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Elderly parents

In battle with Social Workers over parents!!

280 replies

Mrstiggywiddle · 24/01/2026 11:23

I think I may have no recourse here but wanted to know if anyone else whose parents live in Northern Ireland have experienced similar.

Mum has Parkinson's, Dad has Type 2 Diabetes, both recently diagnosed with Dementia in November & December 2025, mum definitely in early stages, dad slipping faster. Both in a nursing home since January 2024 and both want to move back home with a live-in carer, I want the same for them.

They both washed up in a nursing home not of their own choice last January. I live in London and had been diagnosed with breast cancer 4 months earlier. At the same time Mum had had a fall and been hospitalised for those 4 months where she started to become disorientated. Dad visited her 3 times a day battling with traffic, hospital car parks and in between managing his own diet and medication. By the end of the 4 months he was frayed, then a hypoglycaemic attack landed him in hospital for a fortnight. End of December mum was discharged to a nursing home, Dad joined her a few days later. The plan was for them to get back on their feet, eat, rest and plan a return home. Then the interim social worker got involved. She was against a return home, mum was too unstable and would fall. She relented, they went home in February, lasted 24 hours, Dad had another hypoglycaemic attack, spent all night awake in A&E, mum was driven back to the nursing home for the night. Next day Dad was at home alone having not slept, woke 3pm and had another hypoglycaemic attack and was taken back to A&E where he spent another sleepless night. A&E did nothing except monitor blood sugars. The social worker held a "Best Interests" meeting 27 February, I was in the middle of chemotherapy so joined by speaker phone. The social worker opened by saying "well it's safe to say the return home was a failure" and ploughed forward getting District Nurse, SW Manager and Home Manager to say the same, and they all agreed that Mum & Dad should stay in the nursing home permanently. They pretended to ask my opinion (I held back as was shocked and no time to think through an answer), Mum and Dad were horrified at being spoken about in such terms and said as much, and the decision was taken out of our hands.

By May, I had finished chemotherapy, had had double mastectomy followed by lymph node clearance, and a new permanent Social Worker had been assigned. After waiting for her to make contact I eventually made contact some time during the summer. I had a good impression of her over the phone, I told her Mum & Dad wanted to move back home with a live-in carer, she said "maybe we do need another Best Interests meeting", so I waited.

In August I had 3 weeks of radiotherapy. At same time my parents were assessed as "lacking capacity" and my Dad was no longer allowed his jaunts to the local garage to buy his paper, but they didn't tell him this. I did but neither believed me. A few weeks later he walked to the garage, he was found and brought back, staff reported he had "absconded" to the Social Worker. They then called an urgent "Best Interests" meeting (no. 2) for 22 October, but didn't tell me it was about moving them to a locked nursing home, instead I believed this was to finally discuss moving back home. The meeting was an ambush, mum and dad were not invited as I discovered at the start of the meeting, reason given was they lacked capacity to understand what was being said. Statements from my parents were read out in which mum was quoted "I know a return home is not realistic and I must not allow my daughter to steer my goals". Dad went along with mum and was quoted "I'll stay here". A few days later I asked mum about this, her jaw dropped, she said "she must have asked a very carefully worded question to get that out of me", and both were clear that this is not what they wanted. At the meeting I was asked with no warning to provide a water tight live-in care solution, put on the spot I couldn't, they decided live-in care was therefore not possible. The meeting concluded with all in agreement except me that a move to an EMI unit/dementia unit was the plan. A matter of weeks later both were diagnosed with early stage dementia.

9 December a further Best Interests meeting (no. 3) was held to get a unanimous decision to move them to an EMI/dementia unit. I had hired a solicitor who attended, 4 social workers, 2 physios, OT, a cast of a thousand, but not my parents. Social worker suggested moving temporarily to an EMI/dementia unit so they were locked up while discussions took place about a return home, also to install a downstairs bathroom. I stated downstairs bathroom was possible, but I was very concerned that another move to a place that was still not home would disorientate and distress them further, but was convinced by the social worker that she wholeheartedly agreed and that it would only be temporary. Christmas Eve mum and dad were moved. They have both declined since. No TV in their room, no access to newspapers, no help to find the channel they want to listen to news, no help to set up their CD player, no help to re-orientate my parents when disorientated, no access to the outside garden (which is secured), no help with hearing aids or glasses which are vital to maintain mental acuity. They are being allowed to slip.

23 January (yesterday) another meeting, originally I was told to invite the Live-In care providers. Found out 2 days before the meeting they were no longer invited and it was to discuss finance and care plans. Quick smart we forwarded care plans and costings. Opening questions were have you installed a downstairs bathroom, how much money do your parents have and what can they afford, and social workers insisted they would only allow them home with 2 live-in carers doubling the cost, also they should have enough for a year minimum, if only enough for 6 months the social worker said she would block a return home. The social workers hadn't even bothered to read the quotes sent to them. No quotes yet for downstairs bathroom as I was under impression it was not a condition for returning home, no access to parents bank accounts yet (slow solicitors), and I do not believe 2 carers are necessary, some of the other specialists back me in this, especially the one who sees my mum for weekly physio sessions.

The crux of the matter is that unlike mainland UK, Northern Ireland gives no authority to next of kin because the NI parliament did not sit since 2016 and their care provisions have not kept pace with mainland UK. In lieu of next of kin authority, care providers have instead Deprivation of Liberty Safeguards (DoLS), and they wield this. Social workers seem to have ultimate legal authority and threaten legal action if they do not get agreement from family. Additionally, these social workers have dragged their feet since taking over in May 2025. We are now facing more meetings to discuss returning home, meetings about meetings, etc. The lead social worker obviously doesn't know her facts but will talk around the houses to disguise the fact. She shouts down anyone who disagrees with her. All the social workers are defensive and are so unhelpful in discussions with me. I can see a time coming when my parents will not even remember they have a home to go to, let alone know they want to live in it.

My solicitor admits I just have to jump through the hoops they make for me, meantime he is getting written confirmation of my status as "Nominated Person". He is disgusted at the treatment given to both my parents and to me. The physio who said downstairs bathroom useful but not a condition and that parents need only one carer "and at that, minimally" suggested official complaints to 1) Director of Trust, 2) Commissioner for Older People, 3) RQIA, 4) MP. Said to say Trust is responsible for their decline, that instead of reducing their liability they have increased it by neglecting parents' cognitive well-being, and that the longer they remain in a locked dementia unit the more adverse the effect on their health. My solicitors advises against complaints procedure for now.

Has anyone experienced anything similar, can anyone suggest any possible way out of the deadlock? The social workers would like to lock them up and throw away the key. My parents are retired teachers, they have given to others all their working lives, paid their taxes, they are grandparents and have life to live. I cannot believe that this can happen in a 1st world country, I'm contemplating adding to my Will that social services never by default get their hands on me. This is a great advert for assisted dying.

Thank you for reading this.

OP posts:
ooscal · 24/01/2026 16:41

I had a similar situation. Dad terminally ill but fully compos mentis, Mum post stroke with vascular dementia. Believe me we had carers round the clock and none of them lasted more than a few weeks. That was due to Mum's belligerence and behaviour. Yes I know carers are trained and all that, but they can decide to leave if they want to also. This led to such a succession of carers that things just went to pot and everyone especially my poor Dad who was so ill just couldn't cope anymore.

There are four siblings, and each of us did our bit bearing in mind distance to travel, full time jobs, kids, illness in our own family units and so on. In the end the GP recommended respite for Mum. It was a private self funded nursing home. She went in for two weeks and never came home in the end. My father died six months later, and my mother lived a great life there for a further 19 years. Yes that's right, there's no way she would have lasted that long at home, and according to her, she was NEVER going into a nursing home. Sometimes we have to accept that which is in their best interests and cut out the emotion. Not easy believe me.

We then had a short six months with which we could devote our love and time to our dying father, while mum was cared for very well. The nursing home happened to be close by, so we could take her out, bring Dad down to see her and so on. We were advised not to bring her to the house.

So while emotionally it was very hard, practically it was excellent. Everyone was looked after and mum lived a good long life in the end. Wasn't without its challenges, but she was very safe and ruled the roost in her new home.

AnnaQuayInTheUk · 24/01/2026 16:41

WMW · 24/01/2026 16:37

But you don't do it on your own, do you?

Well. I'd talk to the person. I'd talk to their family, and to any professionals who know them very well. But at the end of the day it's me that does the assessment, and it's my name on the assessment. No one else's.

WMW · 24/01/2026 16:44

AnnaQuayInTheUk · 24/01/2026 16:41

Well. I'd talk to the person. I'd talk to their family, and to any professionals who know them very well. But at the end of the day it's me that does the assessment, and it's my name on the assessment. No one else's.

But you're not doing a diagnosis of dementia. Which is what the PP seems to think the social workers have done.

LakieLady · 24/01/2026 16:44

Mrstiggywiddle · 24/01/2026 13:35

Interesting (and sorry to hear about) your dad's loss of depth perception. It's all ahead of us, that is def worth bearing in mind, thank you. Downstairs bathroom would def be a good idea, it's unreasonable SWs are not even willing to discuss return home until it's done. I'm sure there's plenty they could think to ask in the meantime. There are potentially drugs to slow the decline depending on which dementia is diagnosed - waiting for a scan. We want to put in place a live-in carer, not oodles visiting and going.

I'm not convinced that a single live-in carer would be able to provide the round the clock care that they seem to need, OP.

It sounds as though they would need two at the very least, with one on a "waking" night shift and a second for daytime. And you would have to have access to someone who could cover for annual leave, sickness etc.

And that's assuming that one person can manage to care for them both: what if one DP needed to go to the doctor, who would care for the other while they were out with them? What if your father went to the paper shop and got confused? Would you be able to step in?

I think it unlikely that it would be considered safe for one person to care for two people with such support needs. It would mean one parent being unattended while the carer is helping the other.

I really feel for you, OP. Both my DPs had dementia, and I was starting to consider at what point I would have to get Adult Social Care involved. Apart from the stress and anxiety it gave me, it was heartbreaking to see my very intelligent father, who'd managed the budgets of billion pound construction projects, not able to manage cash or reliably read a sequence of more than 3 numbers, and my ex-nurse DM, who was incredibly practical and independent until the last couple of years of her life, unable to work out how to turn the oven on or fold a sweater.

For me, it felt like a bereavement: the people that they had been had gone. ❤

fetchacloth · 24/01/2026 16:45

Mumbles12 · 24/01/2026 11:29

Or you could take the time to read it carefully or not comment... What a rude response to a carefully written post.

Agreed. It's a very complex situation for the whole family to be in.
I wished I had answers OP but sadly I haven't. I'm appalled by the attitudes of the social workers though, zero compassion nor understanding.

Cheese55 · 24/01/2026 16:46

Jellycatspyjamas · 24/01/2026 16:25

You do know that social workers don’t undertake capacity assessments?

Yes they do. Main part of the job. Capacity assessments are carried out for accommodation decisions, care and support decisions, financial decisions, the list is endless....

JustCabbaggeLooking · 24/01/2026 16:46

I don't think Next of Kin has any legal standing in the UK.
You should get advice about the Court of Protection with regards to the disagreement about where they live.

WMW · 24/01/2026 16:49

fetchacloth · 24/01/2026 16:45

Agreed. It's a very complex situation for the whole family to be in.
I wished I had answers OP but sadly I haven't. I'm appalled by the attitudes of the social workers though, zero compassion nor understanding.

TBF, imo the OP has the lack of understanding.

It's really difficult when it's a close relation and you don't want to face that your 'solutions' just aren't going to work.

OP wants to send her parents home with no downstairs bathroom, with weeks of building work to install one, and only one live-in carer. It's a disaster waiting to happen.

Viviennemary · 24/01/2026 16:50

I don't think its feasible for your parents to return home with only one live in carer. What if the carer goes on holiday gets ill who is going to sort that out. Its hard that you have had your own serious health issues and these decisions look like they have been made without your input. Sad though it is for everyone I agree that it looks like a care home is really the only realistic option.

MrsLizzieDarcy · 24/01/2026 16:50

I used to work in domicilliary care OP, and can very honestly say that one live in carer will not cope with two high needs dependents. Even with 4 additional support visits from a care company, it's extremely difficult in a domestic property when you start needing stand aids/hoists as you don't have the room to manouevre safely. You need a fully adapted bathroom to manage bathing with any level of ease, and finding decent live in care is like finding hen's teeth. You're basically expecting someone to care for 2 people 24/7 with no respite - in a care home, that 24 hour period is covered by 3 shifts. No pay makes that a job that someone will want to take on.

Your idea is lovely but it's very detached from reality. And that's said with kindness. I would focus your attention on finding the holy grail of a nursing home where they are treated as individuals and their needs are better met. They are never going to improve, only decline.

AnnaMagnani · 24/01/2026 16:52

Believe me we had carers round the clock and none of them lasted more than a few weeks

This is so true. I did a summer as a live in carer, made a lot of money but it was exhausting. Person was lovely when her family were there, a nightmare when they weren't and all my complaints, for example that I was disrupted multiple times at night, fell on deaf ears.

When I quit, the next carer lasted a week and then the person was in a care home.

My DM also did live in care for a long time. She was very good and got all her business by word of mouth, Her expectations were her own annexe as a minimum, not just a private bedroom. I've come across people doing the same around the wealthy parts of London - if you are good you can pick and choose your clients. They aren't going to be choosing to care for 2 people for the same money as they could get for one.

Outside of London, or other wealthy areas, this set up is a lot rarer and the quality of carers varies hugely. You can have a carer who throws themselves into it, is making home made food and doing lots of activities or one who is sitting on their phone all day.

Bababear987 · 24/01/2026 17:10

OP the very fact that you think that one live in carer could cope with 2 patients with advanced needs is showing your naivety to this situation.
What is available in the care system in London is not available in NI quite simply, Ive worked in care of the elderly for years and live in carers are few and far between and it always goes wrong. Multiple doctors assess and sign off for a DOLs to be placed and EMI placements are extremely hard to come by so if they're suggesting this your parents must be needing them. Her medical team cannot just send them home to somewhere that is completely unsuitable for their needs, whatever their wants are.
I dont understand why you would want them to go home to somewhere that's unsafe?
Yes they maybe be a bit more settled at home for a day or two but if they didnt manage 2 days last time, why would it be any different this time?

Hairyfairy01 · 24/01/2026 17:14

Sound like you are going through a really tough time OP. From your post it seems as if different capacity assessments have been done at different times for different decisions. The first one was likely around their ability to make decisions around where they live, and later on another capacity assessments regarding going to the shop and likey finances. This is the right way of doing things as just because you don’t have capacity around finances for example, doesn’t mean you can’t decide what clothes you want to wear.

A physio should not be talking about their need for a downstairs bathroom, are you sure that wasn’t an occupational therapist?

i’m presuming your parents didn’t set up a LPOA for anything, hence all the best interests meetings? This is good practice from the social worker.
it doesn’t sound like a 24/7 live in carer is going to be suitable nor in their best interests, especially if financially your parents can only afford it for 6 months. You also need to consider how quickly their mental and physical ability may deteriorate.

i think you need to listen to the opinions of others who will have dealt with cases like this many, many times. It’s hard with living away to get a realistic picture of the situation as well.
If I were you I would try and work with the social worker and try and enjoy your parents how they are now. There are carer support charities that can help you deal with your feelings.

Sadly all the money in the world is not going to change the situation your parents are in.

Jellycatspyjamas · 24/01/2026 17:15

Cheese55 · 24/01/2026 16:46

Yes they do. Main part of the job. Capacity assessments are carried out for accommodation decisions, care and support decisions, financial decisions, the list is endless....

Where I am the assessment is a joint assessment with health - different frameworks. Looking at NI I see social workers can do capacity assessments but I’m guessing they too would need input from health, so my mistake.

In saying that, the DoLs process involves a panel decision so not social workers alone making that decision so the idea that the social worker is claiming incapacity to get their hands on the individuals cash is a stretch at best.

Lalalol · 24/01/2026 17:20

zipadeeday · 24/01/2026 11:27

Can you shorten that at all?

I don't understand why you don't just remove them from the home and put live-in carers in place if that's what you want?

Well you would understand if you read it. If you’re not interested then don’t read and don’t comment

SurferRona · 24/01/2026 17:25

plsbekinddelicate · 24/01/2026 13:49

OP, my advice is if they have a DoLS authorisation (which they should have) start a section 21A challenge via the Court of Protection that this is neither in their best interests nor the least restrictive option. Your solicitor should have advised you of this tbh but that’s the way forward here

This. Exactly.

metalbottle · 24/01/2026 17:28

You'd need at least 2 live in carers to provide 24 hour care, plus cover for holiday etc. I'm sorry OP but I think you are being unrealistic. And the meds won't make any meaningful difference

lifeisgoodrightnow · 24/01/2026 17:32

Deprivation of liberty orders apply in the UK mainland too and I’m sorry but what you describe especially with you not being near them sounds like the social workers are correct and they could not manage at home. DoLs aren’t issued lightly. We had one issued for my father in law by his care home ( local to us )

HK04 · 24/01/2026 17:32

I’m really sorry for what you’ve gone through and are going through OP.

You sound a great DD. Having cared for elderly relatives though sadly the reality is they are not going to get better. I do understand you’d like them home, but again realistically with you being so far away the idea their quality of life will dramatically improve at home isn’t guaranteed. 1 carer is a risk. When one comes to end of life, how will the other be cared for. You’ve every right to push for the solution you want, but do think you have somewhat rose tinted specs about home care and are being a bit naive. From a place of love, and do whatever happens wish you and them well.

Glitterella · 24/01/2026 17:32

Sorry you are having a hard time OP. My gut feel is to say that perhaps they need to stay in the care facility. I think if something were to happen to them at home you would feel responsible for removing them. Is there anyway you could come to terms with the care home being the best place for them?

lifeisgoodrightnow · 24/01/2026 17:33

Hairyfairy01 · 24/01/2026 17:14

Sound like you are going through a really tough time OP. From your post it seems as if different capacity assessments have been done at different times for different decisions. The first one was likely around their ability to make decisions around where they live, and later on another capacity assessments regarding going to the shop and likey finances. This is the right way of doing things as just because you don’t have capacity around finances for example, doesn’t mean you can’t decide what clothes you want to wear.

A physio should not be talking about their need for a downstairs bathroom, are you sure that wasn’t an occupational therapist?

i’m presuming your parents didn’t set up a LPOA for anything, hence all the best interests meetings? This is good practice from the social worker.
it doesn’t sound like a 24/7 live in carer is going to be suitable nor in their best interests, especially if financially your parents can only afford it for 6 months. You also need to consider how quickly their mental and physical ability may deteriorate.

i think you need to listen to the opinions of others who will have dealt with cases like this many, many times. It’s hard with living away to get a realistic picture of the situation as well.
If I were you I would try and work with the social worker and try and enjoy your parents how they are now. There are carer support charities that can help you deal with your feelings.

Sadly all the money in the world is not going to change the situation your parents are in.

DoLS override lpoas

Holesintheground · 24/01/2026 17:34

WMW · 24/01/2026 16:32

No, of course they're not locked into their room, it's not the weather for organised trips to the secured garden.

So they're not allowed into the secured garden because - it's winter.

Yes, they've been shown how to use phones, CD player, yes they've forgotten,

So they are not sitting in an "empty room" as another PP has it. They just cannot work these things any more. Your DF may like going to buy the paper, but can he actually read it? My relation couldn't, after years of being a news and politics junkie. Although he said he was enjoying reading it, but when I visited him, weeks of plastic-wrapped unopened magazine deliveries were piled up. Next to the TV in his room, which he couldn't work any more.

mum won't wear her hearing aids as they're a faff, but they need repeat demonstrations, until they have it mastered.

OP, those days are gone.

Dad's psych of old age said she would prescribe the drugs if the correct diagnosis was made

I think she is being kind to you with that "if".

OP you've had a terrible time with your own health as well as that of your parents. And it's heartbreaking to realise that what they want most of all, you can't give them. I went through this with my dad. But you can't, and you are now into the least worst option which is residential care that keeps them together.

The quoted post here highlights some of the things that, gently, you're being unrealistic and hugely optimistic about. As just one other example, I would add: do you think your dad, who has dementia, type 2 diabetes, who in your own words
they have their timelines screwed up, disorientated to time and place, definitely. Not to place when they're in their own house. Def not reliable witnesses.
yes their glasses are no longer the correct prescription
is safe to be driving? That is a huge risk not just for him but for your mum as passenger and for any innocent other driver or pedestrian in the way when he forgets where to go, has a hypoglaecemic attack, can't see an oncoming vehicle? You're so desperate to get them home that you're overlooking the very real risks to themselves and others from their conditions.

SurferRona · 24/01/2026 17:38

SurferRona · 24/01/2026 17:25

This. Exactly.

You should also commission a private older persons social worker to review and report, and under DoLS each of your parents should have had an independent advocate (IMCA) appointed to assess each of them to advocate for them as part of the DoLS assessment. Did this happen? You need to get going on a decent solicitor and challenge to the Court of Appeal. Does NI have a Court of Protection? If there is no LPA for H&W, the CoP plays a role there.

Google says re IMCAs in NI: Northern Ireland Services: Bryson Independent Advocacy Service supports vulnerable people in Northern Ireland, including those in Muckamore Abbey and those referred by Health & Social Care Trusts.

. The funding issue is key too I’m afraid, this is a hard thing to do, and even harder from a distance. Have your parents any other relatives nearby? Boots on the ground really help here.

WMW · 24/01/2026 17:43

I do also wonder, OP, how much you are riling them up about being in the care home on your calls? And if that is affecting how they talk to you about it?

And, even if you did manage to get a live-in carer/s, what will you do when they possibly starting accusing him/her of pushing them down the stairs, when they have a fall? Of stealing their kettle, because it's dangerous for them to use it so it's been hidden from them? Or not letting your DF go to the shops, because you only have one carer and your DM can't be left at home on her own?

OverheardInAldi · 24/01/2026 17:44

Cherubneddy · 24/01/2026 11:47

Jesus, what don’t people understand about OPs clearly written explanation! She can’t just take them home because Best Interest decisions have been made by the social workers and others that have legal authority.
OP I am SO SORRY what you are going through. I work as a practice lead in social work for older people in the UK. Admittedly I have only heard your side, but from what you present, the social workers are being incredibly risk adverse. One of the driving forces for me in my role is to endure social workers are not risk adverse like this. Too often social workers don’t consider the BENEFITS to a person’s wellbeing of being able to take risks, just like all of us do everyday.
I don’t know the law in NI, but clearly the Mental Capacity Act 2005 applies, and your solicitor can support you in making an application to the Court of Protection for a Welfare Order to be made: essentially the court decides where your mum and dad live. Courts tend to come down hard on risk adverse decision making. I also don’t know whether The Care Act applies in NI, but if it does, the Wellbeing Principle under that should be considered.
I’m presuming you don’t have Lasting Power of Attorney?

Exactly. It's not as simple as people think unfortunately, even in mainland UK.