Mumps being diagnosed for dementia and lives in a sheltered housing bungalow. She has limited mobility and balance, so finds household tasks and washing herself difficult. Three months ago I arranged for carers to come 3 times a week. At first she just sent them away when they arrived so I had to be there to stop that happening - defeating the object as I arranged the carers as I often work away from home for a couple of days a week. After persisting she seemed to accept them, but in the last 2 weeks she is refusing them again. When I ask her why she says she doesn't need the help and can't afford to pay. She can afford to pay and I show her the bank balance each week to reassure her. Both her and the bungalow are smelling quite bad now, I'm worried that if this continues I'll have to look at a care home which I know she will hate. Has anyone tried any strategies with accepting care that have a lasting effect?