Assess your worries

Examples: Not doing their hair, not putting on make-up or taking as much care about other aspects of their appearance as they used to, not being as house-proud as before.

These are often the earliest signs that something’s wrong. Other people who don’t know the person as well might not notice them, as they might be examples of a high standard that the person used to take some pride in slipping. That doesn’t mean they aren’t unsettling to the people who know them well.

Examples: No longer washing regularly, not getting dressed during the day, refusing to go out, trouble sleeping.

The person’s daily routine may be affected by these changes. Other people who aren’t as close to the person may be noticing things too.

Examples: not eating properly, drinking a lot of alcohol, smoking a lot, not taking medications, living in unsanitary conditions.

The things the person is doing are affecting their health or wellbeing quite a lot. They would probably need support to be able to make changes.

It’s very rare, but sometimes a person can be an immediate risk to themselves or others.

Examples: Living in a risky environment, in dangerous or unhygienic conditions, failing to take care of an illness or injury such that their health is at immediate risk, feeling suicidal. 

It’s not easy to judge this on your own, so if you’re very worried about an older person you should contact the local council’s adult safeguarding team. You can talk it over before any action is taken; you don’t have to tell them your name if you don’t want to.