Families almost never call after a single crisis. They call after a run of small things: the unopened post, the same jumper three days running, a fridge with one item in it. Individually none of them mean much. Together they are the clearest signal there is.
On your next visit, look at the fridge, the medication box, the stairs, the laundry and the mail. Those five places tell you more than an hour of conversation will, because they show what is being managed and what has been abandoned.
If two or more of them look wrong, it is worth a conversation. Not a decision — a conversation. Most families are further from needing full-time care than they fear, and closer to needing a few hours a week than they realise.

