got DLA care low rate looked at again no joy

I was awarded High Mobility and low care on 22/08/11 and asked for it to be reconsidered as they had only given it on cooked meal and I need help with washing dressing etc. I have finally got a decision after they lost all my papers and i had to fill it all out again and my carer wrote a report of my daily needs they have agreed that I need help for washing dressing etc. see extract of decision letter below.

This letter is about your request to have your Disability Living Allowance
looked at again .

I have looked at all the information again and decided the original
decision dated 22/08/2011 is still correct.

Mobility

You are still entitled to the Higher Rate of £51.40 a week from and
including 11/05/2011 for an indefinite period as you are unable or virtually unable to walk .

Care

You are still entitled to the Lowest Rate of £19.55 a week from and
including 11/05/2011 for an indefinite period as you need help to prepare a cooked main meal for one person .

Having considered all the information I have decided , although you r
needs vary , the help you need most of the time is a s follows :

Help with getting around outdoors

Physical difficulties walking
You ca n walk :

• less than 50 metre's
• very slowly

You are unable or virtually unable to walk , so you are entitled to the higher rate of mobility .

Help with personal care

Preparing a cooked main meal

Yo u need help to :

• use a cooker
• use kitchen tools

• carry and lift safely

You need help to prepare a cooked main meal for one person .

During the day

Day Attention

You need help to :
• use a bath or shower
• dress and undress
• eat and drink

At you r ow n speed , yo u ca n safely :

• get in and out of bed
• manage you r toilet needs
• get up and down stairs
• get in and out of a chair
• move about indoors
• communicate

Using suitable aids , yo u don't need help from someone several times right through the day .

Day Supervision

You are :

• aware of common dangers
• not at risk of falling

You ca n take reasonable precautions to prevent any dangers .

Using suitable aids , you don't need supervising right through the day to prevent substantial danger to you or others .

Night Attention

At you r ow n speed , you ca n safely :

• manage you r toilet needs

Using suitable aids , you don't need help wit h you r personal care from someone more than once,or for 20 minutes or more, a night .

This means you are entitled to lowest not middle or highest rate care .

I can't consider any of the following :

• domestic tasks

So what do you need for Middle Rate?