Finding In-Home Care for an Senior or Adult With Disabilities in the DMV Area
Map out what in-home care is needed and when
A good place to start is by considering what care is needed or desired and for how long each week. Prepare a list of required duties and when they should be performed. For example, 'mom needs help with showering and dressing between 8.00 am and 10.00 am three mornings a week' or 'prepare a hot meal at 6.00 pm with a reminder to take medications before eating'.
Consider whether overnight care is necessary because of toileting or other care needs at night or because the care recipient is prone to wandering and needs overnight supervision. With increasing disability and chronic illness, many people require 24-hours a day home care to fully meet their needs or continuous monitoring to keep them safe.
Armed with a list of care needs and schedule, next consider which type of home care provider you are most comfortable using. When it comes to in-home care, there are three main routes to finding caregivers:
• Home care agency
• Private hire an independent provider
• Personal referrals
Washington DC, Northern Virginia and Maryland In‑Home Care from OndeCare
Home Care Agencies
Home care agencies retain a staff of caregivers that are licensed and supervised by a registered nurse. This means the agency will do the work to screen caregivers, perform background checks, and deal with pay, taxes, and insurance for their clients which is a great bonus. They also provide support from agency staff in case of dispute or complaint and can provide backup care from their pool of employees if the regular caregiver is unable to attend.
However, home care agencies have the disadvantage of being more expensive and less flexible:
• To cover office costs and employee overheads, agencies must charge more - often a lot more - than a privately hired caregiver.
• You may have less choice over the caregiver sent by the agency, and limited opportunity to negotiate over schedule and hours.
• Most agencies also have a minimum number of hours per week or don't accommodate part-time schedules.
Private hire an independent provider
Independent home care providers can be sourced from home care registries, staffing services, and online caregiver listings. Finding and hiring an independent provider can be a lot more work for the care recipient and/or their family but allows for much more control and flexibility. OndeCare, the premium in-home care marketplace, eliminates the work typically associated with Private Hire but maintains the control and flexibility. You can select a 'best fit' caregiver according to specific criteria such as experience, spoken languages, and even interests. Direct person-to-person negotiation over scheduling and services can result in a care experience more tailored to an individual's needs. There is also more opportunity to build a longer-term relationship with a privately hired caregiver, which in turn contributes to consistency and quality of care.
Disadvantages include the work involved in selecting and screening potential caregivers as well as dealing with pay, taxes, and insurance. It also remains the client's responsibility to find a replacement if the usual caregiver calls in sick. Luckily, OndeCare eliminates the work, the tax burden and if for some reason an OndeCare care provider cannot attend, a replacement caregiver is automatically found.
Finding a caregiver through a personal referral from a friend or through reaching out to a personal community can feel more reassuring than using a care registry or online caregiver listing but is similar in practice. You still have to do all the leg work to safely hire and manage them. Remember also that the personal referral route is unlikely to help with replacement care in an emergency.
4.9 out of 5 stars.
Maria was absolutely amazing! She instantly bonded with my father and immediately took care of his needs. She engaged him in conversation and made him feel alive and whole. She went above and beyond to care for him. She surpassed my expectations at such short notice. She's God sent and I highly recommend her to care for your loved one.
Leigh is very friendly and conscientious. Our mom enjoys Leigh's company and we appreciate that our mom is getting excellent care.
Ms. T gives great care to my boys. I am so happy that we chose each other
Patricia is very kind and professional. My husband was comfortable with her and so was I. She is experienced and took care of my husband with planning and critical thinking. We will definitely be happy to have her return to us to provide care. Thank you.
Great work! Betty is super thorough and goes above and beyond to do her best. I'll be working with Betty again!
Stefana was awesome. She listened to my instructions I left to a T. She played games with my kids. Took my daughter to and from a play date. When I came in they were watching a nature show and talking about animals.
Very patient and nice. Works well with my son. Will book again in the future if available.
Aukia did a fantastic job! You can tell she has a strong education background because she took time out of the day to do some lessons with my kids, including learning the days of the week! Would absolutely book again.
I’m so glad Zachary had a fun day with Latonya. She was great and it really made my life easier to know he was in great hands this week.
Artrez is wonderful! Punctual, friendly, and my kids loved him. He went above and beyond (cleaning and creating entertaining activities for the kids). Highly recommend!
Toni was a great help, very patient with my Mom. Positive vibe overall. Thank you for the great work.
Really appreciated her willingness to adapt to our last minute changes. Took well to the kids and assisted with care
Anwar was amazing!
Kelsey was super communicative, on time, and asked great questions to make sure she provided good care for our daughter. She definitely had a lot of experience with infants and really kept her cool when the baby was losing it.
Cori is great! She arrived on time, with short notice. She was very kind and patient with my child as well as my nervous pup. Super friendly, professional and helpful. Highly recommended!!
Patricia is kind , caring , fun and responsible with our special needs son . He looks forward to seeing her. So happy to have met :)
OndeCare served its exact purpose for me yesterday. I woke up sick at 5.30 AM, booked Adailia at 7 AM, and she was here at 9 AM to save me (and take care of my twin infants).
Shertarra was great! She is very conscientious and made herself available at very short notice, even on Christmas Day!
Patricia is great! Very knowledgeable, kind/caring, capable, and easy to get along with - it would be hard to find anyone better.
Christina has been an absolute Godsend for us. She is doing a phenomenal job and we're actually going to see if she can help us out even more. We are more than pleased with her help!
Jessica is always the best ,reliable great care and excellent company.
Andrea was booked last minute & we really lucked out! She was warm, attentive and really made my parents feel comfortable immediately.
Jennifer has cared for my Mom and daughter. She is fantastic all around! She has a wonderful attitude and goes above and beyond with everything. I trust her completely to care for our family and I can't recommend her enough.
Overall I had a great experience and I am very pleased with Jaynine and I look forward to a nice working relationship. I have seen a lot of caregivers when I was in a rehab facility for three months and I am now able to judge their character, Jaynine made a great impression on me.
Cherita did a wonderful job taking care of my Mom. She was prompt, professional and quickly learned the morning routine. She related well to my Mom and we look forward to having her come back.
Nicole was wonderful! She was on time and understood the need for PPE. She was willing to enthusiastically do anything I asked her to do, and her medical knowledge was invaluable. Great job Nicole!!
Chereve was fantastic with our son! She showed up early, was fantastic with my four year old when he wasn’t feeling well. My son said he loved her!
Heaven did a phenomenal job keeping my multiple kids well taken care of the entire evening. She played with them, made dinner, and cleaned up leaving everyone and everything better than when I left!
Amber was great. She arrived early and immediately engaged with our girls (19 months & 5 years) and managed bath and bedtime routine. She even took the time to clean our counters and then some. I’d definitely rehire and recommend.
Alice is becoming a fan-favorite here at Fellowship City Church! She is incredibly professional, but also very warm and welcoming. She's great with the kids, and always works well with whatever other childcare worker she is paired with. We can't wait to use her more and more in the future!
Rae was excellent. My son was happy & had fun. She went above and beyond to help me in tasks that are challenging bc of my health when she didn’t have to do that. Very thankful to have had her help. Highly recommend!
Marc is very upbeat and seems to be bonding well with my son. We are lucky to have him to help take care of my son
Shanelle cared for my boys over the summer and consistently went above and beyond what was expected of her! Both boys are very fond of her, and I was able to work and know they were safe and well cared for - an experience we couldn't get from daycare centers. I will absolutely be looking forward to working with her more in the future!
Manny is a great companion for our son. He is very cognizant that primary caregivers get the relief they need while his client gets the attention, independence and community interaction he needs. And just a really great guy!
Tracee has been great with our grandson. She is kind, patient, and very calming for his energy. She is reliable and very good with him. He likes spending time with her
Lee has done everything that I have asked of her and now I can breathe when my son, who has special needs, and requires constant monitoring for his medical condition is in her care. I can trust lee with his life.
Our four girls loved Aukia. She was fantastic and helped us out for portions of 8 days over a 2-week period. Very calm and comforting demeanor and engaging with the kids. Was always early. We would highly recommend Aukia and look forward to seeing her again.