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I have reservations on finding help for mom. has anyone had trouble trusting a stranger enter the home? Wonder what some peoples' experiences are.

Unless you have Mother Theresa as your caregiver there is always the potential that anyone is going to be dishonest.
Background checks are only as good as what is reported...and convictions.

The 2 BEST caregivers I hired I got through my local Community College. They had just completed the CNA certification and were waiting for the Nursing program to begin.
I knew background checks had been done since the requirement for the CNA cert is they have to do Clinical Work in a Facility in order to complete the course.
They did pass another check.

At some point you have to give up some part of your personal privacy.

Cameras are great.
They can be placed anywhere except in areas where privacy would be expected. Bathroom, bedroom (of the caregiver if this is needed)
video is ok but check with your State's regulations about Audio, some States require 2 party consent.

If you hire privately I suggest that you hire at least 2 people so that if one is sick you have a back up. And Burnout does happen so having 2 people eases that a bit. The 2 I hired worked out what days each wanted that fit with their schedule.
Also think about all the paperwork to hiring privately VS an Agency. They handle all that.
On the Plus side, if you hire privately you can instruct the caregiver to give medication, most agencies will not allow a caregiver to administer meds if the person can not take them themselves. (you would have to place medication in a container the caregiver could hand to your mom but she would have to pick it up and take it.) If medications are needed an agency would have to provide someone that is more trained to give meds.


Oh..not that this needs to be said but Lock up any and all personal information.
Get a safe and use it.
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Reply to Grandma1954
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The question is 'how' to fine reliable, truth worthy caregivers.
How to interview and what to do:
1. Consider cameras
2. Create a list of interview questions - so you ask every person the same questions.
3. Ask for verifiable references, both work and personal.
4a. Ask to see DI (write # or take a photo).
4b. Ask for copy of their car insurance
5. Ask them to get a criminal check (their expense) - I had to do this three times (IHSS, massage certification, memory care unit)
6. Go through an agency as they screen (although you also need to do)
7. Ask what their experience is.
8. "Test" them leaving a $5 or $10 bill out and see if it is missing after they leave. (Consider loved one could have taken it.)
9. Ask questions that could show their personal integrity.
10. Create a 'to do' list and give them a copy; go over it with them in a week and/or for first few weeks to ensure they understand what they are supposed to do.
11. Ask for personal referrals (ask people at church and organizations you are affiliated with. .
12. Lock up valuables. (This should be listed first)

Many of these points will not ascertain the level of trust / honesty although it is a good start. You need to also use your intuition. Cameras certainly might be a good investment. It also allows you to watch your loved one.

Gena / Touch Matters
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Reply to TouchMatters
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Lock up all valuables was a high recommendation who was rich and was a quad from a C 2 fracture when she was a teen. She lived with only caregivers for 40 plus years
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Reply to MACinCT
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We had the usual concerns about what was essentially a stranger entering my dad’s home, and he only reluctantly agreed to get out of moving to assisted living. I interviewed three ladies before finding a great one. She was a CNA who’d been corrected at times in nursing home work for not moving through patients fast enough. She proved a godsend and quickly alleviated dad’s concerns. We still made sure in advance that valuables and cash were removed from the house, and checked in often. I watched, and then took over, the finances to make sure there weren’t any issues. Take common sense precautions and stay involved, but yes, there are great helpers out there. I wish you well in finding help
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Reply to Daughterof1930
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My friends decided to age in place and their amazing insurance provided 24/7 in home care. They adored their caregivers. It worked out really well for them and did not harm them financially. I'm pretty sure they went through a service.
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Reply to JustAnon
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TouchMatters 18 hours ago
They pay for home care through insurance.
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Having a Caregiver in the home was a good experience. We used people word-of-mouth from the neighborhood that were the best. My mom needed 24/7 care. There were some that were not so good but for the most part, they were excellent. I bought Waze cameras from Amazon and put them in a couple of rooms and checked what was going on throughout the day. The caregivers knew the cameras were in the house.
We did not leave anything of value in the house. The best to you!
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Reply to Kaysmile10
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I would start with an agency because:

- they vet the aids (background checks)
- they do all the employer paperwork (which you will need to do if you privately hire someone: withhold/quarterly reporting, W2, benefits, liability insurance)
- provide subs often on the same day
- can screen for requested level of skills (fall risk, dispensing meds, etc)
- has ultimate responsibility if something goes wrong with the aid (theft, inappropriate behavior, etc)
- will work with the client to provide an aid with the right "chemistry"

Yes, agency aids are very expensive but there are costs and headaches to privately hiring as well.
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Reply to Geaton777
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TouchMatters 18 hours ago
(If) Hiring an independent contractor - they pay all their own taxes. So, it is not an employee / employer relationship. I did this for over 15 years.
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