Many studies have shown that most seniors prefer to remain at home
with help and have their needs and services safely met there, rather
than move to institutional living, which may be unnecessary as well
as costing more than in-home care.
There are two broad choices for adult home care: hire someone yourself,
or arrange for a professional, nursing-based home care services to send
a caregiver. If you’ve been shopping around, you know that privately
hired caregivers will charge around $8 to $12 per hour, and that professional
care costs around $14 to $18 per hour.
First, and most important: a professional service
provider will schedule a trained direct caregiver who has been carefully
screened prior to employment.
Second, the paraprofessional direct caregiver will
have backup support from a nurse available by phone 24 hours a day.
Supervision and support for the employee gives you, your elderly family
member or relative, and the employee more confidence that untoward
events will be handled rapidly and correctly.
Third, the service provider is the employer and
manages all of the payroll, employee tax deductions, contributions,
worker’s compensation, benefit provision, and other employer-employee
concerns – matters which you, if hiring privately, are required
to provide. By arranging for care with a professional service, these
unavoidable details are invisibly managed.
Fourth, if your doctor orders home care for your
parent or grandparent, the cost is tax-deductible—but only if
all of the required em-ployee/employer tax matters are properly handled.
Fifth, professional home care services will provide
you with peace of mind, and the knowledge that your senior loved one
is receiving the care you’ve chosen and expect.
This is what to expect from a professional
home care senior service:
• Screening. This may include a skill test;
a written test; verification of the applicant’s work history;
a formal background check, including citizenship or work visa; confirmation
of basic CPR certification; a TB test; and confirmation of the State
Board of Nursing credentials.
• Training. This will include thorough ori-entation
training at the start of employment, often formal classroom and practical
training, and on-going, regular continuing education.
• Payroll management. This includes So-cial
Security deductions, FICA, and other state and federal required paperwork
and financial transactions, handled in a timely fashion. This time
consuming chore is the agency’s problem, not yours.
• Insurance. Professional home care senior
services carry liability insurance to protect you and your property,
and worker’s compensation to protect the direct caregiver.
• Assurances that care will be provided. Professional
home care services strive for “continuity of care,” which
means that the same caregiver(s) will be caring for your parent, grandparent,
or relative. But in the event that the regular caregiver cannot arrive,
another qualified and trained caregiver will be sent.
• Nursing support. Nursing-based home care
senior services have nurses on staff that will visit the elderly family
member or relative before service is started to make sure they receive
the correct level of care--both the skill level of the caregiver and
the number of hours required per visit. The nurse will also assess
the family member’s physical functioning, psychological state
and re-evaluate regularly in supervisory visits to his or her home.
These nurses are always on call if needed.
• Professional reports. Your physician, and
in some cases your long-term care insurance provider, may require
professional, written evaluations of your family member or relative’s
condition. Your supervisory nurse can provide these.
• Employee relations. Often, a solid bond develops
between a caregiver and a senior client. But if the relationship is
not working out for any reason, a professional home care service will
be glad to send another caregiver.
• Additional compensation for your caregiver.
Most home care senior services offer benefits such as health insurance
and paid vacation. These are not additional expenses for you. You
only pay for the care your family member or relative receives.
• Your caregiver’s professional attitude.
Many home care senior services offer caregivers the opportunity for
promotion within the company, as well as possibilities for further
training. Di-rect care has become an integral part of the continuum
of health-care employment.
None of the above is easily available if someone merely answers your
classified ad. And if you wish to take on all of the responsibilities
listed above, could you afford the time and money to do so? The bottom
line is, as always: you get what you pay for.