What to Know Before Hiring In-Home Help for an Older Loved One

Hiring someone to care for an aging parent or loved one in their home is a big decision — and it can feel overwhelming. How do you know who’s the right fit? Will they understand your loved one’s needs? Most importantly, will your loved one feel safe and well cared for?

Whether you’re hiring privately or through an agency, here are some key steps to guide the process.


Step 1: Start with a Job Description

Before you begin your search, take some time to think about what kind of help is really needed. This “needs list” will help you clearly communicate expectations and find the best match. Ask yourself:

  • What will the caregiver need to do on a daily basis?

  • Will they help with meals or light housekeeping?

  • Does your loved one need help with grooming, dressing, bathing, or using the restroom?

  • Will they need to operate any medical equipment?

  • Is any special training or certification required?

The more specific you can be, the better your chances of finding someone well-suited to your family’s situation.


Step 2: Ask the Right Questions When Choosing an Agency

Home care agencies can vary widely in their services, policies, and caregiver qualifications. Be sure to ask these important questions:

Agency Experience & Reputation

  • How long has this particular office been providing care?

  • Is it part of a national franchise, and how long has this location been in business?

  • Can they provide references or client satisfaction reports?

Caregiver Training & Oversight

  • Does the agency have experience with your loved one’s specific condition?

  • What level of training or licensing do their caregivers have?

  • Do caregivers receive ongoing education?

  • Does the agency conduct regular background checks and drug screenings?

  • Are caregivers bonded and insured?

Services & Care Planning

  • Does the agency provide a written plan of care? How often is it reviewed or updated?

  • What’s the minimum number of hours required per visit?

  • What is the cost, and how is billing handled?

  • What types of payment or insurance are accepted?

  • Are there medically trained staff available if needed?

Staffing & Communication

  • What happens if the regular caregiver is unavailable?

  • Can you request a different caregiver if needed?

  • How often will the agency communicate with you about care?

  • Is there an after-hours contact for urgent concerns?

Asking these questions upfront can help avoid misunderstandings and ensure you feel confident in your choice.


Need More Guidance?

Visit our In-home Care page to learn more about your options, including government-funded programs that help cover the cost of care.

You can also download our Connect Resource Guide, which includes helpful articles and a directory of local services for caregivers in metro Detroit and Southeast Michigan, including Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties.


Have Questions Now?

Call the AgeWays Information & Assistance Line at (800) 852-7795 — we’re here to help you navigate care options with compassion and clarity.