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Calmck, The downstairs area is massive, sitting room / living room at front of house with open plan dining room to the back. So she would still have all the sitting room to herself without him being isolated, you could get 2 beds in the dining room, so plenty of space for carers to work with him around the bed area. Also the kitchen leading off the dining area is also very big, with downstairs toilet. All in all there is no reason for him to be isolated in a bedroom upstairs, plus the fact that she is no spring chicken to be up and down the stairs all day long with whatever his needs are. I believe the doctor is calling in tomorrow along with a female health care worker to put the options forward.