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10 Questions to Ask Before Hiring a Caregiver or Home Care Agency

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Using an agency to hire paid caregivers may give older adults and their families a false sense of security regarding the background and skill set of the caregiver, according to a recent study. Just because it's an agency employee doesn't necessarily mean the caregiver is trained to care for an elderly person.

Researchers posed as consumers seeking a caregiver for an older adult relative. The study, published in the Journal of the American Geriatrics Society, surveyed 180 agencies around the country about their hiring methods, screening measures, training practices, skill competencies assessments and supervision. They found:

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  • Only 55 percent of the agencies did a federal background check.
  • Only one-third of agencies said they did drug testing.
  • Only one-third test for caregiver skill competency.
  • Supervision ranged from none to weekly and included home visits, telephone calls, and caregivers visiting the office.

Based on these results, people looking for home caregivers are taking shots in the dark as to whether they will get a trained professional who provides quality care or one with no little-to no experience and training.

By being an educated consumer, you can find a qualified, reputable agency that employs caregivers who will care for your parent with compassion and skill. Here are 10 questions to ask before you hire a caregiver:

  1. Number one on the list is to go through a well-known agency. This doesn't necessarily mean a large franchise, but get references.
  2. What recruiting methods do they use? How are they finding job candidates? Newspaper ads? Staff agencies? Craig's List?
  3. What are their hiring requirements for prospective employees?
  4. What screenings are performed on caregivers before they are hired? Criminal background check -- federal or state? Drug screening?
  5. How does the agency assess what the caregiver is capable of doing?
  6. Does the agency train caregivers? What does that training entail? Are they knowledgeable about elderly health conditions and certified in CPR?
  7. Are the caregivers insured and bonded through the agency?
  8. Is the agency diligent about sending the same caregiver to the home, rather than a revolving door of strangers who parents don't know or trust?
  9. If you are not satisfied with a particular caregiver, will the agency provide a different person?
  10. Does the agency provide a supervisor to evaluate the quality of home care on a regular basis? How frequently?

Like so many things caregivers are responsible for, hiring in-home care requires due diligence, to make sure their loved one is safely cared for.

 
 

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Gemma2

Give a Hug

Aug 4, 2012

Caregivers provided invaluable services for my husband who was living at home with Alzheimer's. The best caregivers came in on time and left on time. I had a list of tasks that I needed done to help me cope with his care at home. Most caregivers do not get enough credit for their hard work. They do not receive much pay either so it is important to treat them right when doing caregiving, I feel.

 
 

tcolling

Give a Hug

Aug 4, 2012

There's really no "Federal" background check available for non-medical in-home care agencies to use, at least not in the sense of it being a check provided by some Federal government agency like the FBI. In California, at least, the type of government-provided background check available is only a state-level check through records available from the California DOJ. The California DOJ is certainly able to run FBI checks, but by law in California that option is only available to residential care facilities, not in-home care companies. It's just another example of how we in California live in a giant social experiment every day that is mandated by a quaint left-wing organization called the California legislature.

So, what can in-home care agencies in California do in order to obtain criminal background information from convictions arising in other states. We have to use commercial third-party sources which attempt to do searches based on searches of individual states' or counties' court records. Frankly, it's not very reliable in some cases.

One other thing about California: here in California, it's not very hard to get many convictions, even for so called "lesser" felonies, expunged from your record after not having any other arrests for a number years. If you know what you're doing, you can still learn about a person's "expunged" convictions. The labor code in California specifically forbids employers from using expunged convictions as a basis for not hiring them, regardless of the type of job that they're applying for.

The criminals have more rights than the public, in this state. (sigh)

 
 

NMcAdam

Give a Hug

Aug 21, 2012

These 10 questions are very important to ask a potential agency. When my parents were still living at home, we were fortunate enough to use the Veterans Administration. We had a very good situation with them. I don't know if this was because of the VA system or the wonderful social worker we had access to. #9 on the list is very important. If it doesn't work out, as one of their health care workers, how easy is it to get a replacement? Thanks for the information.

 
  •  Comments 1 to 3 of 3 

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