This is a bit sensitive and I dont want to be branded a racist..Im not, but not one carer from the Manager down in the home my mother is in really speaks English. That is to say they do a little but its so heavily accented I cant understand it and Mum has no chance. Even the doctor was difficult to understand. They come across as very caring people, smiling , laughing and using hand gestures but can this REALLY be as good as proper oral communication? Having asked around, I have been told all homes are going to be the same in the London area, care assistant jobs are hard to fill and poorly paid and there are not enough applicants to fill the jobs . ..presumably the implication is the staff are therefore here on short term work permits? This, along with everything else at the moment is really worrying me.