I would be interested in hearing from people whose loved ones are cared for in residential venues in the general community how they find the oversight of them. Is it adequate? In the RHCs of Washington State, abuse is not impossible, but it is unlikely and, if perpetrated, it is likely to be caught and stopped quickly, due both to reporting requirements and reporting practices that protect the identity of reporters.
Who is there to catch and report such abuses in private, semi-isolated residences? Especially in situations where there are only one or two caregivers for several residents per shift? What safeguards are there to assure that such abuses don't get hidden for fear of making the facility look bad? In Washington, abuses that are reported are investigated, but the quality control system for general community residences for people with dd that should be protective of residents, in fact, depends on reports. This means the abuse must already have occurred!
A recent law requiring background checks for caregivers is a step in the right direction, but "community" caregivers' wages can be very low, meaning that young people, barely out of high school, may be the only people able to take such work. When this is the case, the records of young offenders will have been wiped clean.
Issues of safety and quality assurance are major problems that would have to be solved before I would ever be able to consider moving Kathy, my sister, from an RHC.
What is your experience &/or perspective?