It is devastating when an individual’s care requirements exceed our registration criteria, and it is decided by community-based mental health teams that their needs are greater than the care which can be delivered. Several meetings and discussions were held with you and your siblings providing advice, support, and signposting regarding specialist dementia nursing care, but we completely understand how stressful and difficult this situation is for all concerned. We are grateful for the positive comments received in recognition of the care, dining, housekeeping, and activity teams, who worked incredibly hard every day to support your parents during their four year stay with us. It's also very sad that more care providers do not have couples’ suites, and we hope that in the future more apartment-style accommodation will be available so that couples can remain to live together regardless of the different levels of care required.