I work with a lady who has dementia. I've known her for 6 yrs but have been working formally for her for just over a year. I shop, cook, do her laundry, change beds, medical appts, meds, money and manage her house. She has had a cleaner for 12yrs who does a very light clean twice a week, two hours at a time. She doesn't do upstairs at all. She is paid at least £80 a week. When I started to work the house was filthy, the kitchen was really dirty and the fridge was scary. I have been doing my own work now plus cleaning the house and it's too much. With family's consent the cleaner has been asked to do upstairs on one of her days but she is resistant to me asking her to do anything and reverts back to very little. The family would like to get someone else in to clean properly and also to cover me when I need time off but the elderly lady is so bonded to this cleaner that she won't hear of it. The family and I feel cleaner is taking advantage of the lady's dementia, saying that the lady says not to clean, let's have a chat instead etc. but she let's me clean, it's all how it's managed. We know she'll be upset at losing this cleaner but her dementia is such that she'll not remember and the new cleaner we have in mind will be such a great replacement. Any advice?