All the basics are taken care of - some personal care, all shopping, big laundry and flat cleaning done, meals delivered, carers in once a day in the evening and all bills and financial affairs are taken care of, but she spends so much time alone - family all live at a distance so she has visits just once a week but twice daily phones calls at least one of which is a long chat. It would not be possible for her to move in with family, and a care home would be the next option. She has had a couple of falls maybe due to TIAs but nothing serious - as of yet. She lives in a development with a call system to emergency services and with other people always around, but because of Covid, all social activities, coffee mornings in lounge etc. have stopped. She is becoming more and more anxious about everything. Is it time to insist on other arrangements? POA is organised.