Prior to admission to the care home we carry out a pre-admission assessment, on admission another assessment is carried out and then care needs reviewed and evaluated on a regular basis. When these are reviewed this may mean a change to the nursing care needing to be delivered. We currently have nursing vacancies due to a national shortage of nurses, therefore, in order to provide safe care to our Residents will have been using agency nursing staff. The agency, where possible, has been providing us with the same staff in our home to provide continuity of care for our Residents