Will try and keep it brief but will include details
If you recognize me don't out me pls.
Mil has been unwell on and off for about a year she is an 'old' 60 (as in seems older)
Fil is older at 75 and until recently healthy but getting older and associated complaints - he's diabetic but never been a problem
Suddenly mil conditions got worse and lots of small stays in hosp
House is a state a dirty state
Until recently it was beautiful and in v nice part of town
They have a dog which is in conservatory and outside on has poo everywhere and I don't think they are clearing up properly so again serious health infection risk
We live 3 hrs away both work ft and have young dc so can't pop over easily
We have had many chats and sort outs and everytime it deteriorated again
We have discussed getting dog walkers and cleaners but it's very clear neither have happened and they cannot cope
The nursing staff are aware- will they escalate, or do I need to contact community health, social services etc to see what support could be available?
It's further complicated by disabled family members as dependants so I'm worried about implications to them if ss do get involved, but not living close by don't know what or who can support them otherwise
Dh is being stoical but Is crushed 
Anyone any advice
Many thanks