Some senior care home staff expressed frustration in the lack of motivation of team members and reported a poor uptake of recommendations by other staff. These opinions highlight the low skill base of care home staff, which appears to limit professionalism in role performance leading to problems within teams.Some people will put some things in place but won’t think about everything else and its sort of left to me to do all the referrals and everything else. I’ll say have you done this, have you done that, have you done this, have you done that? (Care Home Manager)