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[quote=Anonymous][quote=Anonymous][quote=Anonymous]There are people who provide home aide services on their own rather than through an agency. A lot of them stick with one client as long as needed and then move on to the next. They often find clients by word of mouth if they’re good. I don’t know what the going rate is, but probably something above minimum wage but well less than you’re paying now. You might check Craigslist or run an ad there. That’s what one person I know did when they needed babysitters to supplement staff at a skilled nursing facility.

The fall risk business is something you have to evaluate individually. No place can prevent falls unless the person is completely restrained. How to decide whether to call an ambulance is not something that requires enormous training.

You have to be careful, but I’ve seen really great people giving really great private in home care. [/quote]

I get that.  But if you hire independently, what do you do if someone calls out sick?  Or wants a week off? or just fails to show up?  You are screwed and left scrambling.  Whereas an agency will send a replacement.

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You plan for that based on individual circumstances. Some agencies will take clients as backup providers. Maybe family can fill in. There are lots of ways to solve that problem. If you do hire exclusively through an agency, sometimes they fail to show up as well. Things will go wrong no matter what you choose. My grandmother’s 10k/mo assisted living gave her the wrong dose of one of her medications and also failed to check on her at bedtime. She fell and spent the night on the bathroom floor. There is no one perfect way to do things. You make the best plans for your family, plan for backups, and accept that at some point, almost without exception, something will go wrong. [/quote]

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