Hiring and vetting in-home help
Bringing someone into your home is a big decision, and it's natural to want to move thoughtfully. You don't need to rush—take the time that feels right for your family.
Define the role
- List the specific tasks needed: personal care, medication reminders, cooking, cleaning, transportation, companionship, or other support.
- Note the schedule—hours per week, days needed, flexibility required, and whether overnight care is necessary.
- Identify any special skills or experience (dementia care, mobility assistance, language preference, etc.).
Find candidates
- Ask trusted family, friends, or healthcare providers for recommendations. Personal referrals often provide valuable insight.
- Contact a reputable home-care agency if you prefer a vetted, insured provider.
- Use caregiver-matching platforms or local senior services (e.g., Area Agency on Aging; call 1-800-677-1116 for local resources).
Screen and interview
- Request references from previous employers or families and actually call them to ask about reliability and care quality.
- Ask about their experience with your loved one's specific needs (mobility, dementia, medications, etc.).
- Discuss availability, rates, flexibility, and whether they have reliable transportation.
- Meet in person whenever possible so you and your loved one can assess comfort and communication.
Check background and credentials
- Request a background check (criminal history and abuse/neglect registry); reputable agencies do this as standard.
- Ask for proof of certifications (CPR, first aid, CNA if relevant) and verify they're current.
- Confirm they have liability insurance and clarify whether you or an agency carries it. Legal and financial arrangements vary; discuss with an elder-law attorney if needed.
Trial and ongoing care
- Plan a trial period—a few shifts or a week—before committing long-term, so you and your loved one can evaluate the fit.
- Check in regularly with your loved one about how they feel and whether the caregiver meets expectations.
- Document care tasks, schedules, and emergency contacts in writing so everyone is clear on expectations.