I agree with GracesGran that even if he refuses help Social Services can still step in. If his welfare is at risk and it sounds like it is, then even though he owns his home he can be moved out. If his home is not fit for habitation and his health is an issue, he can be moved to more suitable accommodation. It requires legal action by SS, so it's not a quick process.
There was a distressing case last year of an 87 year old woman evicted from her housing trust property because of her hoarding. It was considered to be a fire hazard and a danger to her, neighbouring property and visitors. It took 3 years of going through the courts to remove her from the property. She was moved temporarily to a Travel Lodge and although the courts decided she could return to the property, sadly she died of septicemia before the property was ready.
The basic principle of your brother's circumstances are the same. Your nieces and nephew needs to get SS involved, but tell them they want nothing more to do with your brother and pass the responsibility to them. If they imply they're around to assist SS, they will end up running ragged through the whole process. Of course, it's up to you as a family how you want to handle the situation, but I would step away as soon as possible. Best of luck.
Shall we reboot our cartoons thread again? 😁
Another week, another Tory MP sex scandal!
To think that London, or anywhere else for that matter, does not belong to any one demographic