My sister and I moved mum to a small dementia unit consisting of 8 residents. It has 2 day staff and one night staff. However, when we made the decision (a decision which mum also took part in) we were given assurances that should mum deteriorate this would be her home for life and she could stay in the unit unless her behaviour had a significant negative impact on other residents lives. We were also led to believe that "negative impact" was equated with violence. My mum moved to the unit six months ago and although her diagnosis was Alzhiemers she had some type of TIA or stroke three weeks ago. Physically she recovered relatively quickly over about a 5 hour period but mentally she has deteriorated very significantly. She is not able to recognise where she is or me and my sister and has lost much of her ability to verbally make her self understood and seems unable to understand what is being said to her and is very anxious. The staff seem well trained and carrying out all the main aspects of good dementia care. I am concerned though that the manager may suddenly deciside that mum is impacting on other residents and she may be asked to leave. I say this because despite the reassurances we were given before hand with in the last 3 months 3 residents have suddently left. There has been no mention of them but I have asked what has happened to them and the staff and the manager just say they had deteriorated and they could no longer manage to care for them. The manager has recently also said to me that the only way they can care in the face of increasing need is if the resident gains continuing care funding so the unit can employ extra staff. The unit is not a home it is classed as supported living with full time support. The first words from the manager following mums GP visit after the TIA/stroke was we are not a nursing home if she can't transfer with one she has to go to hospital. I am very concerned now that the manager may at any point just say the unit can't cope with mum and then what? Should i start looking for another home? I don't know what to do - if I start looking for other homes what is the difference between a nursing home which takes dementia residents and an EMI unit? Any support and advice would be welcomed. I really thought we had covered all basis before moving mum and now feel we may be back to square one! I am realy upset and stressed and feel dealing with mums deterioration is difficult enough. We haven't even managed to sell her previous supported living appartment yet and feel we have only just got her fully settled at this unit. The thoughts of starting searching again sends me into despair. Help!