I've been mulling over this since Sunday and don't know whether to raise things on an official level with the SW or CPN who oversees my MIL's care package. My MIl has two main carers who go in every day each morning and evening to administer medications. This is done through an agency. On a Sunday we would normally see my MIL in the afternoon either at her house or take her to ours. For the last while she has been adament that she needs to be back by 4pm. We have always said that no you don't you don't get your medicine until later - around 7.30pm. Now on Sunday we were at my sisters for a family birthday and so we were a lot later seeing my MIL. When I checked the care notes they clearly said that the carer had been in from 7.30 until 8pm had administered meds, given coffee and had a chat. The vacuum pack had been opened and meds given. Now we were there just before 7 until after 8 and obviously she wasn't. I am obviously worried about this on several fronts. We don't know if the meds are time sensitive. If we cannot trust the times are correct what else can we not trust? Also my MIL doesn't particularly get on with this particular carer. She is a young student and obviously has no common ground with my MIL. When we have talked to her she really doesn't seem to have any knowledge of dementia type symptoms. I don't know for sure obviously but what I suspect is happening is that the carer who is meant to be there for 2 hours on a Sunday morning is leaving this until later in the day so that she can dispense with the evening visit. My MIL is unable to confirm this and if we question her will get upset. My quandry is what to do. After discussing it with my husband we are pretty appalled and inclined to report it. Has anyone experienced anything similar? My worry is a bit "better the devil you know" as any change may mean upset. On the other hand I feel this is a serious breach of trust.