Home Care Selection Checklist

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The following list of questions should encompass most care questions that need to be asked when seeking home care. It is care when appropriate. Business/Services Provided How long has your agency been in business? What is the background/experience of the owner? How do I know I can trust your employees? Do your employees smoke? Is caregiver reliability guaranteed in writing? Does the agency have an automated telephone time card system to alert supervisors if a caregiver arrives late or leaves early? Is a personalized plan of care developed with me during the assessment? Is the care plan reviewed and updated with regularity? Does the agency coordinate care with other healthcare services? Do you provide temporary as well as long term assistance? Does the agency have the capacity to accommodate a full range of home care needs from light duty companion care to heavy care, including end of life care? What kind of care is provided? Nursing care Personal care Chore Companionship 410A Queen Street, Suite 374 Southington, CT 06489 www.alwaystherehomecare-ct.com info@alwaystherehomecare-ct.com

What happens if I need different tasks done each week? How many hours is a minimum shift? How many hours is a maximum shift? Can a shift be split (e.g., four hours in the morning and four in the evening)? How soon could your care start? Is assistance on a weekend available? Are there any restrictions against accompanying the client outside the home or driving a car? Or contractors (e.g., private individuals on a referral registry)? nce)? Is your agency bonded (insured against theft)? Are the workers who come into the home bonded? Do you have proof of liability coverage? If I need a ride to a doctor appointment or shopping, is there insurance coverage for that? How are caregivers assigned? Is/are the caregiver(s) available for emergencies and/or on short notice? Are they available on holidays? Will I be able to indicate preferences for the type of caregiver I would like? (For example, male/female, non-smoking, etc.) Page 2

Caregiver Qualifications (Training, Licensing, Background Checks) have? Do you require that your employees renew their state licenses (if appropriate), keeping them current? Do you screen your workers? If so, what type of background checking is done? assessment? Do caregivers receive a thorough orientation by a supervisor on safety issues, agency procedures, and care goals and standards before placement? Do caregivers write daily care notes with a copy left for the client and eligible family members? Are care notes reviewed regularly? Are workers trained, and is training ongoing? If so, does the training include: Safe bending and lifting practices? Infection control? Managing incontinence? Catheter care? Communicating with someone who is confused or forgetful? y loss)? Bathing someone in the tub/shower or in bed? Preserving client dignity? Is/are the caregiver(s) experienced in any special services? Page 3

Service Quality Are workers supervised? If so, by whom? Is there a written care plan specifying the home care worker s routine duties? If so, can the family have a copy? How often is the plan updated? Do the elder (and involved family members) have input into the client service plan? Do you arrange regular conversations with the family about the client s case? Will a supervisor visit or call the client s home? To whom can the client or family ask questions or make complaints? How does the agency follow up on/resolve problems or complaints? Can a known agency worker be requested by name? Can a different worker be requested, if there was a problem wit How fast can your agency respond to an emergency need? Are workers available 24 hours, 7 days a week? Can a replacement worker be called if the worker does not come or cannot complete a shift? If so, how long does it usually take to get a replacement? Page 4

Financing/Payment Do you accept private health care or long term care insurance? Does the agency pay the worker s Social Security and taxes? If not, do I need to pay this? When is payment due? (e.g. at the end of each visit? Weekly? Monthly?) Does payment go to the agency? Or the home care worker directly? Are there any additional costs for travel time or extra services (e.g. doing laundry or errands)? Are all costs and fees listed on a written statement? Do you charge for the initial assessment? What is the hourly or daily charge for one person? For a couple? What is the mileage charge for trips to the doctor or shopping? Are bills itemized? Do you assist with billing my insurance company for home care? Page 5