Overall I was very pleased with the service provided by Alina Homecare over many years. They were very reliable and could always be trusted to attend on schedule. The majority of staff made a strong personal connection with the client, an important aspect when they may be the only contact throughout the day. Some of the staff were exceptional, going far beyond the level of personal care expected. The staff were very good at maintaining contact with the family members in times of difficulty and the office staff very amenable in terms of providing extra care in times of need. The cleaners and household duties were done to a high standard in contrast to previous care agencies. If improvement were to be made it might be to increase the level of support for inexperienced carers to prepare them better for dealing with patients with dementia who frequently can be difficult, uncooperative, suspicious and unintentionally rude to carers they see on an infrequent basis.