally, over £1 million is being invested in refurbishing the care home.
The Highland Health and Social Care Partnership acknowledged the issues raised in the documentary, with current admissions to Castlehill suspended until standards are assured. They affirmed their commitment to ensure all care homes meet high-quality expectations.
Despite these assurances, the vulnerability of many residents in care homes continues to raise critical questions about the adequacy of care provided in facilities like Castlehill. Families are left grappling with guilt and frustration, as many feel they have no choice but to rely on such institutions for elderly care.
The spotlight is now on regulators and care providers to ensure that the dignity and well-being of residents are prioritized, steering the sector toward urgently needed change.