Mr. Mervyn Taylor:

A rights-based approach is necessary but it can often be a soothing phrase that we suck on. Earlier, Deputy Roche used the phrase, "confined to nursing homes". A soldier might also be confined to barracks and there is a certain connotation of control in both cases. In many nursing homes, one can see that the physical environment makes it, for a range of reasons, not easy to get in or get out. People can talk about this from one perspective but then somebody is found dead at the base of a cliff in Bray and there is a hue and cry. It is difficult to get the balance right. I do not want to go down the rabbit hole on this, as it needs a separate discussion, but we are so focused on the way things are currently designed that we have very little idea of what good design looks like. There are very few models of how the care is organised at a household level. This is what we really need to be focused on. The HSE's facilities are large and some of the private ones are getting larger. The issue is not just about ownership, but also about how we are organising the care so that rights can be expressed.