Thank you for your review, we value all feedback as this helps us to improve our service where required. We complete a monthly dependency review of residents in our home to ensure our staffing levels are reflective of individual Residents’ needs; this is overseen by the Area Director and Clinical Quality Manager. Agency colleagues are used to supporting with shortfalls; we are actively recruiting to reduce our reliance on the agency. Where possible to ensure our agency colleagues are consistent, we complete staff rosters six weeks in advance and try always to have our own staff pick up extra shifts. We are excited that we have a number of new starters joining the nurse and care teams as of this week. To ensure your relative was given regular opportunity to voice her needs due to her disability restricting the use of the call bell, the Home Manager implemented regular checks so that all needs were met especially through the night. The home assessed and admitted your relative the same afternoon on Friday of the bank holiday weekend and therefore no time was given to get halal or kosher food from suppliers, of which the family were informed. The family requested vegetarian food as the stay was a respite and the resident enjoyed vegetarian food. Although the Catering Manager looked into getting halal or kosher food delivered, the family declined the choice provided. The health, wellbeing and quality of life of everyone living at The Harefield is our priority and I want to assure you of our determination to support the team to deliver against the promise of a kind and effective care for all our Residents.