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.
I think you know that the falls will eventually lead to broken bones, rehab, and etc and perhaps it will have to come to this. Better would be if this could be done now and so my question is "Have you talked to MOM" about moving now, before it has to be done emergently. Would she explore ALF with you with an organization such as A Place for Mom to decide where she might like to move. This is the time for honesty. If she won't, well, it will come soon enough and clearly you are ready for it, with your POA organized. Wishing you the best of luck and do realize that you are right where so many others are.