Thank you for your open and honest feedback as this helps us make positive changes to support service users, families and friends. It is also great to hear that the service user is comfortable with our staff and that carers are efficient. For your assurance, carers are given adequate rest before and after a night shift so that they can continue providing effective and safe care. Frankly some do fall asleep time to time and we have addressed this with all staff members and taken action where it was required to address tiredness and avoid carers falling asleep. In addition and a very valid point about tools to help carers stay awake, we encourage bringing book and discourage any personal use of mobile phones whilst at work. Whilst we acknowledge that during a night shift there may be times when carers are not doing anything, they may only use phones to catch up on extra reading on company policies, eLearning and in some cases practice their driving theory test.