Thank you for your comments which we take very seriously. We have recently adopted the ‘Butterfly Approach’ at Haviland House which is aimed at making the environment less clinical and more like a home. Taking on this approach means we have changed some of the ways we work so there are no strict routines; staff and individuals living here spend the day together and we focus on people’s feelings as much as their personal care needs. We have also removed staff uniforms and created five households which care for a particular stage of dementia. Having talked to other care homes who have also adopted the 'Butterfly Approach' we knew there would be a high turnover of staff, typically up to 85%, at Haviland, it is around 60%. Dementia care is quite different to traditional residential and nursing care but since moving to a household model we have strived to ensure consistency of staff, but attracting people has always proved difficult. We are always looking at improving our recruitment processes to ensure we get the right people.