Mum was re-assessed today by the social workers who saw her nearly two years ago. At the time they granted 9 hours Self-Directed Care budget. She was able to heat food, make tea, wash herself, tidy up, go shopping alone, visit church accompanied. Now she is often doubly incontinent, cannot prepare any food or drink, has had several falls, remains indoors, ignores her carer and stays in bed, is very negative to the family and will not eat prepared food (but will eat biscuits and sweets instead). Had an allergic reaction to Aricept and we are starting a new drug soon - needs twice-daily dose which we need carer's help to administer as we both work fulltime. The social worker has today offered 16 hours a week (14hrs personal care, 2hrs housework). I get the equivalent of 2 hrs a week carers allowance. This involves personal care with continence and washing, cooking, laundry, cleaning, accompanying on appointments, companionship etc. Question is, must we accept the social worker's suggested increase in care time, or push for what we believe Mum needs? Is the social worker's decision set in stone? We think thrice-daily visits (about 28 hrs / week) is reasonable. Anyone got any advice or comments?