Mum, who is 88 and has Alzheimer’s, has been in a care home for 10 months now following a fall. Her memory, conversation and level of understanding have rapidly deteriorated over that time. She is able to feed herself and is relatively mobile with a frame but is having more issues with going to the toilet and particularly remembering how to clean herself up afterwards. When we visit, the times we find her in a mess seem to be increasing. She has been in bed and wet, and when she goes to the toilet herself she can’t get her clothes out of the way, struggles using toilet paper, doesn’t flush, or wash her hands and invariably we or the carers have to tend to her to clean her up. When we raise this with the senior staff they don’t seem to think it is too much of an issue, that she manages quite well most of the time and say they will monitor her more closely when she goes to the toilet. Mum is on a tablet to keep her bowels comfortable. Should we be expecting more support for her? Alternative support? My brother seems to think the staff are not dealing with the issue in a proactive way and that she should have some form of incontinence support.