A strongly held view was that care homes were ill-equipped to provide adequate end of life care for residents with dementia. Due to the profit-driven nature of care homes, respondents reported that staffing levels were poor, and staff turnover was high due to limited professional development opportunities, demanding workloads, low pay and low job satisfaction resulting in high levels of role burden. Low availability of both trained and untrained staff resulted in demanding and stressful workloads forcing many staff to accept multiple responsibilities.The workload also is extremely high for a nurse, for example the average amount of medications that a care home resident might be on may be 10, and that’s three times a day, they have to be given it at a certain time, the GP’s coming, the social worker’s doing a review, there’s a new admission, there’s a transfer, there’s a death, multiple, multiple things are happening at the same time that the nurse has to literally split herself in a hundred (Care Home Manager).The less staff you get to carry out the task, the more profit you make … you get disgruntled. Why should I stretch myself etc … not that you don’t to want stretch yourself, but the impact of working endlessly has got a detrimental effect on your morale, output (Mental Health Nurse).