Thank you both. To be fair to Johan, he's told my social worker and people he's not got enough help before, its just the realisation it was starting to affect my health (and not just his) took a while. The carer's association are going to help with sorting out a new carer's assessment and helping us with respite and stuff, and we've decided that we don't necessarily need a PA with direct payments, we might just go with a different care agency if they're able to help us with what we need. Then we just have to convince my social worker to let us use the hours for things that will actually help, rather than things that look good on care plans.
My current list of demands
I want consistent carers- the same ones each week, and no more than 5 different ones in total (we get carers twice a day at the moment). This will mean that we can teach them how to communicate with us, and when we'll be able to ask them to do stuff, and when they'll just have to use their initiative and do it themselves.
I want them to be able to stick to the times they're meant to come, and for it to be the same times every week. If for some reason they can't, they can contact us (by email, text message or phoning Johan) and we'll probably be okay with that. I'm okay with them being up to an hour late (though would prefer them to contact if it's going to be more than half an hour) but don't cope with people coming early without notice.
I want people who can understand that my condition is variable, and this means that sometimes I won't need personal care as I won't be able to tolerate people touching me, so they can spend the time doing more housework, and other times I'll want more personal care, so the time can be spent on that, rather than housework. I'd also prefer if carers who are doing my hair can plait it, as it keeps it tidier when you spend all day in bed (my hair is very long- reaches my bum when it's loose
).
I need carers who understand that I cannot cope with loudness, and who can work quietly, especially if I'm very ill. Also that I struggle being touched, so only do so if it's necessary (and no light touch, as it's execeptionally painful and uncomfortable). Firm touch is fine. If I'm asleep, don't wake me up- my illness means my sleeping pattern can go haywire, and the more sleep I can get the better, even if it's in the middle of the day.
Does any of that seem unreasonable to you? My current care agency cannot get any of that right.