The abuse and neglect of older people in care homes is widespread across England, but current causative explanations are limited and frequently fail to highlight the economic and political factors underpinning poor care. Informed by social harm and state–corporate crime perspectives, this study uses ethnographic data gathered through a nine-month period of working in an older person’s residential care home to show how neglect is embedded in working routines. Three aspects of care are interrogated to reveal the embedded nature of harm in the home; all reveal the rift between official, regulatory rules and informal working practices shaped by material constraints of the labor process. This article explores the role of regulatory regimes in actively legitimizing sectors, such as the residential care industry, even in the face of routine violence, by bureaucratically ensuring the appearance of compliance with formal rules. While the harms of contemporary institutionalized care for older people have its roots in material conditions, performative compliance through regulation guarantees that these injurious outcomes are concealed. This article contends that malpractice (and harm) can be explained with reference to conjoint state–corporate relationships and practices.

中文翻译：

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老年人住宿护理院中的执行合规性和国家-公司忽视的结构

在养老院中虐待和忽视老年人的情况在英格兰很普遍，但目前的因果解释是有限的，并且经常未能突出支持不良护理的经济和政治因素。根据社会危害和国家-公司犯罪的观点，本研究使用通过在老年人养老院工作 9 个月期间收集的人种学数据来展示忽视如何嵌入到工作程序中。询问护理的三个方面以揭示家庭伤害的内在性质；所有这些都揭示了由劳动过程的物质限制形成的官方、监管规则和非正式工作实践之间的裂痕。本文探讨了监管制度在积极合法化部门（例如住宿护理行业）中的作用，即使面对常规暴力，通过官僚主义确保表面上遵守正式规则。虽然当代老年人制度化护理的危害源于物质条件，但通过监管的表现性遵守保证了这些有害结果被隐藏。本文认为，可以参考联合的国家-公司关系和实践来解释渎职（和伤害）。