My mother is in about stage 5 of Alzheimers and we are keeping her in her home. My sister lives with my mom and cares for her fulltime. I help out quite a bit and have her with me when I'm not out of town, etc.. Just got back from vacation to find out my mother had a fall and broke her arm the day after I left. My sister didn't want to tell me until I got back. I know it was an innocent accident on my sister's part. We have since put up a bed rail so my mom can't get out of bed on her own. My sister also sleeps with her every night. We need more help but I struggle with finding someone who is not only a caretaker but also caregiver. Someone who will truly care for her and about her. I struggle with this so much. We had some help a while back but it just wasn't a real good fit although she was a nice person. I could really use some insight on this.
My Dad has caregivers, and for me the most important part is if Dad really likes the person and is happy to see that person every day. Play it by ear. I went through about six caregivers until I found the two that are a good fit. Dad's caregivers are from an Agency, the Agency is licensed, bonded, insured, and has workman's comp. If you hire outside of any Agency, your Mom would need to get a workman's comp rider attached to her home owner's insurance.
As for falling, that is a normal part of growing older. You could have Mary Poppins, Hazel, Dr. Phil, and Martha Stewart all rolled up into one person, and Mom will still find a way to fall, it only takes a split second. Is your Mom getting physical therapy for her broken arm, as that is important not to have the muscles freeze up.
I would question the bed rail, unless it is a small type of rail that one uses to help themselves get out of bed, any bed rail used to keep someone in bed could become dangerous to that person.... elders have been known to get their legs tangled in the rail.
That said you can find someone who will be able to help with the burden and your mom will like and trust - it may take months but again don't expect the person to fulfill all your needs - remember these jobs generally don't pay much more than min. Wage and it's hard work - I have been lucky to have a housekeeper who will help in a pinch and two or three agency caregivers - but even they have other responsibilities and don't show up or cancel at the last minute and the agency can't always re-staff - care at home is very hard to manage