Have had the same agency now for 15 months. There have been problems with getting staff for ages now.As a result we have been mainly given two that I really have not got a lot of faith in. They are both older carers but for all the fact they are 'dementia trained' they are no good at spotting changes in oh and look at me sceptically when I say he has taken a downturn. So for several weeks the evening carer turns up and he says 'what are they here for?' He doesn't see the need for a wash and although happy to accept some, others I am having to send away. Apart from the fact that I am paying for them, it doesn't seem to me that forcing him is a good way to go. I have been weighing up changing agencies but aside from the difficulty of new people, possible change of schedule and out of the frying pan syndrome, there are just not that many around here. Devil and deep blue sea situation. So any opinions please on way forward? I could manage the evening without them but not sure this is the way forward.