It's hard to swallow

The speech and swallowing therapist came to see us today. Despite all the excesses of Christmas, Nick has been having another phase of not eating.
Too often lately I’ve come in during the morning to find last night’s dinner still plated up in the kitchen or a soggy ready meal taken out of the freezer the night before but not touched.
What has he had to eat, then? As if we couldn’t guess. No food, but on the counter there’s an empty wine box alongside the uneaten dinner.

It’s not just about the wine, though – he says that he’s been finding it much harder to chew or swallow food, and this is alarming.
So with the therapist we look at what sorts of things might be easier for him to eat. Goodbye, couscous salad and coleslaw (too many little bits or rogue pieces that could catch in his throat and make him cough) hello mushy peas and mashed potato. No more satsumas to give him the pip, tinned mandarins or peaches instead. I am adamant that he needs fruit and veg, it’s just going to require a bit more thought and preparation time from now on.

Nick will also need some help spooning or cutting up his food as even with the good grip cutlery it's getting harder for him to manage. On a good day it's OK, on a bad day he needs someone to help him. 
The therapist said that she would contact his social worker to recommend that carers have more time allotted in order to help him to prepare and if necessary, feed him his meals. 
However, the mandate for extending the current timings in the care package may take a while so she will write directly to the care agency manager to make sure carers understand and can take extra care when preparing food for him. 
The manager himself seems really on it and quite understanding about the problems around eating; he says he’s had lots of experience with HD. 
The carers themselves though are another matter.

Today I popped in at lunchtime as the carer was writing her notes. We chatted briefly, then, 
Did you do him any lunch?” I asked. Sometimes Nick tells them not to bother because “my sister is coming to do it” (even when I’m not)
She gestured to an unappetising looking pasty on the counter. Just slapped onto a plate on its own, straight out of the freezer and still a bit icy. 
"Is that it?" I said. (Like, Seriously, dude?) 
She looked at me with surprise and utter incomprehension. 
You know those times when you just have to rein in your exasperation because the person really hasn’t got a clue what the problem is? One of those. Because on the whiteboard opposite and on a dayglo post-it note stuck in the care plan are reminders to carers to  chop food up into small pieces, and please include fruit or soft veg (all ready prepared in the fridge) to make it appealing and nutritious. How hard can it frigging be??

Simon says I have to get real and accept that not everyone (not most people in fact) think like me and that they are paid the minimum wage to do the bare minimum amount in the small time they have got. They get a pasty out of the freezer, job done, that's Nick's lunch. On to the next client. But I did the same job once upon a time and I always went the extra yard. Why can't they? 
Why can't they use some f***ing common sense and at least defrost the bloody thing in the microwave? How hard would it be to look in the fridge and see the potato salad or the cooked broccoli or the microwavable baked beans? 
And while they're at it, how hard would it f***ing be to wipe the kitchen floor? When I arrived, Nick had already been in there for an early slug of wine and spilled quite a lot of it in the process. Are they not supposed to look out for trip and slip hazards??? 
Nick is so vulnerable and they just don't seem to get it. 

And yet they are coming as and when they're supposed to, they are kind enough as far as I can see, and until the council pulls its finger out with the possibility of Direct Payments we don't have much choice in the matter. 
It's just not the way I would wish things to be done, and Nick is too polite or too foggy headed or too pissed to put up any objection.
I feel cranky, upset, and just throughly infuriated.