Thank you for taking the time to raise your concerns regarding staffing and continuity.  As an organisation, we consistently review our staffing policies and staffing levels in relation to our resident's needs and dependency to ensure a high standard is maintained.  We continually recruit for qualified nursing staff and also provide a nursing assistance programme to support and develop the skills of our existing colleagues to provide continuity to our residents. Although the skill mix has changed at the home, the staffing ratio remains the same and in the circumstances where we have to use agency staff, we do our best to ensure that we use regular agency staff who know the home and residents which helps with continuity of care.