Live-In Caregiver

Qualicare’s 8 step process to finding a successful live-in caregiver

1. A Qualicare nurse will collect all relevant data from the client, as well as with family and anyone involved that may be supporting the client at the present time. We look at the medical need as well as the social needs to find an appropriate caregiver. I always like to tell people that a caregiver can easily be taught how to medically take care of someone but the personality cannot be taught, so the most important information that we collect is the normal routine of the client and what types of people that they get along with. Then we look at what the client may want to do during the day or any activities that they have been prevented from doing due to lack of support. We find a caregiver that can assist them in those activities or may have similar interests. Next we look at language, religion, and then medical experience. Our Head to toe assessment covers all areas from Head to Toe and will assist our Qualicare Nurse to find out what are the most pressing concerns and will assist in writing a care plan for the client that will assist the Nurse and the caregiver to meet all the needs together.

2. After the Nurse collects all of this information she will have a good idea on what all the needs are to assist the family in planning how much care that they require. Livein caregivers by law can work 44 hours a week and so if the amount of care accedes this then we need to consider alternative options. This could include hiring a second live-in caregiver to work on alternate hours or days, having family assist or hiring a company like our to provide stress free relief.

3. Qualicare will search out multiple sources for live-in caregivers. We post ads on public forums, use churches, embassy’s, social networks, caregiver referrals, and many others to get the most amount of applicants that we can. We review each applicant and schedule interviews if they meet our initial criteria.

4. All successful applicants get interviewed by the same Nurse that has sat with you and your family to ensure that your family’s needs and wants are remembered during the interviews process.

5. Qualicare will collect all copies of certificates, police clearance, and call references. We ensure that the references are from previous employers and will call and speak to someone anytime and anywhere in the world to ensure that the information is accurate.

6. The family will receive copies and files on all applicants to review prior to interviews.

7. Finally our Nurse will narrow the applicants down to 2 or 3 for the family to conduct a final interview. The family will chose the applicant based on their own judgment knowing that the caregivers have been properly screened and based on the nurse interviews are competent and able to work in the home.

8. As soon as the caregiver is placed in the home the Qualicare nurse will continue to assist the family and the caregiver for the first month. It is a period of adjustment for both and we can assist you to direct the caregiver as well as provide assistance to the caregiver in caring for your loved one. We provide a plan of care for the caregiver and directions to assist them. Our nurses can assist with training the caregiver for any medical requirements, as well as offering support and encouragement.

The Live-In Process

If there are adequate living accommodations at home, a live-in caregiver may be the most cost-effective option. We can provide assistance to you:

1. Our nurse will perform a thorough assessment of your family’s and loved one’s needs.

2. Based on our understanding of your needs, we find the right person for your loved one using four criteria: Culture, Temperament, Experience, and Skills. For more information about the matching criteria, visit why us.

3. We develop a care plan specific to your loved one. Live-in caregivers by law
can work up to 44 hours a week. If the amount of care exceeds this then we will help you consider alternatives and select the most suitable option.

4. We do all the “leg work”: post jobs, interview, check references, validate police clearances, and review certificates and relevant information. After our scrutiny, we recommend the top candidates for you to interview. You and your family make the final decision.

5. Qualicare helps with the hiring process and provide training and nurse management support for the first month.

Services You Can Expect from a Qualified Live-In Caregiver

In addition to assistance for normal activities of daily living because of aging, a live-in can provide care in situations such as the following:

  • Degenerative and chronic diseases such as amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), and Parkinson’s
  • Dementias including Alzheimer’s, Lewy body dementia (LBD), and vascular dementia
  • Palliative care
  • Rehabilitative care
  • Traumatic brain injuries (TBI)
  • Recovery from a personal injury due to automobile collision or other causes

Frequently asked questions

Why not hire a foreign worker?

A foreign worker (FW) is an economical way for a live-in caregiver. It is governed by the Canadian Government’s Foreign Worker Live-In Program. A foreign worker is paid minimum wage and you must provide adequate living accommodations. Room and board is deducted from the wages based on a government-prescribe rate. The process to obtain a foreign worker live-in caregiver is lengthy and can take 6 months or more. You will need to enter a two-year employment contract with the FW. Another issue is that you have no way of personally seeing the caregiver before they arrive to work. You can interview caregivers via video conference (e.g., Skype) or phone.

Can a caregiver give medications?

A live-in caregiver is like an extension to your family. A qualified caregiver can be trained to provide simple medical care in the home that you would normally do for yourself or a family member, such as giving injections, picking up and administration medication, taking blood pressure and pulse, and catheter and colostomy/ ileostomy care. With delegation from the family, Qualicare will train and support the caregiver for the first thirty days.

How many hours can a caregiver work?

Caregivers can provide up to 44 hours of “active service” per week. Working hours do not need to be consecutive. A caregiver is expected to stay with the client five days a week to care for the client. Breaks during the day should be scheduled and the family will need to make arrangements if the client cannot be left unattended. Options include government funded CCAC services (if available), family members to visit on specific days or times, or call on Qualicare to assist you in providing care.

Can a live-in caregiver do housework?

Yes, the live-in caregiver can do light housework and cooking. It is important to know that the housework should come second to care of the client. Light housekeeping refers to dusting, tidying, surface cleaning, laundry, taking out trash, vacuuming, polishing, etc. and does not include snow removal, yard maintenance, cleaning gutters, home repairs, moving furniture, or strenuous heavy lifting.

What if the caregiver doesn’t work out?

Qualicare takes great care to look for the best possible candidates for your family but sometimes it just doesn’t work out. Qualicare offers a one-time guarantee that if for any reason the caregiver does not work out within the first 30 days, we will replace that caregiver for no additional charge.

What if Mom/Dad ever requires hospitalization?

A caregiver can be helpful in the hospital as well as the home. The caregiver should go to the hospital and spend her shift there to assist the staff with any care needs or just to provide company and ensure your parent is with someone familiar.

What if Mom/Dad requires long term care?

We can’t predict the future but know that you can always end your contract with the caregiver with proper notice or pay in-lieu. The time of notice can be used to assist the move, to be with your loved one in the new home for the remainder of the time left, and to assist your parent get acquainted with the new surroundings and routine. Experienced live-in caregivers should be familiar with the scenario, since this is a common situation.

How much do I pay a live-in?

This varies considerably. At the time of writing (2017), the average pay varies from $15 to $18 per hour based on a 44-hour work week. This is expected to rise in 2018 in-step with the Ontario Provincial Government’s legislation to increase minimum wage starting 2018. You will need to add about 10% for the employer’s portions of employment insurance and Canada Pension Plan. This translated into the range of $3,150 to $3,800 per month (add another 10% or so starting 2018). Except for those working under the foreign worker’s program, room and board cost are usually not deducted. Therefore, you will need to consider the additional costs of utilities and food in housing the live-in.

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