Six Steps for Selecting an In-Home Agency

Here are six steps to selecting an In-Home Care Agency so your loved one will be protected and safe.

  1. Check screening process on caregivers.  They should be screened through the Family Registry and a nationwide background check done.
  2. What kind of training do aides receive?
  3. How are aides monitored?  How do they know when they arrive on time or leave at the appropriate time?
  4. How do they handle it when an aide doesn’t show up?  What is the backup plan?
  5. How do they handle it when an aide doesn’t work out?
  6. How many caregivers are scheduled to work in a week’s time?  In general, the fewer caregivers revolving through a senior’s home, the better.


Other items of concern is how aides are oriented when a new one comes into the home.  What notes are being taken about what is happening through the day?  What services do they provide while they are there?  Do they provide transportation?

Different Levels of Aides

Here is what in-home services agencies offer typically:
  • Companion services.  These are minimally trained workers who will prepare meals, do light housekeeping and act as companions to a senior who should not live alone anymore.
  •  In-home aides can be CNAs or Medical Technicians.  They can take blood pressure, check sugar levels and monitor medications.
  • Live-in companions stay in the home and although available 24/7, they do sleep at night.
  • Private Duty Nurses can fill, refill and administer medications.
  • Bath aides may come in just to bathe the patient.
  • Occupational Therapists & Physical Therapists are available through some in-home agencies to assist older adults who need rehabilitation.
  • Transportation services for a fee.
  • Some agencies are offering theservices of dentistry & foot care provided in the home.