Domestic or institutional care homes - pokey vs non-human?

One of my occasional pictures of facilities for older people. This is one of our local residential care homes. Note the emphasis on family management - a claim for more personal care than a big chain. That is supported by using an extended detached family home. But very often the conversion and extensions required lead to a maze of fire precautions and corridors, whereas bigger buildings are less atmospheric. made more so because there is likely not to be family management. Does this provide choice in the market?

The domestic (and pokey) or the institutional (and nonhuman) - which should we prefer, for what purposes? And can the domestic be non-pokey and the institutional human?