Excerpt from: Inside Tuscon Business (click for full article)
When a home care worker goes bad, it’s big news. Elder abuse,
raided bank accounts, vanishing heirlooms — these events make splashy
headlines.
But if someone in your family needs help with bathing, cooking,
getting in and out of bed or other activities of daily living to
continue living safely at home, you may need home care services
regardless of the headlines. Your job is to find the best provider.
In Arizona most health facilities — including hospitals, nursing
homes, rehabilitation centers and home health agencies (which provide
skilled nursing and therapy care) — are licensed and monitored by the
state Department of Health Services.
Home care agencies are licensed in 23 states but in
Arizona it’s buyer beware. Here, agencies need only a business license.
The state has no say in how well they serve their clients — until a
client becomes a victim, and by then it’s a police matter.
Replacing scary headlines with solid information can
help assure that a safe, qualified worker is placed in the home. As you
shop for a home care agency, here are some questions to ask:
• How do you screen applicants? Expect a current
fingerprint card from the Department of Public Safety, a background
check including driving and credit histories, verified references, and
current CPR training and TB test.
• Is your staff formally trained? Training needs
vary. A companion-only placement doesn’t require formal training, but
dementia and other conditions may call for certified nursing assistant
or caregiver certification. In Tucson, Pima Community College and the
CareGiver Training Institute offer certification classes at different
levels.
• What experience do your caregivers have? Caregivers
can gain experience by working at formal nursing homes, assisted living
facilities, home care agencies or private placements.
• How are your caregivers supervised? The agency
should provide in-home supervisory visits to make sure medical protocols
are being followed, the client-caregiver relationship is appropriate,
agreed-upon tasks are being done and the client is satisfied.
• What insurance does your company have? Look for
worker’s compensation (in case the caregiver is injured on duty),
liability insurance (in case the client is injured), and bonding or
third-party theft insurance.
• What if a caregiver misses a shift? The agency
should have a staff member on call at all times in case a caregiver
doesn’t show up for work, a problem arises during the shift or the
client’s health changes suddenly.
• Do you require a contract? If so, run. You should be able to cancel a service with 24 hours notice.
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