Albert is 82. He lives alone, but has a niece, Diana, who stays with him sporadically. She is an alcohol abuser. Diana collects Albert’s pension for him but does not provide any other care. Albert has been physically fit until very recently, when arthritis in his hip has prevented him from walking far. His memory is poor and he is becoming increasingly disorientated. He sometimes gets lost and has mislaid keys and money. He was recently admitted to hospital with burns to his legs from sitting too close to the fire. Albert has unexplained bruising to his chest and upper arms; he spends time talking to a photograph of his daughter, assuming her to be his deceased wife, and has become aggressive towards his son-inlaw. His relatives find it difficult to provide support for Albert, and do not approve of his relationship with Diana and their drinking sessions. He refuses to consider domiciliary or residential care. Albert often leaves the house unlocked, will let anyone in and has had some possessions stolen. He refuses to throw away rubbish or rotten food, which is piling up at the back of the house. He has a dog, which he can no longer exercise. His capacity for self-care (continence and diet) is decreasing. There is growing concern about his health and conditions in the home. What steps should social services take in this scenario?