Towards the end of 2013, I became very worried about the care my mother was receiving in a residential home in the northeast of England. Before I could do anything about moving her, she was rushed to hospital and diagnosed with stage four lung cancer. I was still digesting this shock when the hospital sent her back to the home, which shortly afterwards failed an inspection by the Care Quality Commission. This sequence of events finally persuaded council officials to listen to my anxieties and set up a safeguarding inquiry. At the very first meeting, I discovered that the most basic things, such as drawing up a care plan, hadn’t been done when my mother was admitted to the home with dementia six months earlier. It was harrowing – and too late to help my mother, who died four days later. The coroner notified the police, who spent more than a year investigating events leading up to her death. The coroner eventually concluded that she died of natural causes, but the NHS and local government ombudsmen upheld most of my complaints about the way my mother and my family had been treated.