In-home Caregivers in Escondido – Supervision is important!

Supervision In Home Caregiver In EscondidoIn-home Caregivers in Escondido Should Be Supervised

Even after an agency screens and trains someone to be an excellent in-home caregiver in Escondido or another San Diego County town, it should continue its involvement by supervising each worker under its jurisdiction. As you will see in this article, this is a gaping hole in the service of many care companies, and it puts seniors at risk.

A Common Problem

The root cause of a lack of supervision is usually the basic system under which a home care agency operates. Most companies work on a contractor basis, managing the connections between clients and caregivers, but not actually employing the caregivers. Thus, once the connection has been made and a caregiver begins working, the agency doesn’t really follow up to see whether the service lives up to expectations.

Even when the agency works on an employer basis, instead of a contractor basis, many still do not provide meaningful supervision.  That can eventually lead to a full range of problems including crossing of personal/professional boundaries, failure to follow professional caregiving standards, failure to show up or stay for the full scheduled time, and more.

The Better Choice

When the company actually hires and supervises caregivers, there is far more accountability on the part of both the agency and the workers. The client has a way to voice concerns about service, by contacting the worker’s supervisor. The agency, on the other hand, is responsible for the actions of the worker and gives more attention to them. This structure is the one we are used to seeing in other areas of work, and abandoning it in the case of an in-home caregiver is a mistake.

Supervision Policies

There are a few policies that help keep workers, agencies, and clients all on the same page. One of those is unannounced visits to the client’s home while a caregiver is working. Supervisors and family members of the client should both do this—it’s the best way to see just what is going on in the home when the caregiver is alone with the client. The supervisors of an in-home caregivers should also be available any time a client or family member has a concern. Accessibility and communication reflect honesty and a concern for the client’s well-being above all else.


Originally posted 2012-07-27 10:30:50.

Tim Colling
Tim Colling

Tim Colling is the founder and President of A Servant's Heart In-Home Care, which provided in-home caregiving services in San Diego County, and also of A Servant's Heart Geriatric Care Management, which provided
professional geriatric care management services and long term care placement services in San Diego County. Tim has more than 30 years of experience in management in a variety of industries. He held a Certified Care Manager credential from the National Academy of Certified Care Managers. Tim is also a Certified Public Accountant (retired), and received his Bachelor’s Degree in Accounting from California State University at San Diego. In addition to writing blog posts here for the Servant’s Heart blog, Tim also is a regular contributor to and to as well as blogs of other eldercare services provider companies. Finally, Tim is also the president of A Servant's Heart Web Design and Marketing, which provides home care marketing as well as website design and online marketing for those who serve the elderly and their families.

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