I've been looking after mum now for 6 years, as her dementia has progressed. i don't live with her, but visit 2-3 times per day. I also have carers visit 4 times a day to change her pads as she is incontinent. Recently she has become un co-operative with the carers and refuses to get out of her chair to have her pad changed. Half the time her hearing aid is not in, so she can't hear what they are saying, and she has wet macular degeneration, so can't see much either. Since the carers can't get her up to be washed, she is left for long periods soaked in her own urine. I can, by explaining to her, slowly and clearly that she needs to stand up to be changed and with a little assistance, she stands up to grab her walking frame, and is changed. The care agency sends very young girls with little experience, and they keep changing them too. They leave doors unlocked, fridges not shut, milk left on the doorstep, mum left in the dark, with no lights on, no curtains shut, a long list indeed. I've contacted the social worker to arrange for a "double up" i.e. two carers to help mum out of chair, but they say they need to do a risk assessment, and capacity assessment, and do "what is in mums best interest" I am terrified that the will want to put mum in a home, which she does not want and neither do I, as I have seen a quite a few homes and the way they are treated. I feel they will try do what is in their best interest. My mums social worker appears to be a box ticker and seem unsympathetic to my mums plight. What can I do? What can they do? I do have PoA in place. Please help with advice.