Thank you for your review.

Following a review of the host and other roles, it was decided to discontinue the host for the following reasons: Many of our residents require support with eating and drinking to ensure the experience is both pleasurable and safe for them. The role of host was found to divorce the nutritional aspect of care delivery from the holistic clinical overview. In addition, our internal quality audits indicated that residents enjoyed meal times more in units where hosts were not deployed.

Staffing levels are flexed to meet the needs of the individuals we care for and the numbers of individuals we are caring for. This dynamic situation demands a flexible response and illustrates that needs are kept constantly under review. It is very unlikely, given the nature of what we do, that staffing levels/numbers would remain static.

I am sorry that you feel standards have dropped, however, please be reassured that our governance processes indicate there has been no significant weight loss recorded, or indeed other clinical indicators that would cause alarm.

We constantly review what we do and how we do it in order to achieve the best possible outcomes for the people who live with us, this has meant some roles have gone and new ones created.

As with all change, it can be uncomfortable at first as we transition into new, more effective ways of working.