The family of Ann Marie Smith have for the first time come face-to-face with the care worker guilty of her manslaughter.

In July, Rosa Maione, 68, pleaded guilty to the manslaughter of Ms Smith, who died in April 2020 from severe septic shock, organ failure, pressure sores and malnutrition. 

Ms Smith, who had cerebral palsy, was found in what police described as "disgusting and degrading" circumstances in her eastern suburbs home. 

The 54-year-old, who was known as Annie, lived alone in her Kensington Park home and relied on a carer for all of her needs. 

Maione was charged in August last year after the case sparked public shock and multiple investigations, including by police. 

She was arraigned in South Australia's Supreme Court this morning ahead of a pre-sentencing hearing in December. 

Outside court, Ms Smith's uncle Glenn Smith said today's court hearing was the first time he had seen Maione in person and he was not holding up well. 

"To be honest, not good, I mean we've seen photos of her but to see her face-on, it's a bit confronting," he said. 

"She's someone's mother, someone's grandmother. 

"To look at her and know what she's done, it's pretty hard.

He said Maione must have known his niece was struggling. 

"A bloody moron would have worked that out, the sight, the smell, it's all obvious," he said. 

"How can you not know?

Maione's home detention bail to continue

During the hearing, prosecutors did not apply to have Maione's home detention bail revoked. 

"We are a bit disappointed that Maione is out on bail but when they've explained why it makes sense," Mr Smith said.

"Basically they're doing a lot of reviews and a lot of checks which if she's in jail, they can't get to her, they need her accessible."

Police have previously said they believe Ms Smith may have spent up to a year confined to a cane chair, which had also become a toilet.

Mr Smith said while the family was relieved when Maione entered her guilty plea, there were still so many unanswered questions. 

"Once the sentencing goes through we will get their point of view and the answers — the best we can get — but until then we just don't know," he said.  

He said the family was still trying to come to grips with what happened. 

"You've just got to keep going, we are doing it for Annie really, so once it's all finished we will be able to go on from there," Mr Smith said. 

Maione's former employer Integrity Care SA was fined more than $12,000 by the NDIS Quality and Safeguards Commission for failing to report her death. 

Last June, Major Crime detectives revealed $35,000 of jewellery and two fridges were missing from Ms Smith's home.

They also revealed her car had been used by an unknown person, her inheritance had disappeared and that two separate loans totalling $70,000 were taken out in Ms Smith's name in the last six years.

Mr Smith said he remembered his niece as a bright and cheerful person. 

"She battled all her life, she struggled all of her life," he said. 

"She never ever bemoaned her situation. She never said 'woe is me' or complained about anything.

"She just took it all, even from a baby, with all the treatment we did for her, all of the exercises and the splints and hospitalisations, never complained."