Thank you for taking the time to submit your review.  We really appreciate all feedback (both positive and negative), to assist us in making future improvements as we move into the future.  We are really sorry that you don't feel you are always treated with dignity and don't always like the way you have sometimes been spoken to and have been in touch since your review to discuss these matters further.  Please rest assured that we have now arranged for our Community Competence Assessor to attend upon some of your care calls, in order to identify and help resolve any training issues.  Please don't hesitate to contact your local office (on the usual contact number), should you ever feel you have any further issues and we will do our very best to help and resolve these.  Thanks again for your review!