Hi everyone, my Nan was diagnosed with vascular dementia 3 years ago and she lives in sheltered accommodation and has carers come in 4 times a day. Her neighbour who has been a god send visits her everyday and looks out for her and takes her down to the residents room for tea and cake and up until now my Nan has coped very well, crocheting everyday which is something she remembers and enjoys. However recently she has become more muddled, has become a little verbally aggressive and has no concept of time. She will get up in the night and knock on her neighbours door thinking it’s breakfast time , or will take herself off to bed at lunchtime thinking it’s night time. My mum lives abroad so I am the only one of my family who looks after her and visits so it is up to me to make decisions for her but I live 2 hours away so I try and see her as much as I can. I am struggling to decide whether it is time for her to go into a care home, as I know she is more comfortable in her own flat and she likes her routine and surroundings. I am worried if she goes into a care home she will go further down hill. The carers have said she is ok and they don’t have any concerns but my Nans neighbour has said that she has to deal with my nan more than the carers and it’s getting too much for her even though she says she would never leave her to fend for herself. Can anyone offer any advice, when is the time to consider a care home?