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How to choose

Questions to ask before you hire anyone.

We are an agency writing a guide about choosing an agency, so read it with that in mind. Every question below is one we are happy to be asked ourselves.

ScreeningConsistencyBackup coverRed flags

What should I ask a home care agency before hiring them?

Ask how caregivers are background screened and whether it is fingerprint-based; whether you get the same caregiver consistently; what happens when your caregiver is sick; whether they can genuinely staff the hours you need including nights and weekends; who you call at 6pm on a Sunday; how they handle money and errands; and what they will not do. An agency that answers all of those specifically and volunteers its limits is telling you more than one that says yes to everything.

The questions that actually separate agencies

Ask all of them. The answers vary far more than you would expect:

  • How are caregivers screened? Fingerprint-based state and federal checks are a meaningfully higher bar than a name-based database search
  • Will we get the same caregiver? Consistency matters enormously, especially with memory loss. Ask what the realistic answer is, not the ideal one
  • What happens when our caregiver is sick? This is the question that exposes whether an agency has depth or is one person deep
  • Can you genuinely staff nights and weekends? Many agencies say yes and then cannot fill the shift. Ask how many overnight shifts they currently run
  • Who answers the phone on a Sunday evening? A local team or a national call centre reading a script
  • How is money handled for errands? There should be a written arrangement and receipts, not an informal habit
  • What will you not do? An agency that cannot name its limits has not thought about them
  • Can we meet the caregiver first? Not always possible, but the willingness tells you something

Answers that should worry you

Yes to everything

An agency that agrees to every hour, every task and every distance without hesitating either has not understood the request or will not deliver it.

Vague on screening

"All our caregivers are thoroughly vetted" is not an answer. Ask what kind of check, run by whom, and when.

A price with no questions

A firm quote before anyone has understood the situation means the number will change, or the service will not fit.

Pressure to decide today

Nobody arranging care for a parent should be closed like a car sale. Urgency is the family's, not the agency's.

The thing that is hardest to check, and matters most

Whether they will tell you the truth when it costs them the sale. You cannot verify that from a website, but you can test it: describe your situation and see whether the agency ever says “that part is not us”.

An agency that never draws a boundary is either not listening or does not have any. Both cost you later, usually at the worst possible moment.

Common questions

Is a bigger agency safer than a small one?

Not automatically. Size gives you backup cover when a caregiver is sick; a smaller local agency usually gives you more consistency and someone who actually knows your case. Ask both about the other one's advantage — how they handle sick cover, and how they keep the same caregiver on your case.

Should I use an agency or hire privately?

Hiring privately can be cheaper, but you become the employer — screening, taxes, insurance, and finding cover when that person cannot come. An agency handles those. It is a real trade-off and worth thinking about honestly.

How do I check an agency's reputation?

Reviews help but read the replies as much as the reviews. Ask for a family you can speak to. Ask a hospital discharge planner or a hospice social worker who they see doing good work locally — they know.

What if we start and it is not working?

Say so in the first week rather than the fourth. Most problems are a caregiver-personality mismatch and are easy to fix early. An agency that reacts badly to that feedback has told you something useful.

Personal Touch Home Care provides non-medical in-home care. Our caregivers assist with daily living, safety and companionship. They do not provide nursing, wound care, injections, physical therapy or any service requiring a licensed clinician. If that is what is needed, it is a home health agency, and we will tell you so.

Related reading

Talk to someone about your situation.

Call and describe what is happening at home. We will tell you what we can do, what we cannot, and what it would take.

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