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Right at Home Santa Clara In-Home Services Presentation


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Presentation on in-home senior care services provided by Right at Home Santa Clara County. Description of needs, what to look for and how in-home senior care works.

Published in: Health & Medicine
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Right at Home Santa Clara In-Home Services Presentation

  1. 1. Presented by: Gene LennonRight at Home Santa Clara Owner 1
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  4. 4.  TWO TYPES OF HOME CARE: In-Home Care Homecare aids provide companionship and or personal assistance with the activities of daily living (ADL’s), such as eating, dressing and bathing. They may also help with light household chores and transportation when needed. Home Health Care Must be prescribed by your Doctor and it includes skilled nursing care. The Doctor’s prescription for home health care only will be issued if the Doctor feels it is necessary for nurses or health aides to come to your home and provide you with skilled care. Additionally, home health care nurses can administer medication, but in-home care aides can only provide medication reminders to take your medicine 4
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  6. 6.  CAREGIVERS OR CARE PROVIDERS Anyone who provides assistance to anyone who is physically or cognitively impaired. Assistance can vary by circumstances and includes anything from helping with bathing and personal hygiene tasks to running errands or grocery shopping. They work with the client to teach them how to care for themselves, so that they can be as independent as possible. IN-HOME CARE IS DESIGNED TO MAINTAIN OR GIVE INDEPENDENCE TO THE CLIENT. 6
  7. 7.  TYPES OF CATEGORIES OF CAREGIVERS:1. Family member2. Friend or neighbor3. Independent or referral agency4. Full service agency (Professionals) 7
  8. 8. 1. FAMILY MEMBERS CONCERNS:  ADVANTAGES:1. Lost income 1. Emotional attachment a. Estimated to be 2. Price $550,000 3. Known Care Provider2. Health of caregiver3. Neglect of own family4. Stress of both 8
  9. 9. 2. FRIEND OR NEIGHBOR CONCERNS:  ADVANTAGES:1. Not always available 1. Close by2. Strain on relationship 2. Familiar3. Stress of both 3. Price 4. Known care provider 9
  10. 10. 3. INDEPENDENT OR REFFERAL AGENCY 9. Care provider unknown CONCERNS:1. NO supervision  ADVANTAGES:2. NO workers compensation 1. Price will vary insurance to protect caregiver3. NO liability insurance to protect client4. TRAINED? BONDED?5. NO background checks6. Legally able to work in the U.S.?7. NOT employees of agency8. Who is responsible for SS, Federal and State Taxes, Unemployment insurance? 10
  11. 11. 4. FULL SERVICE AGENCY CONCERNS:  ADVANTAGES:1. Price will vary. 1. Responsible for ALL payroll2. Caregiver unknown. taxes. 2. Employees of the agency. 3. Supervisory visits. 4. Liability insurance (protects the client). 5. Background checks completed. 6. TB tested and bonded. 7. Assessment performed. 8. “Care Plan” developed and reviewed. 9. “Daily Care Notes” maintained and available for family review. 10. Responsible for replacements 11. Available 24/7. 12. Caregiver introduction. 11
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  13. 13. WHAT TO LOOK FOR APPEARANCE:  HYGIENE  CHANGE IN1. Teeth brushed? 1. Odor? BEHAVIOR OR2. Shaved? 2. Clean hands and nails? LIFESTYLE?3. Dressed appropriately? 3. Clean hair? 1. NOT engaging in4. Clean clothes? favorite hobbies5. Weight loss or gain? 2. NOT watching favorite T.V shows 3. NOT reading books 4. NOT going to church 5. NOT enjoying favorite activities 6. A cluttered or disorganized house 7. Bills piling up 8. Mistake with bank accounts 9. An empty fridge or spoiled food 10. Forgetfulness 11. Depression or uncharacteristic behavior 13
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  15. 15. 1. FAMILY CAREGIVER 4. FULL SERVICE AGENCYa. Price may vary a. Hourly i. May vary based on level of care ii. Number of hours per visit2. FRIEND OF NEIGHBOR iii. Number of visits per weeka. Price may vary iv. $21.00 - $28.00 per hour v. Average no. of hours/week=243. INDEPENDENT OR vi. Average cost per hour=$24.50 REFFERRAL AGENCY ($588/week) ($15,288/6 months)a. Price will vary b. Live-In (24 hours/day)b. $14.00 - $17.00 / hour i. May vary based on level of carec. You pay the caregiver ii. $260 - $350 per day iii. Average cost per day=$290 15
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  17. 17. IMPORTANT QUESTIONS TO ASK FINDING THE RIGHT PERSON  LIABILITY1. Are caregivers employees of the 1. Are SS, Federal and State taxes company you pay for care? and unemployment insurance paid2. Does the company verify that so you or your family are not caregivers can work legally in the legally responsible? U.S.? 2. Is Worker’s Compensation3. Have ALL caregivers undergone insurance for the caregiver paid so rigorous criminal background you or your family are not legally investigations? responsible?4. Are caregivers company trained 3. Is professional liability insurance before they are assigned to for the caregiver paid so the family homes? is protected? 4. Are the caregivers bonded? 17
  18. 18. QUALITY OF CARE1. Does the company conduct client home visits to verify quality care is being provided?2. Does the company provide quality replacement care if the scheduled caregiver cannot make it to work?3. Does the company develop written care plan?4. Does the company involve the family and provide feedback about care? 18
  19. 19. ACTIVITIES OF DAILY LIVING (ADL’S) 1. Bathing 2. Dressing 3. Grooming 4. Toileting 5. Eating a nutritious diet 6. Getting out of bed 7. Getting out of chair 8. Walking 19