. —— tammy ardronm issue for them. —— tammy ardronm is not as attractive as the nhs, where you have youry, unsociable hours... and i think that it is hard work, it is busy and constant, you have to be on the ball 2a hours a day. residential and nursing homes are dealing with an increasing number of people with really complex needs and they need the skilled staff to deliver that care. and that is why this report says the government must have a strategy for a sector struggling with low pay and low prestige. there was a staff turnover in 2016/17 of nearly 28%, councils spent 5.3% less than five years before the despite increasing demand. the report is clear that councils struggling with government cuts are not covering the real costs of care, according to the boss of this home, some providers have had no choice but to close or risk the quality of what they are doing. the only way that these operators can continue, is to cut the standard, because fundamentally, the funding issueis because fundamentally, the funding issue is impacting on the resources, the workers, and the delivery of care. a