Thanks for your candid review. We have looked into these matters and can report that we have addressed the matters raised by yourself e.g. re the commode cleaning during our recent staff meeting.  Some of the staff are new from overseas and I can understand that it would be a bit of a problem sometimes to understand.  However, with them being here longer helps and also we do try to hire locally where possible.  Also, have raised the issue about the meds with the nurses and they report back to say that some of the meds come in different colours depending on manufacturer e.g. Ferrous Sulphate comes in white and red also some of them vary in shape as well.  Nonetheless, we take all comments seriously and look upon them as opportunities to improve.