I don't think that this is anything that I can be helped with but it may help to share. My mum has had carers coming in 3x a day for a year now. She has vascular dementia. They seem to be doing very little. Their role is to prompt meds, encourage clean clothes, hairwashing etc but nothing is really getting done and whenever I see mum she's in her dirty old clothes with unwashed hair. She will let me help her change and put on appropriate (warm) clothing. If she doesn't take her tablets or if she's feeling ill etc I'm not being informed although I have asked to be (I'm at work f/t). We're receiving a big bill each month for this which would be fine if mum was getting looked after! Mum is self-funding but the care is arranged via social services and so I have asked for a care review. I'm not being irrational to think that this isn't an acceptable situation am I? The carers just don't seem to do anything really. How can I improve things? Are all agencies like this?