My mum has had dementia for at least 4 years, she’s been diagnosed for 2. She’s very uncooperative and always says she knows best for herself. Unfortunately that means omitting tablets, living in filth, stopping her cleaners, no showering for at least a year, on occasions wearing soiled clothing. For the last 18 months my brother and I have visited on alternate days and cared for her as best we can. Currently our big worry is her dog, he is her “baby” but she has stopped letting him out, feeding him, can no longer walk him. The house stinks of dog urine because he can’t get out, it’s eye watering. If we phone her to ask her to open the door for him she says it’s been open all day. We walk him once daily, ensure he’s had something to eat and has water, we have to visit anyway to try to get her to take tablets and check she’s ok. I do her washing, shopping, organise her finances, medical stuff. Paddy’s a nice dog and it’s not his fault, but the house stinks, and I think when social services visit they will say she has capacity and there’s nothing they can help with, the last CPN that visited said the filth was “a lifestyle choice”. Is there anything anyone can suggest, given she refuses to allow him to go out with a dog walker, and neither me or my brother want to have to attend x2 a day. I might add that I have extensive arthritis, an autoimmune disease and limited mobility. I also have had shingles constantly for the last two years. My brother has heart problems. Sadly, we are no longer young. I have suggested a carehome to mum -I actually think she’d prefer it, and she says she would kill herself if we make her move, and has a complete tantrum.