OK, here are my experiences of care homes - my sister, mother and mother-in-law all live in care homes.
A) My sister lives in a care home specifically for people with disabilities and is a 'standard charge' establishment. The home is nice but is cosmetically 'tired' and there are little niggles, like bulbs blown and left a while before being replaced. The garden is untidy and there is a load of stone piled up, if they aren't going to use it surely the could sell it and make it look at least a bit neater? The food is OK and the staff are nice, my sister has a basic room with wash hand basin - although the view from her bedroom is amazing (home is in Matlock).
B) My mother-in-law lives in a residential/nursing home which too is a 'standard charge' establishment. From the outside it is need of some redecorating and rubbish is often left to accumulate at the side, which is a bit of an eyesore. The food is best described as 'OK', the carers are good, although the place could be better cleaned internally. M-i-L has a basic room with wash hand basin, she is often found wearing other peoples clothes and we frequently have to go looking for her 'missing' underwear!
C) My mother lives in a residential only care home, which is termed a 'premium care' establishment and, as such, is charged more than standard accommodation (around £450 more per month). The home is a world away from the other two - gardens professionally tended, exterior is nice and internally is carpeted throughout. Internal decor is niceand mums room has en-suite with toilet and wash hand basin (unfortunately mum is immobile so can't take aadvantage of this facility). The food is good and well cooked, staff are very nice, we very rarely have issues with missing or other peoples clothing. Rooms are regularly cleaned.
The one common denominator with all three homes is that there is never enough staff on duty!!
Whilst my mums home is obviously the better of the three , I do get annoyed that I have to pay over and above the norm just so she has a comfortable existence. She is very unwell at the moment and I don't imagine that she will be with us for much longer, fortunately the care home manager has said that, although ideally she needs nursing care, they are wiling to continue to look after her.
All in all, unless you are prepared to pay extra, you only get the basic care - not what the elderly should have to put up with IMHO.