Thank you for your review.  I’m pleased that you are generally happy with the care we are providing - that being a Live In Carer.  With regard to the double up visits twice a day and additional respite cover twice weekly that we provide to you, we have suffered for the last few months with an unusually high level of staff sickness, and in those circumstances call times may sometimes vary as we reallocate work to the most suitable carers for each service user.  Sometimes Service User’s favourite or regular staff are not available, but we would always endeavour to offer an alternative care worker.